Term
| Name Fiver maternal Variable associated with diagnosis of a high-risk pregnancy? |
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Definition
Age (under 17 or over 34 yrs of age)
Parity (over 5)
Less than 3 months btwn pregnancies
Diagnosis of preeclampsia, Diabetes Mellitus, Cardiac Disease |
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Term
| Is one ultrasound examination useful in determining the presence of IUGR? |
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Definition
| NO. Serial measurements are needed to determine IUGR |
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Term
| What does the biophysical profile (BPP) determine? |
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Definition
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Term
| List three necessary nursing actions prior to an ultrasound exam for a woman in the first trimester of pregnancy. |
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Definition
| Have client fill bladder. Do not allow client to void. Position client supine and with uterine wedge |
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Term
| State the advantage of CVS over amniocentesis |
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Definition
| Can be done btwn 8-12 wks gestation, with results returned within 1 week, which allows for decision about termination while still in the first trimester |
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Term
| Why are serum or amniotic AFP levels done prenatally? |
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Definition
| To determine whether AFP levels are elevated, which may indicate the presence of neural tube defects; or whether they are low hich may indicate trisomy 21. |
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Term
| What is the most important determinant of fetal maturity for extrauterine survival? |
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Definition
| L:S raito (lung maturity, lung surfactant development) |
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Term
| Name the three most common complications of amniocentesis |
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Definition
Spontaneous abortion
Fetal injury
Infection |
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Term
| Name The Four periodic Changes of the FHR; Their Causes; and one nursing treatment for each. |
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Definition
1. Accerleration are caused by a burst of sympathetic activity: they are reassuring and NO treatment!
2. Early Decelerations are caused by head compression: They are benign and alert the nurse to monitor for labor progress and fetal descent.
3. Variable Decelerations are caused by cord compression: change of position should be tried first
4. Late Decelerations are caused by UPI and should be treated by placing client on her side and administering oxygen |
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Term
| What is most important indicator of fetal autonomic nervous system integrity and health? |
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Definition
| Fetal heart Rate Variability |
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Term
| Name Four causes of Decreased FHR variability |
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Definition
| Hypoxia, Acidosis, Drugs, Fetal Sleep |
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Term
| State the most important action to take when a cord prolapse is determined. |
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Definition
| Examiner should position mother to relieve pressure on the cord or push the presenting part off the cord with fingers until emergency delivery is accomplished. |
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Term
| What is a reactive non-stress test? |
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Definition
| FHR acceleration of 15 bpm for 15 seconds in response to fetal movement |
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Term
| What are the dangers of the nipple stimulation stress test? |
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Definition
| The inability to control oxytocin "dosage" and the change of tetany/hyperstimulation |
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Term
| Normal fetal scalp pH in labor is? and values below______ indicate true acidosis. |
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Definition
*7.25 to 7.35
*Levels Less than 7.2 |
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