Ch.19 Flashcards
(25 cards)
1st part of a BPP
Fetal Breathing Movement
2nd part of a BPP
Gross Body Movement
3rd part of a BPP
Fetal Tone
4th part of a BPP
Reactive Fetal Heart Rate
5th part of a BPP
Qualitative Amniotic Fluid
Fetal Breathing Movement - 2
1 or more episode of >30 sec duration in 30 minutes
Fetal Breathing Movement - 0
Absent or no episode of >=30 seconds in 30 minutes
Gross Body Movement - 2
3 or ^ body/limb movements in 30 minutes
Gross Body Movement - 0
2 or v body/limb movements within 30 minutes
Fetal Tone - 2
1 or ^ episode of active extension with quick return to flexion
Fetal Tone - 0
Slow extension with partial flexion or limb in full extension, or absent movement
Reactive fetal heart rate - 2
2 or ^ episodes of accels of >=15 for 15 secs in 30 minutes
Reactive fetal heart rate - 0
1 or v accels of accel < 15 in 30 minutes
Qualitative amniotic fluid volume - 2
1 or ^ pocket of amniotic fluid measuring 2 cm in two perpendicular planes
Qualitative amniotic fluid volume - 0
no amniotic fluid pocket or pocket < 2 cm
Contraction Stress Test (CST) - Negative
This is the desired outcome. No late decels noted with contractions
Contraction Stress Test (CST) - Positive
Repetitive late decels within 10 minutes. Related to fetal compromise
Nonstress test (NST)
Primary method of antepartum fetal assessments
Nonreactive NST
There are not 2 or ^ qualifying accels in a 20 minute period. CST or BPP may be performed
High AFP means what?
Neural Tube Defects
Low AFP means what?
Down’s syndrome, HTN, preterm labor
3 Indications of Amniocentesis
Karyotyping with chromosomes, LS/PG ratio for lung maturity, Bilirubin levels (rH and ABO)
Complications of Amniocentesis
hemorrhage, miscarriage/preterm labor, infection, rupture of membranes
Doppler ultrasound measures what?
velocity of blood movement
