Term
|
Definition
- best described as decreased rate of fetal growth
- weight at or below 10% for a given gestational age
|
|
|
Term
|
Definition
Percentage of pregnancies complicated
by IUGR? |
|
|
Term
- antepartum death
- perinatal asphyxia
- neonatal morbidity
- later developmental problems
|
|
Definition
| IUGR babies are at greater risk of what? |
|
|
Term
six to ten fold
depending on severity |
|
Definition
| mortality of an IUGR baby is increased by what? |
|
|
Term
- hx of previous IUGR baby
- signigicant maternal hypertension and/or smoking
- presence of uterine anomaly
- significant placental hemorrhage
|
|
Definition
| maternal factors to IUGR are: |
|
|
Term
decreased fundal height and fetal motion |
|
Definition
|
|
Term
Grade 3 placenta before 36weeks or decreased placental thickness
<15mm |
|
Definition
| Key IUGR sonographic marker: |
|
|
Term
-
low genetic growth ptential
-
intrauterine infection
-
severe maternal malnutrition
-
fetal alcohol syndrome
-
chromosomal anomaly
-
severe congenital anomaly
|
|
Definition
| Causes of symmetric IUGR: |
|
|
Term
|
Definition
|
|
Term
| late in the second or third trimester |
|
Definition
| Asymmetric IUGR begins when? |
|
|
Term
|
Definition
| symmetric IUGR results when? |
|
|
Term
|
Definition
| Asymmetric IUGR is caused by what? |
|
|
Term
|
Definition
| characterized by an appropriate BPD and HC and a disproportionately small AC |
|
|
Term
Abdominal circumference
(AC) |
|
Definition
| single most sensitive indicator of IUGR |
|
|
Term
|
Definition
| AC is affected secondary to what in Asymmetric IUGR? |
|
|
Term
| liver - depletion of glycogen storage |
|
Definition
| What is most severely affected organ in IUGR? |
|
|
Term
|
Definition
Occurs if fetus cannot urinate
Not enough fluid |
|
|
Term
|
Definition
Develops if fetus cannot swallow
Too much fluid |
|
|
Term
|
Definition
| fluid pocket less than what may represent IUGR? |
|
|
Term
|
Definition
below what percentile is highly predictive
of IUGR? |
|
|
Term
| IUGR, fetal renal anomalies, rupture of intrauterine membrances, and postdate pregnancy |
|
Definition
| Low AFI is associated with what? |
|
|
Term
|
Definition
| normal AFI measures what? |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| Grade 3 placenta prior to how many weeks is an indicator of IUGR? |
|
|
Term
|
Definition
| What grade of placenta is determined by no breaks and is homogeneous texture? |
|
|
Term
|
Definition
| What grade of placenta is determined by breaks in chorionic plate? |
|
|
Term
|
Definition
| what grade of placenta is determined by calcifications and breaks partway? |
|
|
Term
|
Definition
| What grade of placenta is determined by cloud appearance? |
|
|
Term
|
Definition
| Grade 3 placenta is normal after how many weeks? |
|
|
Term
- fetal breathing movement
- gross body movement
- fetal tone
- amniotic fluid index
|
|
Definition
| Biophysical Profile is determined by: |
|
|
Term
| one episode for 30 sec continuous during a 30 min observation |
|
Definition
| fetal breathing movement is determined by what? |
|
|
Term
at least 3 discrete body or limb movements
30 min, continuous movement is counted as one movement |
|
Definition
| gross body movement is determined by what? |
|
|
Term
| at least one episode of active extension and flexion |
|
Definition
| what determines fetal tone? |
|
|
Term
one pocket of amniotic fluid at least 2 cm in two perpendicular planes
or
AFI total fluid measures between 5 and 22 cm |
|
Definition
| How to determine amniotic fluid index? |
|
|
Term
- at least two episodes of fetal heart rate accelerations of 15 beats per min or more
- accelerations lasting at least 15 sec
|
|
Definition
Non- stress test
(40 min) |
|
|
