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Leading cause of perinatal admissions to the ICU -
ANSWER-Hemorrhagic
disorders
If variable decelerations are present during an NST - ANSWER-
an assessment
of amniotic fluid is
indicated
If variable decelerations are seen during the NST and they are
nonrepetitive and less than 30 seconds in duration, - ANSWER-
then the fetus is considered to not be compromised and there
is little, if no, need for intervention
The proper placement for the fetal accoustic stimulator is -
ANSWER-near the
fetal
head
,The appropriate use of the fetal accoustic stimulator is -
ANSWER-1-2 seconds for the first application. If there is no
fetal response, the stimulus may be repeated every 1 minute up
to three times to achieve longer durations of time, not to
exceed 3 seconds for each stimulus. The maximum time of
application is 9 seconds (three applications that equal a total of
9 seconds). Once a fetal response (i.e. accelerations) is
achieved, additional stimuli are not required.
The fetal acoustic stimulation should not be used in these
three conditions: -
ANSWER-1. during a vaginal
examination
2. during
contractions
3. in the presence of
decelerations
If, in response to accoustic stimulation, the fetus elicits a
prolonged acceleration
of tachycardia, - ANSWER-there is no need to elicit
any additional
accelerations. However, the FHR should return to the
previously established
FHR baseline before discharging the
patient to home.
Accoustic stimulation is not to be used on a fetus
demonstrating - ANSWER-
, fetal
bradycardia
Intrauterine apgar is another term for - ANSWER-bio-physical
profile
The five CNS reflex activities that are evaluated during a bio-
physical profile are - ANSWER-1. NST (this can be eliminated
only if the other four parameters are normal)
2. Fetal breathing movements
3. Gross body movements
4. Fetal tone
5. Qualitative amniotic fluid volume
On a bio-physical profile,fetal tone disappears when fetal pH is -
ANSWER-<7.0
On a bio-physical profile, fetal movement disappears
when fetal pH is -
ANSWER-7.1 to
7.2
On a bio-physical profile, fetal breathing movements disappear
when fetal pH is
- ANSWER-
<7.0
A reactive FHR baseline begins to function at
_____weeks gestation -