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OB Practice questions
Diagnostic Tests
27
Nursing
Undergraduate 4
03/23/2010

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Cards

Term
Daily Fetal Movement Count (DFMC)
Definition
*ENTIRE PREGNANCY*

10 mvmt/2h
2/3x/day
No mvmt 12 h = BAD
Term
Transvaginal Ultrasound (US)
Definition
<14 WEEKS

Empty bladder
Amniotic fluid
Cardiac (FHR 6-7)
Miscarriage
Ectopic pregnancy
Masses
Contraceptive device
Term
Acronym Transvaginal US
Definition
A Creepy Machine Enters My Crotch!
Term
Abdominal Ultrasound
Definition
>14 WEEKS

Needs full bladder
Amniotic fluid
Placenta
Cervical length
Masses
Anomalies
Placenta previa
Miscarriage
Same as transvag.
Term
Acronym Abdominal US
Definition
A Physician Can MAP My Stomach
Term
Fetal Nuchal Translucency (FNT)
Definition
*10-14 WEEKS*

>2.5 is abnormal
>3 is genetic D/O
Term
Amniotic Fluid Volume (AFI)
Definition
*ENTIRE PREGNANCY*

<5 cm: Oligio (<300 ml)
>19 cm: Poly (>2 L)
Term
Doppler Blood Flow Analysis
Definition
*15 WEEKS*

IUGR
High S/D ratio = BAD
Term
Biophysical Profile (BPP)
Definition
8-10: Normal
<4: BAD

Amniotic fluid vol
Tone
Breathing
FHR
Movement
Reactive FHR
Placental grade
Term
Acronym BPP
Definition
A Test Below Four Means Really Poor!
Term
MRI
Definition
Trauma, sedate mom/baby

Amniotic fluid
Maternal structure
Structure of fetus
Biochemical status
Placenta
Functional problem
Metabolic problem
Soft tissue
Term
Acronym MRI
Definition
An MRI Should Bring Placental (Following Maternal) Sedation
Term
Amniocentesis
Definition
1. Hemolytic D/O
2. AFP
3. Pulmonary maturity (35-36 wk)
Term
Amniocentesis dates
Definition
14-16 wks: Chromosomal determination
20-28 wks: Rh isoimmunization
34-42 wks: Fetal well-being
Term
Meconium
Definition
No suction
Hypoxia
Cord compression
Term
Percutaneous Umbilical Blood Sampling (PUBS)
Definition
*4/5 WEEK B4 TRANSFUSION*

Infection
IUGR pH
Rh isoimmunization
Thrombocytopenia
Ectopic pregnancy
Karyotype
Blood D/O
Term
Acronym PUBS
Definition
Izzy Is Ready To Emit Kord Blood
Term
Chorionic Villus Sampling (CVS)
Definition
*10-12 WEEKS*

<10 wk limb anomaly
Genetics
Rh isoimmunization
Faster than amnio
Term
Acronym CVS
Definition
CVS Gives Rx's Fast!
Term
Maternal AFP (MSAFP)
Definition
*15-22 (16-18) WEEKS*

High: NTD/Abd; U/S
Low: Down's; Amnio
Term
Triple Screen/ Triple Marker Test
Definition
Low MAFP, Maternal Estriols, Inhibin A
High HCG
Term
Coomb's
Definition
>1:8; Amnio for bilirubin
Term
Electronic fetal monitoring
Definition
*3rd TRIMESTER*

UPI
Hypoxia
Term
Nonstress Test (NST)
Definition
Reactive: GOOD

2+/20 minutes
Variab. +10 BPM
Accelerations: +15 BPM/15 sec
Term
Contraction/Oxytocin Stress Test (CST/OST)
Definition
(-) GOOD
(+) BAD; Late decelerations
Term
Diagnostic Tests
Definition
CVS
PUBS
Term
Invasive tests
Definition
Electronic fetal monitoring (Possible)
CVS
PUBS
Amniocentesis
Transvaginal U/S
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