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Flashcards in Antepartum Assessment for High Risk Pregnancy Deck (45)
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1

Risk factors for high risk pregnancy

Homeless
Single
Uninsured pregnant women without access to prenatal care
Lifestyle
Age
History
Nutrition
*** others

2

What is high risk pregnancy?

High risk pregnancy: life or health of mother or fetus is jeopardized

3

How long is mother at risk for ?

it extends through puerperium! 30-45 days after birth

4

When do complications usually resolve for mother's at risk?

within 1 month of birth.

5

What are the 3 leading causes of maternal mortality?

Pre- eclampsia

Pulmonary embolism

Hemorrhage

6

Factors related to maternal death ?

Age: <20 years or > 35 years

Lack of prenatal care

Low educational attainment

Unmarried status

Nonwhite race

7

Fetal and neonatal health problems?

Congenital anomaly
Heart Defect
Anencephaly
Gastroschisis

8

Causes of neonatal death include?

Disorders related to short gestation and low birth weight

Sudden infant death

Respiratory distress syndrome

Effects of maternal complications
** Healthy People 2020- Progress being made

9

Nursing role in antepartal assessment for risks?

-Assist with History intake
-Initial nursing assessment
-Education
-Support person
-Assists physician/ provider -with procedures-
-Performs non-stress tests (NSTs), contraction stress tests (CSTs), BPPs

10

What are the 3 antepartum assessments for risk antepartum testing?


Biophysical Assessment

Biochemical Assessment

Electronic Fetal Monitoring

11

When does the fetal movement test start? Why?

28 weeks. 22 might be too early for some to be moving and kicking around.

12

If it's been more than 12 hours without any fetal movement is this alarming? What should you do?

Yes alarming.

have woman drink something cold and sugary, or eat, lie down on left side...see if baby wakes up. if not you can zap it for 3 second.

13

What do ultrasounds do?

Indications:
Fetal heart rate activity
Gestational age
Fetal growth & Fetal anatomy
Placental position & function
Dating purposes
Assess anatomy following abnormal maternal screens
Adjunct to other invasive tests

14

What does the fluid surrounding the baby do for it?

Fluid allows baby to grow and helps with lung development.

15

What can an ultra sound show?

Fetal well being
Amniotic fluid volume
Doppler blood flow analysis (slide 16)
Biophysical profile (slide 15)

16

If the Nasal Bridge and Nuchal translucency is thick what can this mean?

chromosomal abnormality

Thick nb and nt: it be can connected to downs syndrome

17

What does the biophysical profile show you? (4)

Gonna look at breaths, fetal movements, fetal tone , amniotic fluid volume


Max points someone to get is a 10.
If 8/10 that’s still acceptable.

18

What does MRI show ? (5)

Fetal structure

Placenta -

Quantity of amniotic fluid

Maternal structures

Biochemical status of tissues and organs

Soft tissue, metabolic, or functional anomalies

19

Is contrast used in pregnancies?

noooooo

20

What is fetal hemolytic disease?

moms blood is attacking the baby.

21

What does amniocentesis show for a fetus?

Indications
Prenatal diagnosis of disorders (genetic/ anomalies)
Fetal maturity (L/S ratio) – DM (PG)
Fetal hemolytic disease

22

Maternal complications with amniocentesis?

Hemorrhage
Infection, Abruption
Organ injury
Amniotic embolism

23

Amniocentesis complications in Fetus/infants?

Death
Hemorrhage
Infection (amnionitis)
Injury from needle
Miscarriage or preterm labor
Leakage of amniotic fluid

24

What is Chorionic villus sampling ? CVS

Removal of portion of placenta through abdomen or intravaginally through the cervix under USG guidance for genetic studies.

25

How fast do results happen with Chorionic villus sampling?

RAPID
10 and 13 weeks gestation

26

Risks and nursing considerations for Chorionic villus sampling?

Risks- spotting, SAB

Nursing considerations
Rhogam if RH NEG

27

What is Percutaneous umbilical blood sampling? (PUBS)
and who is it indicated for?

fetuses @ risk for isoimmune hemolytic anemia

Insertion of needle directly into a fetal umbilical vessel under ultrasound guidance

indication: fetuses @ risk for isoimmune hemolytic anemia

28

What are the risks and nursing considerations for Percutaneous umbilical blood sampling? PUBS

Risks- cord laceration, PTL, infection, PPROM

Nursing considerations: FHT, Rhogam post procedure if needed

29

What is the Alpha-fetoprotein test ?

Maternal serum levels (MSAFP) screened for neural tube defects (NTDs)- done @ 15-22 wks

30

In the alpha-fetoprotein test , what does it mean when its high?

NTDs & abdominal wall defects (HIGH)