SAS#8

Question 1

✔Healthy fetus moves with consistency
or at least

Answer 1

10x a day

Question 2

✔Quickening (felt by the mother) at

Answer 2

18
to 20 weeks &
peaks at 28 to 38 weeks

Question 3

Mom lies on ___ after a
meal

Answer 3

left recumbent position

Question 4

minimum 2x/10 min or
average of10 to 12 times/hour

Answer 4

(SANDOVSKY METHOD)

Question 5

mom records time interval it takes
to feel 10 movements (usually within 60 seconds)

Answer 5

(CARDIFF METHOD/FETAL
KICK COUNT

Question 6

FETAL heart rate normal value

Answer 6

120 to 160 bpm

Question 7

test for good baseline rate & presence of long- and
short-term variability

Answer 7

Rhythm Strip Testing

Question 8

to prevent supine hypotension &
for comfort

Answer 8

Semi-Fowler’s position

Question 9

average rate of fetal
heartbeat per minute

Answer 9

baseline reading

Question 10

differences in heart rate
over the 20-minute period

Answer 10

Long-term variability

Question 11

small changes in rate from second to second if
fetal.

Answer 11

Short-term variability (beat-to-beat variability)

Question 12

measures the
response of the FHR to fetal movement

Answer 12

NON-STRESS TESTING (NST)

Question 13

A specially designed acoustic stimulator is
applied to the mother’s abdomen to
produce a sharp sound 80 decibels at a
frequency of 80 Hz, startling & waking the
fetus.

Answer 13

VIBROACOUSTIC
STIMULATION

Question 14

FHR is analyzed in conjunction with
contractions (achieved by nipple stimulation to
release oxytocin).

Answer 14

CONTRACTION STRESS TESTING

Question 15

begins on or after onset
of contraction & ends when contraction ends;
due to head compression during labor.

Answer 15

Early deceleration

Question 16

begin after onset & peak
of UC & ends after contraction; due to
uteroplacental insufficiency.

Answer 16

Late deceleration

Question 17

u, w, or v shape,
unrelated to contraction; due to cord
compression.

Answer 17

Variable deceleration

Question 18

✔ diagnose a pregnancy
✔ Confirm presence, location, size of
placenta & Amniotic fluid.
✔ Establish fetal growth & r/o abnormalities.
✔ Establish sex.
✔ Establish presentation & position of fetus.
✔ Predict maturity via the measurement of
biparietal diameter of the head.
✔ Discover complications of pregnancy.

Answer 18

ULTRASONOGRAPHY

Question 19

Side-to-side measurement of the fetal head
via ultrasound

Answer 19

BIPARIETAL DIAMETER

Question 20

determines length of fetus in cm

Answer 20

HAASE’S RULE

Question 21

Measures velocity at which RBCs
in the Blood volume are flowing

Answer 21

DOPPLER UMBILICAL VELOCIMETRY

Question 22

helps determine vascular
resistance in women with
Diabetes Mellitus and
Hypertension of pregnancy and
whether placental insufficiency
occurred

Answer 22

DOPPLER UMBILICAL VELOCIMETRY

Question 23

based on the amount of Ca
deposits in the base of the
placenta, via UTZ

Answer 23

PLACENTAL GRADING

Question 24

PLACENTAL GRADING
placenta 12 to 24 weeks

Answer 24

0

Question 25

30 to 32 weeks

Answer 25

1

Question 26

36 weeks

Question 27

38 weeks and fetal lungs are mature

Answer 27

3

Question 28

decrease in amniotic fluid, risk of

Answer 28

cord compression.

Question 29

sum of 2 measurements

Answer 29

AMNIOTIC VOLUME INDEX

Question 30

Normal AFI

Answer 30

12 to 15 cm between 28 to 40 weeks

Question 31

AFI> 20 to 24 cm =

Answer 31

hydramnios

Question 32

AFI < 5 TO 6 CM =

Answer 32

OLIGOHYDRAMNIOS

Question 33

May be recorded as early as 11th week of pregnancy

Answer 33

ELECTROCARDIOGRAPHY

Question 34

✔ NO harmful effects to the fetus ✔ To diagnose complications like ectopic pregnancy

Answer 34

MAGNETIC RESONANCE IMAGING

Question 35

is produced by the liver & present in amniotic fluid and maternal serum.

Answer 35

Alpha-Fetoprotein

Question 36

requires only venipuncture of the mother.

Answer 36

TRIPLE SCREENING (15-20 weeks)

Question 37

includes INHIBIN determination

Answer 37

Quadruple screening

Question 38

biopsy & chromosomal analysis of CV done at

Answer 38

10 to 12 weeks of pregnancy.

Question 39

(transvaginal aspiration of fluid from the extraembryonic cavity) is an alternative method to remove cells for fetal analysis.

Answer 39

Culdocentesis

Question 40

✔ aspiration of AF from the pregnant uterus for analysis. ✔ ambulatory procedure done at 14th to 16th week. ✔ ask woman to void (to reduce size of bladder preventing puncture). ✔ Place her on a supine position, drape, place folded towel under her right buttock. ✔ attach FHR & contraction monitors, take BP. ✔ explain that Ultrasound will determine position of fetus

Answer 40

AMNIOCENTESIS

Question 41

if bubbly, the ratio is mature.

Answer 41

SHAKE TEST

Question 42

✔ found also in surfactant and pathways for these compounds mature at 35 to 36 weeks; thus, present only in mature lung function ✔ more reliable than L/S ratio

Answer 42

PHOSPHATIDYLGLYCEROL & DESATURATED PHOSPHATIDYLCHOLINE

Question 43

✔ done is blood incompatibility is suspected ✔ sample must be free of blood to avoid false- positive results

Answer 43

BILIRUBIN DETERMINATION

Question 44

is done first to ensure that the blood is fetal blood before testing

Answer 44

Kleihauer-Betke test

Question 45

✔ visual inspection of the AF through the cervix & membranes with an amnio scope (fetoscope) ✔ to detect meconium staining ✔ risk of membrane rupture

Answer 45

AMNIOSCOPY

Question 46

✔ Fetus is visualized by a fetoscope ( an extremely narrow, hollow tube inserted by amniocentesis technique). ✔ a photograph may be taken of the fetus.

Answer 46

FETOSCOPY

Question 47

✔ 5 parameters: fetal reactivity, fetal breathing movements, fetal body movement, fetal tone, amniotic fluid volume. ✔ fetal heart & breathing record measures short- term CNS function risk of membrane rupture. ✔ Amniotic Fluid volume measures long-term adequacy of placental function. ✔ more accurate in predicting fetal well-being than any single assessment. ✔ called fetal APGAR ✔ done as often as daily if high risk pregnancy

Answer 47

BIOPHYSICAL PROFILE

Question 48

RESULTS: BIOPHYSICAL PROFILE fetus is doing well  = suspicious  = denotes a fetus in jeopardy

Answer 48

8 to 10 score 6 4

Question 49

may be given to the mother if the fetus is very active to sedate the fetus

Answer 49

Meperidine