EFM - ANSWER ✔ used to record fetal movement and fetal heart rate
accelerations.
Non Stress Test (NST) - ANSWER ✔ -a test that monitors fetal heart rate. A
positive test would be in which the heart rate accelerates by at least 15 beats per
minute for at least 15 seconds, with at least two acceleration episodes, in a 20
minute period. For "high risk maternal or fetal factors"
,Amniocentesis - ANSWER ✔ Removal of amniotic fluid from the uterine cavity
by inserting a needle through the abdomen into the amniotic sack under ultrasound
guidance.
Biophysical Profile (BPP) - ANSWER ✔ Evaluation of fetus with a non-reactive
NST
Ultrasound Looks at 5 variables
*Amniotic fluid volume
*Breathing
*movement Flexion (fine motor)
*Gross movement (motor)
NST Score 0-2 points for each parameter
Prenatal Visits (Frequency) in Uneventful pregnancy - ANSWER ✔ Every month
for 7 months
Every 2 weeks during the 8th month
Every week during 9th month Each visit may include: Weight and vital signs Urine
checked glucose fetal HR
gestation - ANSWER ✔ Fundal height = weeks of gestation
Leopold's Maneuvers - ANSWER ✔ A series of four maneuvers designed to
provide a systematic approach whereby the examiner may determine fetal
presentation and position.
Quad test- Screening for identification of a risk - ANSWER ✔ Optional test done
between weeks 16 - 18 Neural tube defects
Downs syndrome
trisomy 18
Offer amniocentesis
Genetic counseling w/Abnormal quad with normal f/u: watch for perinatal
problems
spinal bifida (neural tube defect) - ANSWER ✔ incomplete closure of the spinal
canal through which the spinal cord and meninges may or may not protrude
,Anencephaly (neural tube defect) - ANSWER ✔ born without cerebral
hemispheres
Down's syndrome
Trisomy 18 Test Results - ANSWER ✔ Clarifying and interpreting results should
be carried out collaboratively by all health care providers involved in the procedure
Guidance should be provided for choices and to consider options
Fetal Kick Counts - ANSWER ✔ Moms way of evaluating fetal well-being once
or twice a day
number of movements
Recommend eating prior
but no caffeine
tobacco
other stimulants
Done after 28 wks gestation
Danger Signs in Pregnancy - ANSWER ✔ Sudden gush of fluid from the vagina
Vaginal bleeding Abdominal pain
Persistent vomiting
Epigastric pain
Edema of face and hands
Severe, persistent headache
Blurred vision or dizziness
Chills with fever over 38.0° C (100.4° F) Painful urination or reduced urine output
Hyperemesis Gravidarum Signs and Symptoms - ANSWER ✔ Excessive N/V
Dehydration Reduced delivery of blood, oxygen, and nutrients to the fetus
, tachypnea,
pallor,
diaphoresis,
cool, clammy skin,
confusion,
or other mental status changes
urine output low less than 30 ml/hr
thirst
Hyperemesis Gravidarum Treatment - ANSWER ✔ Correct dehydration and
electrolyte or acid base imbalance
Antiemetic drugs
In extreme cases TPN/Hospitalization required
Bleeding Disorders of Early Pregnancy Types of Abortions - ANSWER ✔
Spontaneous (non-intentional)
Threatened-vaginal bleeding occurs
Inevitable-membranes rupture and cervix dialates
Incomplete-some products not expelled
Complete-all products expelled
Missed-nothing expelled, must be medically expelled
Recurrent two or more spontaneous abortions
Induced Therapeutic -intentional termination due to health of mother
Elective intentional termination for reasons other than
Nursing Care of Early Pregnancy Bleeding Disorders - ANSWER ✔ Save
anything that looks like clots or tissue for evaluation by a pathologist
Perineal pad count/amount and character of bleeding
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller SmartscoreAaron. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $22.99. You're not tied to anything after your purchase.
