Antenatal Testing
This common imaging test assesses fetal growth, anatomy, and can be used for a Biophysical Profile.
What is an ultrasound?
Birth that occurs between 20-36.6 weeks
What is preterm birth?
Twins who share a placenta.
What are monochorionic twins?
Painless, bright red bleeding
What is the typical presentation of placenta previa?
Severe hypertension in pregnancy is defined as BP ≥ ___ systolic or ≥ ___ diastolic.
What is 160/110 mm Hg?
Name two laboratory tests included in routine antenatal testing that screen for infectious diseases using a red top tube.
What are HIV and Hepatitis B?
Signs of preterm labor that patients commonly report
What is pelvic pressure, cramps, or back pain?
Why twin pregnancies have increased maternal cardiac output.
What is blood volume increases 50–100%, requiring higher cardiac output?
It can worsen bleeding by disrupting placental tissue.
What is avoiding cervical exams with patients with placenta previa?
Symptoms of CNS involvement in preeclampsia.
What is headache, vision changes, dizziness, or hyperreflexia?
A patient at 26 weeks needs a gestational diabetes screen. Describe the correct test and preparation.
What is the 1‑hour, 50‑gram, non‑fasting glucose screen?
Your 32.6 week patient complains of having contractions every 5 minutes. What two initial nursing interventions should you perform?
What are a cervical exam and electronic fetal monitoring?
During your NST Twin A has a baseline of 150 with accels and Twin B has recurrent lates. What is your priority intervention?
What is maternal repositioning, IVF bolus, and notify the provider?
A patient with suspected abruption has dark red bleeding and a rigid abdomen. What is your next nursing action?
What is continuous fetal monitoring, start an IV, notify the provider urgently, mobilize the delivery team, etc?
A patient with preeclampsia has RUQ pain and rising AST/ALT. What complication should you suspect?
What is HELLP syndrome?
You collect an fFN sample. List two steps that would make the sample invalid.
What are using an expired kit or contaminating the swab (lubricant, blood)?
A patient on magnesium sulfate has RR 10, diminished breath sounds, and urine output 20 mL/hr.
What is magnesium toxicity?
A mono/di pregnancy shows Twin A has polyhydramnios, heart failure, and hydrops. Twin B shows oligohydramnios, growth restriction, and renal failure.
What is Twin‑to‑Twin Transfusion Syndrome (TTTS)?
Your antepartum patient states she feels her water broke. You notice bright red bleeding and new fetal bradycardia.
What is velamentous cord insertion with possible vasa previa rupture
Vasoconstriction and increased vascular resistance cause fluid to leak from intravascular to interstitial spaces.
What is the pathophysiology of pulmonary edema?
Provides detailed fetal anatomy without ionizing radiation.
What is an Magnetic Resonance Imaging (MRI)?
The provider orders indomethacin for your 33.0 week patient in preterm labor with a history of asthma.
What is question the order/hold medication?
Can mimic HELLP and has symptoms of jaundice, nausea, polyuria, and polydipsia
What is Acute Fatty Liver Disease of Pregnancy?
Delivery via cesarean with multidisciplinary support (urology, colorectal) and preparation for hysterectomy and massive transfusion is appropriate.
What is management for Placenta Accreta Spectrum (PAS)?
Protect patient, antihypertensive medications, supplemental O2, magnesium sulfate administration.
What is eclampsia management?