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Assesses 5 biophysical variables
- Fetal breathing
- Fetal movement
- Fetal tone
- Fluid assessment
- Fetal reaction
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Fetal breathing (BPP) 2 & 0
- Score 2
- One or more episodes lasting 30 sec. in 30 min
- Score 0
- Not present or not lasting 30 sec.
-
Fetal Movement (BPP) 2 & 0
- Score 2
- Three or more body/limb movements in 30 mins
- Score 0
- Two or fewer body/limb movements in 30 minutes
-
Fetal tone (BPP) 2 & 0
- Score 2
- One or more episodes of active flexion/extension
- Score 0
- Slow extension wiht return to partial flexion, or movement is absent
flexion - making a muscle
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Fluid assessment (BPP) 2 & 0
- Score 2
- One or more pockets of amniotic fluid 1cm in two perpendicular planes
- Score 0
- No pocket, or no pocket 1cm in two perpendicular planes
Perpendicular - two lines or planes to each other if they form congruent adjacent angles (Tshape)
Pockets of amniotic fluid -
-
Fetal reaction (BPP) 2 & 0
NST - Nonstress Test - a test attaching a belt to the woman's abdomen to measure fetal HR and another belt to measure contractions
Reactive - indicates the blood flow and oxygen to the fetus is adequate
Nonreactive - indicates need additional testing whether the test is truly a poor oxygenation, or whether there are any other reasons nonreactivity.
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An assessment of ONLY TWO of the variables of BPP is
MBPP modified biophysical profile
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The healthcare provider should be contacted if there are
- Fewer than 10 movements in 12hrs
- No movements for 8hrs
- Sudden violent movements followed by the reduced movements
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A procedure in which the needle is inserted through the abomen into the amniotic sac is
Amniocentesis
- withdrawn and sent to the lab for testing
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A severe form of nausea and vomiting occuring during pregnancy that usually persists beyond the 1st trimester
Hyperemesis gravidarum
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This happens as a cause of increased estrogen level, gonadotrophin production, or trophoblastic activity.
Hyperemesis gravidarum
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Is the spontaneous (natural) or induced (elective) termination of pregnancy before viability of the fetus is
Abortion
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A spontaneous abortion is also called a
miscarriage
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Occurs when a fertalized ovum implants outside the uterine cavity
Ectopic pregnancy
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Memory Trick:
Three classic sx's of ectopic pregnancy
- V - vaginal bleeding
- A - Amenorrhea
- P - Pain
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A trophoblastic disease, or molar pregnancy is an abnormality of the placenta
Hydatidiform mole
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Convulsions - grand mal
eclampsia
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Is an oversimulation of the clotting process
DIC dissminated intravascular coagulation
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HELLP sydrome stands for
- Hemolysis
- Elevated
- Liver enzymes
- Low
- Platelet count
platelet count is a test to measure how many platelets you have in your blood - which help blood clot, they are smaller than red and white blood cells.
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Normal blood glucose levels
euglycemia
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Phenylketonuria is a genetic disorder/inherited what can be done as a preventative measure
Control by diet
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TORCH stands for
- TO - Toxoplasmosis
- R - Rubella
- C - CMV cytomegalovirus
- H - Herpes Type II
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What must be administered within 72 hours of the infant's birth if the mother is Rh - and the fetus is Rh +?
- RhoGAM
- NM - negative mother
- PF or PB- positive fetus or baby
- It is also recommended that
- RhoGAM be given at 28 weeks gestation and after birth, also given after abortion NEVER GIVEN TO AN Rh Postive mother
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Is a labor that begins after viability but before 37 weeks gestation
Note: Ethans birth
Preterm labor
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The drug used to stop labor is
Tocolysis
TACOlysis
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