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Positive CST is normal or abnormal - CORRECT ANSWER abnormal
The contraction stress test — also called a stress test or an oxytocin challenge test — may be
done during pregnancy to measure the baby's heart rate during uterine contractions. Its purpose is
to make sure the baby can get the oxygen he needs from the placenta during labor.
Positive CST is indicated when: - CORRECT ANSWER Persistent and consistent late decels on
more than half of the contractions.
An amniocentesis may be performed when? - CORRECT ANSWER After 14 weeks gestation
AFP can be measured from the amniotic fluid between: - CORRECT ANSWER 16 and 18
weeks
alpha-fetoprotein
Presence of PG on a fetal lung test is associated with: - CORRECT ANSWER Respiratory
distress
CVS can be done at - CORRECT ANSWER 10-12 weeks
Chorionic villus sampling (CVS) is a prenatal test that diagnoses chromosomal abnormalities
such as Down syndrome, as well as a host of other genetic disorders. The doctor takes cells from
tiny fingerlike projections on your placenta called the chorionic villi and sends them to a lab for
genetic analysis.
First stage of labor: - CORRECT ANSWER 1-1.5 cm (onset of labor)
Latent phase of labor: - CORRECT ANSWER 0-3 cm
mild to moderate contractions
irregular
q 5-30 min
lasts 30-40 sec
Active phase of labor: - CORRECT ANSWER 4-7 cm
moderate to strong contractions
regular
q 3-5 min
lasts 40-70 sec
Transition phase of labor - CORRECT ANSWER 8-10 cm
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strong to very strong contractions
q 2-3 min
lasts 45-90 sec
Second stage of labor: - CORRECT ANSWER Full dilation
Intense contractions
BIRTH!!
Third stage of labor: - CORRECT ANSWER Delivery of placenta
Fourth stage: - CORRECT ANSWER Maternal stabilization of vital signs
First stage pain: - CORRECT ANSWER internal visceral
may be felt as back/leg pain
Second stage pain: - CORRECT ANSWER somatic
occurs with fetal descent and expulsion
Third stage pain: - CORRECT ANSWER similar to first stage pain
Pain S&S: - CORRECT ANSWER Increased BP
Tachycardia
Hyperventilation
Absent or undetectable variability is considered: - CORRECT ANSWER Non-reasurring
Minimal variability: - CORRECT ANSWER > undetectable but <5/min
Moderate variability: - CORRECT ANSWER 6-25/min
Marked variability: - CORRECT ANSWER >25/min
Accelerations mean: - CORRECT ANSWER Healthy fetal/placental exchange
Fetal bradycardia means (less than 60) - CORRECT ANSWER Uteroplacental insufficiency
Umbilical cord prolapse
Maternal hypotension
Prolonged umbilical cord compression
Fetal congenital heart block
Anesthetic meds
Fetal tachycardia means: - CORRECT ANSWER Maternal infection
Fetal anemia
Fetal heart failure
Fetal cardiac dysrythmias
Maternal use of cocaine or meth
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Maternal dehydration
Decrease or loss of variability means: - CORRECT ANSWER Meds that depress the CNS
Fetal hypoxemia w/resulting acidosis
Fetal sleep cycle
FHR can be heard by Doppler at: - CORRECT ANSWER 10-12 weeks GA
When should you start measuring a woman's fundal height? - CORRECT ANSWER After > 12
weeks GA
Between 18 and 30 weeks the fundal height should measure what? - CORRECT ANSWER It
should equal the week of gestation
MSAFP screening is done: - CORRECT ANSWER 15-22 weeks of gestation
maternal serum alpha-fetoprotein (MSAFP) screen. It's usually as part of a set of tests, which
screen for genetic problems, called the quad screen.
AFP is a substance made in the liver of an unborn baby (fetus).
Smoking tobacco during pregnancy is associated with : - CORRECT ANSWER Low Birth
Weight
Pregnant mothers should consume how much water each day? - CORRECT ANSWER 2 to 3
Liters of water from food and beverage sources.
Regarding kick counts, what are signs that a woman needs further evaluation? - CORRECT
ANSWER Fetal movements of less than 3 in one hour
No fetal movement for 12 hours
The recommended weight gain during pregnancy is usually: - CORRECT ANSWER 25-35lbs
3-4 lb in first trimester
1 lb per week in the last two trimesters
Foods high in folic acid are: - CORRECT ANSWER Leafy vegetables
Dried peas
Dried beans
Seeds
Orange juice
It is recommended that mcg of folic acid be taken during pregnancy. - CORRECT
ANSWER 600
It is recommended that clients who are lactating consume mcg of folic acid. - CORRECT
ANSWER 500
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What vitamin aids in the absorption of Iron? - CORRECT ANSWER Vitamin C
The clients bladder needs to be before an ultrasound. - CORRECT ANSWER Full
biophysical profile (BPP) normal score is - CORRECT ANSWER A biophysical profile (BPP)
test measures the health of your baby (fetus) during pregnancy.
8-10
BPP abnormal score is - CORRECT ANSWER <4
If a BPP comes back as 6..... - CORRECT ANSWER It should be retested
BPP assess for - CORRECT ANSWER Fetal well being
non-stress test ( NST) - CORRECT ANSWER most widely used technique for antepartum
evaluation of fetal well being performed during the third trimester.
Reactive NST - CORRECT ANSWER FHR is a normal baseline rate with moderate variablity
Two accelerations to 15 bpm for at least 15 secs in 20 min period
A non reactive NST would indicate what about the fetus? - CORRECT ANSWER The fetal
heart rate does not accelerate adequately with fetal movement.
-A BPP or CST will need to be done now
congenital abnormalities
Early decels mean: - CORRECT ANSWER Compression of the fetal head resulting from uterine
contraction
Vaginal exam
Fundal pressure
Late decels mean: - CORRECT ANSWER UPI causing inadequate fetal oxygenation
Maternal hypotension
placental abruption
Uterine hyperstimulation w/pitocin
Variable decels mean: - CORRECT ANSWER Umbilical cord compression
Short cord
Prolapsed cord
Nuchal cord
Oligohydraminos
Fetal descent and cervical dilation are caused by - CORRECT ANSWER Frequency, duration,
and strength of contractions