NU404 Exam 7A Study Guide @ 2024
-2025
What is the leading cause of neonatal deaths? - Answer congenital anomalies
What ethnicity is most at risk for maternal death? - Answer African American women
Who is at highest risk for preeclampsia? - Answer 17-year-old black woman
DFMC - Answer daily fetal movement count also known as "kick count" (screening test)
When is the fetal alarm signaled? - Answer after 12 hours with no movement
What kick count per hour is grounds for further evaluation by a NST? - Answer less than
3 kicks/hour
What can the mother do to initiate fetal movement? - Answer lay down and drink a cold
drink
*if no movement, call MD*
What ultrasound should be avoided if the bladder is full? - Answer Transvaginal
What type of ultrasound is better performed with a full bladder? - Answer Abdominal
What does the AFI measure? - Answer amniotic fluid index
What AFI score is good? - Answer 10 or greater
What AFI score indicated oligohydramnios (fluid less than 300mL)? - Answer 5
If a patient has a AFI score of 20, what are the possible causes? - Answer twins or
maternal diabetes
How do you measure a fetus in the 1st trimester? - Answer crown to rump
How do you measure a fetus in the second trimester? - Answer biparietal diameter
What 5 things does a BPP test consist of? - Answer breathing
body movement
muscle tone
non-stress test
amount of amniotic fluid
When is a BPP performed? - Answer 2nd-3rd trimester (when CNS is mature)
, What test is an accurate predictor of impending fetal death? - Answer BPP
What non-stress test result is desried? - Answer reactive (HR accelerates 15 in 15)
When is a non-stress test done? - Answer 23-24 weeks
What is an amniocentesis? - Answer the sampling of amniotic fluid using a 20-22 gauge
hollow needle inserted into the uterus, to screen for developmental abnormalities in a
fetus
When is an amniocentesis performed? - Answer After 14 weeks gestation due to lack of
fluid prior to 14 weeks
What type of test is an amniocentesis? - Answer diagnostic
What all can be diagnosed through an amniocentesis? - Answer genetic concerns,
gender, L/S ratio, and meconium
What is CVS (chorionic villus sampling)? - Answer a needle is stuck up the cervix for a
sample of Chorion
When can CVS be performed? - Answer 10-12 weeks gestation
Why is a CVS done? - Answer so that a couple can know early on if there are any
anomalies and if they need to terminate the pregnancy
What screening test detects Downs Syndrome or Neural Tube Defects? - Answer
Maternal Serum Alpha Feta Protein (MSAFP)
Low MSAFP - Answer Down syndrome
High MSAFP - Answer neural tube defect
When is MSAFP done? - Answer 16-18 weeks
What can an abnormal MSAFP be from? - Answer mothers due date being off or twins
(do an ultrasound)
What are the two ways to perform a contraction stress test? - Answer Oxytocin (Pitocin)
with LR
Nipple Stimulation
How many cc's is in 1 milliunit? - Answer 6
What is the maximum drip rate Oxytocin can be started at? - Answer no greater than
0.5-3 milli-unit
What is given to a mother with severe bleeding after birth? - Answer Pitocin
How is Oxytocin hung? - Answer piggyback in the most proximal port right at the site of
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