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Fetal and Maternal assessment techniques
Question | Answer |
---|---|
Five maternal variables associated with diagnosis of high risk pregnancy | Age (under 17 or over 34 ), parity over 5, preeclampsia, DM or cardiac disease |
What does BPP determine | Fetal well being |
Teachings before US exam | Full bladder, position client supine with uterine wedge |
Advantage of CVS over amniocentesis | Can be done between 8 and 12 weeks, results returned within 1 week. |
Complications of amniocentesis | Spontaneous abortion, fetal injury, infection |
Acceleration | Caused by a burst of sympathetic activity; they are reassuring and requires no treatment |
Early deceleration | Caused by head compression |
Late deceleration | Caused by UPI; place client on her side and admin oxygen |
Variable deceleration | Caused by cord compression; change of position should be tried first. |
Four causes of decreased FHR variability | Hypoxia, acidosis, drugs, fetal sleep |
Action to take when a cord prolapse is determined | Position mother to relieve pressure on the cord or push the presenting part off the cord with fingers until emergency csection is done |
Reactive non stress test | FHR acceleration of 15 bpm for 15 secs in response to fetal movement |
Dangers of nipple stimulation test | Inability to control oxytocin dosage and the chance of tetany/hyperstimulation |