Module 5 BBB Third Trimester Flashcards
Why would may a rh- patient need RhoGAM during pregnancy?
-Routine administration at 26-28 weeks
-Abdominal trauma (car accident, abuse)
-Amniocentesis
-Vaginal bleeding
-threatened pregnancy loss
Why do we give RhoGAM?
To protect a future pregnancy, it prevents the production of antibodies forming against rh+ fetal blood.
You patient at 28 weeks has an H/H of 11.2/33.0. Her new OB labs showed 12.6/33.2. What is your assessment of the change?
This is an expected drop
Your patient is 30 weeks pregnant and O-. What documentation is an expected finding on her chart?
That she received RhoGAM at or since her lat visit
Your patient had GBS in her urine during her initial OB labs. What is the POC?
She will receive GBS prophylaxis during labor
If a patient passes an early 1-h GTT, what does that negative screen indicate?
They likely did not have DM II at the beginning of their pregnancy
When does BP rise to prepregnancy levels?
32 weeks
What is the total pregnancy weight gain recommendation for BMI 30.3?
11-20lb
Should we be concerned about urinary trace protein in third trimester?
No
T/F: A strong evidence base indicates daily fetal movement counting during the third trimester reduces perinatal mortality
False
Your 30-week patient states, “I feel the baby moving, but I don’t feel it every day.” Is this normal?
No-by 28 weeks they should feel movement every day
Where can you usually best auscultate the FHR?
the fetal back
What is the generally accepted normal FHT range in third trimester?
110-160
How can a patient relieve leg cramps?
Dorsiflexion of the foot and stretching in the calf muscle
What patients should be re-screened for STIs in third trimester?
Those at high risk
Which BPP component is so important that an abnormality in that component requires consultation with an OB colleague, no matter how the other elements are scored?
AFI/AFV
Your 38 week patient had a fundal height of 35 cm and an AFI of 4.1. How would we assess and manage this patient?
The AFI is low and needs immediate follow up
What is the normal AFI range?
5-25
A patient at 35 weeks calls concerned about babies movement. In spite of paying close attention to all the baby’s large and small movements, they feel a decrease in the number of movements, compared with the usual pattern. How should we respond?
This is NOT expected, and they should come in for an NST
How do we properly collect a GBS swab?
Insert several cm into the vagina and then into the rectum
How accurate are self-collected GBS tests?
The same as provider collected
During an NST, the FHR is 150s with one FHR acceleration. What is the appropriate response?
Continue for NST 20 minutes
During an NST, the FHR is 150s with one FHR acceleration. You continue for 20 minutes and again get one acceleration. How is this documented and what is the next step?
Non-reactive->BPP
Which element in urine is associated with UTI?
Nitrites
