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At risk pregnancy

Evaluate fetal status

1

Low risk pregnancy

Evaluate normal growth and development

2

What should be performed by all pregnant women

Maternal evaluation of fetal movement (kick counts 10 in 10)

3

When should mother perform evaluation of fetal movement

After 27 weeks

4

DFMC

Daily Fetal Movement Count

5

How should mother perform DFMC?

Lying sideways - 1 hour after meal

6

Number of times fetus should move in one hour

4

7

Number of times a fetus should moved in 2 hours

10

8

If a baby doesn't moved much what are they usually?

Hypoxic

9

If baby doesn't move in the morning time, what should mother do?

Call the doctor

10

Use of high frequency sound waves to create an image of the fetus

Ultrasound

11

Limited obestric ultrasound

Basic screening

12

Ultrasound for women suspected of caring an abnormal fetus

Comprehensive ultrasound

13

What color is bone on an ultrasound?

White

14

What color is soft tissue on an ultrasound?

Gray

15

What color is fluid on an ultrasound?

Black

16

If you see nuchal thickening and flattened nasal brindge on a baby in an ultrasound, what does the baby have?

Trisomy 21 or down syndrome

17

The amount of amnionic fluid in the uterus is an indicator for what?

Fetal well-being

18

Excess amniotic fluid

Polyhydramnios

19

Decreased amounts of amniotic fluid

Oligohydramnios

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What is polyhydramnios associated with?

Diabetes or baby may have a neurological disorder and isn't able to swallow

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What is Oligohydramnios associated with?

The fetus may be swallowing but are not urinating - when baby is hypoxic, their kidneys shut off to support the heart and therefore - no urine

22

How much fluid should a mother drink before having the amniotic fluid assessed?

1 to 1 1/2 quarts of water

23

Amniotic fluid volume (AFV)

Measures only one pocket

24

Amniotic fluid index (AFI)

A measure of 4 quandrants or pockets

25

Biophysical Profile (BPP)

Fetal breathing movements
Gross body movements
Fetal tone
Reactive fetal heart rate
Amniotic fluid

26

How many possible points can you get from a BPP?

10 (2 points each)

27

What is the normal BPP score?

8-10

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What BPP score do you evaluated for possible delivery?

BPP score of 4 or less

29

If a mom is 32 weeks pregnant and the BPP score is 4 or less, what action takes place?

They induce labor