Fetal and Maternal assessment techniques
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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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