High Risk Pregnancy

Question 1

I. Risk Factors

A.

Answer 1

Demographic Factors

Question 2

I. Risk Factors

B.

Answer 2

Socioeconomic Status

Question 3

I. Risk Factors

C.

Answer 3

Obstetric History

Question 4

I. Risk Factors

D.

Answer 4

Current OB Status

Question 5

I. Risk Factors

E.

Answer 5

Maternal Medical History/Status

Question 6

I. Risk Factors

F.

Answer 6

Habits/Habitua9on

Question 7

II. Diagnos9c Tests in High Risk Pregnancy & Determina9onof Fetal Status

Fetal Stat

& Determina9on of Fetal Stat

A

Answer 7

Ultrasonography

Question 8

II. Diagnos9c Tests in High Risk Pregnancy & Determina9onof Fetal Status

B

Answer 8

Non-Stress Test

Question 9

II. Diagnos9c Tests in High Risk Pregnancy & Determina9onof Fetal Status

C

Answer 9

Contraction Stress Test

Question 10

II. Diagnos9c Tests in High Risk Pregnancy & Determina9onof Fetal Status

D

Answer 10

Oxytocin Challenge Test

Question 11

II. Diagnos9c Tests in High Risk Pregnancy & Determina9onof Fetal Status

E

Answer 11

Biophysical Profile

Question 12

II. Diagnos9c Tests in High Risk Pregnancy & Determina9onof Fetal Status

F.

Answer 12

Amniocentesis

Question 13

II. Diagnos9c Tests in High Risk Pregnancy & Determina9onof Fetal Status

G

Answer 13

X-Ray: Lateral Pelvimetry

Question 14

II. Diagnos9c Tests in High Risk Pregnancy & Determina9onof Fetal Status

H

Answer 14

Serial Estriol-Determination

Question 15

II. Diagnos9c Tests in High Risk Pregnancy & Determina9onof Fetal Status

I

Answer 15

Chorionic Villi Sampling

Question 16

II. Diagnos9c Tests in High Risk Pregnancy & Determina9onof Fetal Status

J

Answer 16

Percutaneous Umbilical Blood Sampling

Question 17

I. Risk Factors

Demographic Factors

Answer 17

1. Age
2. Weight
3. Height

Question 18

I. Risk Factors

Age:
Op9mal age for pregnancy:

Answer 18

< 18 and 35>
20-30 years

Question 19

I. Risk Factors

Weight: Pre-pregnant wt:
Normal Weight Gain:

Answer 19

< 90 lbs
150 lbs>
24-30 lbs

Question 20

I. Risk Factors

Height:

Answer 20

< 5 feet

Question 21

I. Risk Factors

Socioeconomic Status

Answer 21

1. Inadequate finances
2. Overcrowding, poor standards of
   housing, poor hygiene
3. Nutri9onal Depriva9on
4. Unplanned and Unprepared
   pregnancy
5. Out of wed lock

Question 22

I. Risk Factors

Obstetric History

Answer 22

1. History of infer9lity or mul9ple
   gesta9on
2. Grandmul9parity
3. Previous abor9on or Ectopic
   pregnancy
4. Previous loses: Fetal death, s9llbirth,
   neonatal death or perinatal death
5. Previous opera9ve OB: CS,
   Midforcep delivery
6. Previous uterine abnormality
7. Previous abnormal Labor:
8. Previous High risk infant
   Low-birth-wt(LBW)
   Macrosomic
9. Previous Hyda9diform Mole

Question 23

I. Risk Factors; Obstetric History

Previous abnormal Labor:

Answer 23

Preterm
Posgerm
Prolonged labor
Precipitate Labor

Question 24

I. Risk Factors

Current OB Status

Answer 24

1. Late or no prenatal care
2. Maternal Anemia
3. Rh Sensi9za9on
4. Antepartal bleeding
5. PIH
6. Mul9ple Gesta9on
7. Premature or post mature labor
8. Polyhydramnios
9. PROM
10. Inappropriate fetal size

Question 25

# I. Risk Factors Maternal Medical History/Status

Answer 25

1. Cardiac or Pulmonary Disease 2. Metabolic Disease: DM, Thyroid 3. Chronic Renal Disease: repeated UTI 4. Chronic Hypertension 5. STI/STD 6. Hemoglobinopathies 7. Malignancy 8. Major emo9onal/mental disorders

Question 26

# I. Risk Factors Habits/HabituaHon

Answer 26

SAD HABIT Smoking Alcohol Drug abuse

Question 27

# I. Risk Factors Is the present weight of a pregnant woman of 144 lbs normal at 5th month if her pre-pregnant weight is 125 lbs?

Answer 27

- 136 lbs sudden weight gain - check edema - check blood pressure - refer the client to the DR.

Question 28

# I. Risk Factors Martha is 3 mos pregnant. Her OB score is G5P3 T2P2A1L4M1. Iden9fy the risk factors based on her OB score.

Answer 28

financial status

Question 29

# II. Diagnos9c Tests Uses high frequency sound waves to detect intra-body structures

Answer 29

Ultrasonography

Question 30

# II. Diagnos9c Tests -Observa9on of FHR related to Fetal movements

Answer 30

Non-Stress Test

Question 31

# II. Diagnos9c Tests -scoring combining UTZ assessment

Answer 31

Biophysical Profile

Question 32

# II. Diagnos9c Tests ;Biophysical Profile scoring combining UTZ assessment of:

Answer 32

1. Fetal breathing 2. Fetal Movement 3. Fetal Tone 4. Reac9vity of FHR 5. Amnio9c fluid volume BPP

Question 33

# II. Diagnos9c Tests ;Biophysical Profile 8-10

Answer 33

Normal, low risk for chronic asphyxia

Question 34

# II. Diagnos9c Tests ;Biophysical Profile 4-6

Answer 34

Suspected Chronic Asphyxia

Question 35

# II. Diagnos9c Tests ;Biophysical Profile 0-2

Answer 35

Strong suspicion of chronic asphyxia

Question 36

# Biophysical Variable;Fetal Breathing Movements Greater than equal to 1 episode of 30 seconds or more of fetal breathing movements in 30 minutes

Answer 36

Normal (Score=2)

Question 37

# Biophysical Variable;Fetal Breathing Movements Absence of 30 seconds or longer of fetal breathing movements in 30 minutes

Answer 37

Abnormal (Score=0)

Question 38

# Biophysical Variable;Gross Fetal Movements 3 or more discreet movements of the body or any limb in 30 minutes

Answer 38

Normal (Score=2)

Question 39

# Biophysical Variable;Gross Fetal Movements 2 or less discreet movements of the body or any limb in 30 minutes

Answer 39

Abnormal (Score=0)

Question 40

# Biophysical Variable; Fetal Tone 1 or more episode of extensive & flexion of metal limb/s or trunk. Opening and closing of hand is considered normal tone.

Answer 40

Normal (Score=2)

Question 41

# Biophysical Variable; Fetal Tone Either slow extension with return to partial flexion or movement of limb in full extension or absent fatal movement

Answer 41

Abnormal (Score=0)

Question 42

# Biophysical Variable; Reactive Fetal Heart rate 2 or more episode of accelerations of 15 bpm or more lasting for 15 seconds or longer in 20 min.; associated with fetal movement

Answer 42

Normal (Score=2)

Question 43

# Biophysical Variable; Reactive Fetal Heart rate Less than 2 episodes of acceleration of festal heart rate or acceleration of less than 15 bpm in 20 minutes

Answer 43

Abnormal (Score=0)

Question 44

# Biophysical Variable; Qualitative Amniotic Volume 1 pocket or more of fluid measuring 1 cm or more in two perpendicular planes

Answer 44

Normal (Score=2)

Question 45

# Biophysical Variable; Qualitative Amniotic Volume Either no pockets or a pocket of 1 cm or less in two perpendicular planes.

Answer 45

Abnormal (Score=0)

Question 46

# II. Diagnos9c Tests Measures feto-placental well-being Specimens: serum or 24-hr urine Normal 12-50 mg/day at term

Answer 46

Serial Estriol Determina9on

Question 47

# II. Diagnos9c Tests performed during the 2nd & 3rd trimesters

Answer 47

Percutaneous Umbilical Blood Sampling

Question 48

# II. Diagnos9c Tests UTZ aided

Answer 48

Percutaneous Umbilical Blood Sampling

Question 49

# II. Diagnos9c Tests Cord Blood is aspirated & tested

Answer 49

Percutaneous Umbilical Blood Sampling

Question 50

# II. Diagnos9c Tests Danger Signs of Pregnancy:

Answer 50

-Bleeding -Sudden escape of fluid from the vagina - Edema - Sudden weight gain - Rapidly increasing size of abdomen - Foul-smelling vaginal discharge - Fever - Headache, blurring of vision - Excessive vomi9ng

Question 51

# II. Diagnos9c Tests Which of the following test results needs to be reported to the doctor? a. Estriol level of 35 mg/dl b. No FHR decelera9ons in CST c. Reac9ve NST d. LS ra9o of 2:1 e. MSAFP of 32 ng/dl

Answer 51

e. MSAFP of 32 ng/dl