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  • August 19, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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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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