Exam 1: NUR254/ NUR 254 (Latest 2024/ 2023 Update)
Childbearing and Child Caring Families Review| 100%
Correct| Grade A- Galen
alcohol caffeine sweetners - ✔✔ANSW✔✔..Alcohol
No safe amount or type of alcohol during pregnancy,
No time during pregnancy when alcohol consumption is
without risk
Caffeine: Data unclear, IUGR ?, General recommendation
of < 200 mg of caffeine/day
Artificial sweeteners, Aspartame, sucralose, acesulfame
potassium, Found to have no "adverse effects" ???
Amniocentesis - ✔✔ANSW✔✔..Amniocentesis (only can
do after 14 weeks of gestation)
Amniotic fluid: Collection of fetal cells after 14 weeks
(under ultrasound guidance)
Potential complications (less than 1%)
Leaking of amniotic fluid, bleeding, iso-immunization,
labor, infection, injury from the needle
Indications for use
Genetic concerns, Fetal maturity (L/S, PG was done now
Lamellar body count (LBC) a better option), Fetal
,hemolytic disease (more often fetal doppler are done
instead)
Biophysical Assessment Daily fetal movement count
(DFMC) or Kick Counts - ✔✔ANSW✔✔..Used to
monitor fetus in pregnancies complicated by conditions
that may affect oxygenation. Several different protocols
are used for counting
A count of fewer than three kicks in 1 hour warrants
further evaluation by a nonstress test (NST).
Fetal alarm signal (no movements for 12 hours): Mom
should go to hospital in this case b/c baby is not doing
well or may have passed
Mom should sit down, relax and eat or drink something to
get the baby to move if it's not moving. If the baby does
not move, it's a concern.
Biophysical Profile BPP Know the scoring -
✔✔ANSW✔✔..Can be done along with an NST when
score is out of 10
2 points given for a reactive NST
Or without an NST, the score is out of 8 and 2 points
given for each
1) Breathing
2) Movement
3) Tone
, 4) Amniotic fluid
Maybe 5) NST: reactive 2 pts. vs Nonreactive 0 pts
BMI 18.5-24.9 in normal range (weight gain during
pregnancy) - ✔✔ANSW✔✔..11.5-16 kg OR 25 to 35
LBS
BMI 25-29.9 overweight (weight gain during pregnancy)
- ✔✔ANSW✔✔..7-11.5 kg OR 15-25 LBS
BMI greater than 30 Obese weight gain during pregnancy
- ✔✔ANSW✔✔..5-9 kg OR 11 to 20 LBS
BPP (biophysical profile) - ✔✔ANSW✔✔..antepartal
fetal surveillance that evaluates 5 parameters of fetal well-
being: FHR, breathing movements, body movements,
tone closure of hand , volume of Amniotic Fluid Index
A biophysical profile (BPP) is a test that combines a
nonstress test with ultrasound to check the health of the
fetus. A nonstress test (NST) measures the fetal heart rate
in response to the movements of the fetus. An ultrasound
is a diagnostic technique that uses high-frequency sound
waves to create an image of the fetus. Biophysical profile
testing is usually performed in the last trimester of
pregnancy.
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