Maternal Test
Non-invasive includes- AFV, FBM, Fetal movements, fetal tone/HR Score 0 or 2 total of 10 Reliable predictor of fetal-well being Done in late 2 or 3 trimester
What is Biophysical Profile
Baseline
What is 110-160
Softening of the cervix - evident @ 8 weeks of pregnancy
Goodell's Sign
Medications given for Postpartum Hemorrhage
Pitocin, Cytotex, Hemabate, Methergine
What is PKU
phenylketonuria inability to breakdown protein. Inborn error of metabolism
done in first trimester reflects genetic make-up of fetus tissue from fetal portion of placenta
What is Chorionic Villus Sampling
provides accurate appraisal of fetal-well being during labor membrane must be ruptured cervix dilated 2-3cm
What is Internal Fetal Monitoring
Deceleration that lines up with contraction on the monitor; caused by head compression
Early Deceleration
Pt has slight bleeding, mild cramping, cervix is closed; this is known as
Threatened Abortion
Labs indicative of DIC Care for pt with DIC
platelets, fibrin, INR Transfuse blood
done to obtain amniotic fluid possible after 14 weeks in late pregnancy done to determine fetal lung maturity (surfactant)
What is Amniocentesis
2 or more accelerations of FHR in 20 min period lasting 15 sec; increase of 15 bpm above baseline. Reactive- good
What is NST
Occurs later in contraction; usually at peak/apex; caused by placental insuff
Late Deceleration
pt presents with pain, abdominal cramping and bleeding
Abruptio Placenta
What is G/P
Gravida is number of times pregnant/fullterm delivery,premie delivery, abortions or living children
screening tool for NTD identifies pt for more definitive tests ideally done 15-18 weeks
What is Maternal Serum Alpha-FetoProtein (MSAFP)
Gravida is number of times pregnant/fullterm delivery,premie delivery, abortions or living children
What is G/P
Umbilibal Cord involvement
Variable Deceleration
pt presents with painless, bright red bleeding; what is this known as
Placenta Previa
Treatment of choice for Gestational Diabetes
Insulin or Oral Hypoglycemics
confirms pregnancy verifies due date visualization of fetus locates fetus determines condition of placenta and growth of the uterus measures amniotic fluid
What is Ultrasonography
Maintains the endometrium and inhibits uterine ctx
Progesterone
Interventions for Late Decelerations
Pt to left side, Administer 10 L O2via non-rebreather mask, Stop Pitocin, give IV fluids
Fetal risks with Maternal Diabetes
Poor glycemic control can cause birth defects, miscarriage, stillbirth, risk of Macrosomia(4000-4500g)