Exam (elaborations)
Z1 - Core Curriculum for Neonatal Intensive Care Nursing 4th Edition 1-100 Questions and Answers
- Course
- Institution
Z1 - Core Curriculum for Neonatal Intensive Care Nursing 4th Edition 1-100 Questions and Answers
[Show more]
Content preview
Z1 - Core Curriculum for Neonatal IntensiveCare Nursing 4th Edition 1-100 Questions
and Answers
Fetal fibronectin (fFN) - ANSWER Cervical swab for a protein that acts as a
"glue" during pregnancy
attaches the amniotic sac to the lining of the uterus.
After the 35th week of pregnancy, it begins to break down naturally, and is
detectable.
If premature birth is imminent, fetal fibronectin may be detected before week 35.
Cervical Ferritin - ANSWER An inflammatory marker whose presence supports
theory that infection is mediator of preterm birth
Corticotropin-releasing hormone (CRH) - ANSWER Maternal plasma levels of
CRH are elevated in both term AND preterm births; a component of common
pathway of labor
Placenta a microglobulin 1 - ANSWER AmniSure detects trace amounts of
placental α-microglobulin-1 (PAMG-1) protein, a protein expressed by the cells of
the decidua and found in the amniotic fluid. PAMG-1 is present in the blood,
amniotic fluid, and cervicovaginal discharge of pregnant women. Its presence is
found in vaginal secretions after the rupture of membranes, with a 99% sensitivity
at any gestational age. The test is administered using a sterile polyester swab to
obtain vaginal secretions without the need of a speculum.
,a- Fetoprotein - ANSWER α-Fetoprotein is assessed to identify neural tube
defects (high) and Down syndrome (low).
Moderate Fetal HR Variability - ANSWER Variability is the most important fetal
heart rate (FHR) characteristic. It is the most important indicator of normal fetal
pH or acidosis. Moderate FHR variability reliably predicts the absence of fetal
metabolic academia.
Normal FHR range - ANSWER 110-160 bpm
Absence of decels in FHR - ANSWER Decelerations are categorized as late,
early, variable, or prolonged. Decelerations are caused by two basic mechanisms:
1. reflex autonomic slowing of the FHR in response to changes in blood pressure,
blood gases, and possibly other factors; 2. direct depression of the FHR resulting
from disrupted oxygen transfer.
Biophysical Profile (BPP) - ANSWER Assessment of five variables in the fetus
that help to evaluate fetal risk: breathing movement, body movement, tone,
amniotic fluid volume, and NonStress Test
Glucose screening in women at Low Risk for GDM - ANSWER Patients who are
at low risk for developing gestational diabetes (<25 years, normal weight before
pregnancy, not a member of a high-risk ethnic or racial group, no diabetes in a
first-degree relative, no history of abnormal glucose tolerance, and no history of
poor obstetric outcome) are tested between 24 and 28 weeks' gestation.
, What is the physiologic cause of late decelerations? - ANSWER A late
deceleration is a reflex fetal response to transient hypoxemia during uterine
contractions.
FHR accelerations - ANSWER reassuring sympathetic nervous system response;
abrupt increase of 15 bpm of at least 15 beats lasting at least 15 sec
Prolonged deceleration - ANSWER parasympatheic nervous system response;
may be caused by rapid descent through birth canal; FHR <100-110 for greater
than 2 mins
Fetal bradycardia - ANSWER <110 bpm
Amnioinfusion - ANSWER used to attempt to resolve variable fetal heart rate
decelerations by correcting umbilical cord compression as a result of
oligohydramnios. When amnioinfusion is used during labor to treat recurrent
severe variable decelerations, it has been proven to reduce the incidence of
cesarean deliveries. Amnioinfusion may assist with oligohydramnios (amniotic
fluid index <5 cm) to provide additional fluid to cushion the umbilical cord and
prevent variable decelerations from occurring.
Nifedipine (Procardia) - ANSWER Tocolytic; proven to delay delivery by 2-7
days. Used for short term prolongation of pregnancy to allow for administration of
antenatal steroids
Magnesium Sulfate - ANSWER tocolytic; used for uterine relaxation; may cause
neonatal resp depression and neuromuscular depression
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 StudySet. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
62890 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now