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Fetal and Maternal assessment techniques

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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  
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What does BPP determine   Fetal well being  
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Teachings before US exam   Full bladder, position client supine with uterine wedge  
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Advantage of CVS over amniocentesis   Can be done between 8 and 12 weeks, results returned within 1 week.  
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Complications of amniocentesis   Spontaneous abortion, fetal injury, infection  
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Acceleration   Caused by a burst of sympathetic activity; they are reassuring and requires no treatment  
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Early deceleration   Caused by head compression  
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Late deceleration   Caused by UPI; place client on her side and admin oxygen  
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Variable deceleration   Caused by cord compression; change of position should be tried first.  
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Four causes of decreased FHR variability   Hypoxia, acidosis, drugs, fetal sleep  
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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  
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Reactive non stress test   FHR acceleration of 15 bpm for 15 secs in response to fetal movement  
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Dangers of nipple stimulation test   Inability to control oxytocin dosage and the chance of tetany/hyperstimulation  
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Created by: roseiv2014
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