Time is of the Essence
The "WHYs" have it
Your Guess Is As Good As Mine ( random)
Balancing Act
I studied this by myself! :-)
100
Considered "preterm"
What is prior to 20 weeks gestation?
100
Multifetal pregnancies or postmaturity are examples of *THIS* factors which indicate elevated risk and the need for fetal diagnostic testing.
What is OBSTETRIC?
(note: factors are generally divided by demographic, obstetric, or maternal-preexisting / maternal-pregnancy)
100
What hormone/synthetic hormone is used to induce contractions in a CST?
What is oxytocin (or Pitocin is ok, that is the brand name of a common synthetic oxytocin)?
100
This noninvasive test is a free and easy way to monitor fetal wellbeing, though it has some limitations including the mother interpreting data.
What are kick counts?
100
What letter is used if the presenting landmark is the buttocks?
What is "S"?
200
CVS
What is 10-13 weeks?
200
Oligohydramnios
What is low amniotic fluid?
200
Characteristics of a normal fetal heart rate.
What are rate of 110-160, regular rhythm, baseline variability, and accelerations?
NOTE: remember that early decelerations are OK but not required to be present. Variable decelerations and late decelerations should be investigated further.
200
While this type of EFM is more accurate, it introduces risk of infection.
What is internal fetal monitoring?
200
The "L" and "R" refer to this
What is the side (left or right) of the mother's pelvis?
300
Amniocentesis
What is 2nd trimester 15-20 weeks, or 3rd trimester anytime indicated?
300
Purpose of this test is to sample placental tissue to diagnosis fetal chromosomal abnormalities.
What is chorionic villus sampling (CVS)?
300
How would an NST performed on a woman who is 33 weeks pregnant be interpreted if these are the findings: 2 early FHR decelerations (17 bpm lower than baseline, sustained for 15 seconds) that occur with fetal movement over a 20 minute period
What is "nonreactive"?
NOTE: NST looks for ACCELERATIONS, not DECELERATIONS.
300
Helpful in diagnosis or treatment of disorders requiring fetal blood sampling, risks of this diagnostic test include fetal bradycardia, thromboembolism, and cord laceration.
What is percutaneous umbilical blood sampling (PUBS)?
300
In relationship to the mother's abdomen, where would the stethoscope be for a fetus that is in the LSA position?
What is above the umbilicus, on the left side (or upper left quadrant of the abdomen)?
400
MSAFP
What is 16-18 weeks?
400
Purpose of this test is to screen for signs suggestive of chromosomal abnormality or to determine gestational age.
What is first trimester ultrasound?
400
The nadir of the FHR is shifted right in comparison with the peak of the contraction. The FHR returns to baseline after the contraction ends.
What is late deceleration?
BONUS: draw it (then award yourself a sweet treat or 50 Jeopardy points).
400
Though this test can provide 99% confidence the uteroplacental unit will support life for at least 1 more week, it is contraindicated in preterm ROM or placenta previa.
What is a contraction stress test (CST)?
400
What is Left Occiput Posterior (LOP) fetal position?
NOTE:
Left -> occiput toward mother's left
Occiput -> Presenting part is occiput of head
Posterior -> The fetus is "facing" the mother's abdomen (so occiput it toward posterior)
500
Time at which "10 by 10" rule transitions to "15 by 15" rule in NSTs.
What is 32 weeks and 1 day?
500
Purposes of this test include evaluating fetal lung maturity in the third trimester
What is amniocentesis?
500
How would this CST performed on a woman who is 34 weeks pregnant be interpreted: 4 contractions occur in a 10 minute period, the contractions last 60-80 seconds each, one late deceleration is noted and significant variable decelerations occur?
What is equivocal-suspicious?
500
Risks of this diagnostic tool are indirect: it may cause uncertainty and necessitate extra testing because predictive values are unclear in the 5-7 scoring range.
What is the biophysical profile (BPP)?
500
What is LOA?