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
100
Baseline
What is 120-160
100
Counting Contractions
From the beginning of one contraction to the beginning of the next contraction.
100
Medications given for postpartum hemorrhage
pitocin, cytotex, hemabate, methrogen
100
What is PKU
phenylketonuria
inability to breakdown protein
If mother is carrier and father is carrier 25% chance fetus will have PKU
200
done in first trimester
reflects genetic make-up of fetus
tissue from fetal portion of placenta
What is chorionic villus sampling
200
provides accurate appraisal of fetal-well being during labor
membrane must be ruptured
cervix dilated 2-3cm
small spiral electrode
What is internal fetal monitoring
200
Deceleration that lines up with contraction on the monitor; considered good; may be caused by head compression
Early Deceleration
200
Pt has slight bleeding, mild cramping, cervix is closed; this is known as
threatened abortion
200
Labs indicative of DIC
Care for pt with DIC
platelets, fibrin, INR
Transfuse blood
300
done to obtain amniotic fluid
possible after 14 weeks
in late pregnancy done to determine fetal maturity (surfactant)
What is amniocentesis
300
2 accelerations of FHR in 20 min period lasting 15 sec; increase of 15 bpm above baseline
Reactive- good
Nonreactive-maybe bad
What is NST
300
Occurs later in contraction; usually at peak/apex; bad; caused by placental insuff
Late Deceleration
300
pt presents with pain, abd cramping, contractions, and bleeding; what is this determined to be
abruption
300
Manifestations of Cardiac Decompensation
Crackles
SOB
Dyspnea
Irregular weak pulses
400
screening tool for NTD
identifies pt for more definitive tests
ideally done 16-18 weeks
What is Maternal serum alpha-fetoprotein (MSAFP)
400
at least 3 uterine contractions in a 10-minute period with no late or variable decelerations
Positive-bad
Negative- Good
What is CST
400
Often matches contraction; cord involvement
Variable Deceleration
400
pt presents with painless, bright red bleeding; what is this known as
placenta previa
400
Insulin use during pregnancy
decreases at beginning
increases later
500
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
500
Monitors frequency and duration of contractions by means of pressure-sensing device applied to maternal abdomen
What is tocotransducer
500
What is the nursing care for Late Deceleration
Pt to left side
Administer O2
Stop Pitocin
IV fluids
500
Signs of Preceding Labor
Lightening
Return of Urinary frequency
Backache
weight loss
cervical ripening
surge of energy
increase in bloody show
possible rupture of membranes
500
Fetal risks with maternal diabetes
Poor glycemic control can cause birth defects, miscarriage, stillbirth
Risk of macrosomnia(4000-4500g)
Hydraminos
Risk of hyper/hypoglycemia