Quiz Test Map Units C&D Flashcards
Explain GP and GTPAL in detail.
Gravida/gravidity = # of pregnancies; Parity = # of pregnancies that reach 20wks Term (T) = how many reached 38 wks; Preterm (P) = how many were ended btwn 21-37wks; Abortions (A) = aborted/miscarried prior to viability (20wks); Living (L) = # of living children (only place that counts multiple births of children)
What are some unusual circumstances that might warrant administration of Rhogam to the mother?
She is Rh negative and/or had a procedure that might mix maternal and fetal blood, like an amniocentesis, PUBS, abdominal trauma, ectopic preg, abortion or threatened abortion
Direct Coomb’s tests _____ blood and indirect Coomb’s tests _____ blood.
Fetal. Maternal.
If direct Coomb’s is negative, is this good or bad?
Good. No antibodies are present in baby’s blood to harm/break it down
Who gets Rhogam routinely, when, and why?
If mom is Rh- she gets Rhogam at 26-28wks just in case baby is Rh+. If baby tests Rh+ by direct Coomb’s, then mom gets Rhogam again within 72hrs of birth
What does an indirect Coomb’s titer of 1:8 and rising mean?
Significant Rh incompatibility
What is the difference between autosomal dominant and recessive?
If the gene is autosomal dominant, only one parent has to have it to pass it on. If autosomal recessive, both parents must have it to pass it on
Explain the difference between gestational hypertension, preeclampsia, and eclampsia
Gestational HTN is just high BP during pregnancy, preeclampsia is high BP after 20wks gestation with proteinuria, and eclampsia is seizures
What is the definition of “high blood pressure” regarding preeclampsia?
A systolic reading >140 or >30 above pt’s baseline and diastolic reading >90 or >15 over pt’s baseline. Remember these have to be 2 readings on separate occasions. It is severe preeclampsia if the BP is >160 systolic or >110 diastolic
What is the leading cause of death among neonates? Name some other causes.
Congenital anomalies. Short gestation, LBW, SIDS, respiratory distress syndrome, and maternal complications
What FHR is considered “sleeping” and what is the normal rate when awake?
110 if asleep. 120-160 (140 avg) is considered normal
What is a “reactive” non-stress test?
A rise of at least 15 bpm over 15 secs or more at least 2x in 20 min
What is a “Biophysical profile”?
A series of tests to determine the well-being of the neonate. It includes a NST and an ultrasound to determine amniotic fluid volume
What must the mother NOT do before an ultrasound?
She can’t urinate. A full bladder is necessary to keep the placenta pushed up
What is a good way for the mother to help track the health of her baby?
By keeping a kick count
