Fundamentals of Nursing Care 4th
Edition latest update 2024/2025
PUBS: 1.4% fetal death, cord vessel bleeding or hematomas, maternal fetal
hemorrhage, bradycardia, infection
Maternal Assays: Cell free DNA Screening - CORRECT ANSWERScreens for common
fetal aneuploidies
Analysis for cell-free DNA fragments in the maternal circulation starts around 9 to 10
weeks of pregnancy
Identify fetal sex
Maternal blood, potential for false positive / negative, not equivalent to diagnostic
Maternal Assays: Alpha-Fetoprotein - CORRECT ANSWERHigh and Low Levels
Tested
Abnormal findings, false positives / negatives
Glycoprotein produced in liver GI tract and yolk sac
Increased: neural tube defects, anencephaly, omphalocele, gastroschisis
Decreased: trisomy 21, abnormal needs further testing
Maternal Assays: Multiple Marker Screening - CORRECT ANSWERTo look for trisomy
and neural tube defects
Antenatal Fetal Surveillance: Fetal movement counting: - CORRECT ANSWERBaseline
is 10 'fetal movements' in 2 hours
Antenatal Fetal Surveillance: Nonstress Test - CORRECT ANSWERBaseline is 2
accels in 20 minutes.
If there is not 2 accels in 20 minutes, wait 40 minutes. Watch for deccels