RNC:OB Fetal Assessment(Complete solutions)
Comprehensive diagnostic evaluation correct answers Women who are at high risk of having a
fetus with congenital problems should be offered a ___ ___ ___
Health history, teratogen exposure, physical exam, uterine size, fundal height, lab tests correct
answers What health information is gathered at the initial prenatal visit?
Insertion of a catheter into the uterus to obtain placental villi for testing. Best performed at 10-13
weeks correct answers What is chorionic villus sampling (CVS)?
10 to 12 weeks gestation correct answers When can the uterine fundus be palpated above the
symphysis pubis the first time?
16, 36 correct answers Starting at ___ weeks and lasting until week ___, the fundal height
measured in centimeters usually conforms with the weeks of gestation
symphysis pubis correct answers where does measuring the fundal height begin at?
dysmaturity correct answers SGA is also called ___
multiple gestation, genetics, placental malfunction, maternal disease, drug use, birth defects
correct answers What are some common causes of SGA?
symmetric, assymetric correct answers What are the two types of IUGR?
Head and body are small, occurs early in pregnancy, caused by chromosomal abnormalities and
infections correct answers Describe symmetric IUGR
Head or body smaller than the other, occurs late in pregnancy, caused by placental insufficiency
and preeclampsia correct answers Describe asymmetric IUGR
maternal diabetes correct answers What is the main cause of LGA?
The insertion of a 20-22 gauge spinal needle through the abdominal wall into the amniotic sac to
obtain amniotic fluid for analysis, guided by ultrasound correct answers What is an
amniocentesis?
14, 1 correct answers When an amniocentesis is done before ___ weeks, the sample can only
contain ___ ml for each week gestation
biochemical disorders, CNS anomalies, ventral wall defects, and other disorders correct answers
What can be diagnosed with amniocentesis?
injury to fetus, short-term vaginal bleeding, leakage of aniotic fluid, infection correct answers
What are possible complications of an amniocentesis?
, Percutaneous umbilical cord blood sampling, cordocentesis correct answers What does PUBS
stand for? PUBS is also called?
Fetal blood cells drawn from umbilical vein in utero via ultrasound to assess red cell and platelet
status or genetic analysis including immunological, hematological, and metabolic studies correct
answers Describe PUBS
fetal injury or death, fetal bradycardia, amniotic fluid loss, vaginal bleeding, infections, or
bleeding into the cord or from the fetus into the mother's circulation correct answers What are the
possible complications from PUBS?
10, 2, 26, 32 correct answers For fetal kick counts, the mother should feel ___ movements in ___
hours and should begin counting at ___ weeks in high risk pregnancies and ___ in low risk
pregnancies
maternal blood, amniotic fluid, cervicovaginal secretions correct answers Where are fetal
fibronectin, a glycoprotein, found?
implantation, placental adhesion, cervical changes prior to onset of labor correct answers What is
fetal fibronectin involved in?
Premature labor within 1 to 2 weeks correct answers What does fetal fibronectin in
cervicovaginal secretions indicative of?
Nothing in vagina for 24 hours previously, obtain a swab free of amniotic fluid and blood,
negative test is the most accurate, positive is 30% correct correct answers Describe a fetal
fribronectin test; positive/negative results
fetal muscle tone, movement breathing, reactivity of FHR, AFV, NST, 2, 10 correct answers
Describe what is evaluated in a biophysical profile: Each category is given a score of 0 to ___. A
perfect score is ___
Immediate delivery correct answers What does a biophysical profile score of 0 to 2 mean?
possible need for delivery based on gestational age correct answers What does a biophysical
profile score of 4 mean?
signals the need for delivery of the term infant or re-testing the next day for premature infants
correct answers What does a biophysical profile of 6 mean?
Reactivity of the FHR and the amniotic fluid volume correct answers What does the modified
biophysical profile assess?
2 accels within 20 minutes of each other and within 40 minutes after monitoring begins correct
answers What is the goal of an NST?
Comprehensive diagnostic evaluation correct answers Women who are at high risk of having a
fetus with congenital problems should be offered a ___ ___ ___
Health history, teratogen exposure, physical exam, uterine size, fundal height, lab tests correct
answers What health information is gathered at the initial prenatal visit?
Insertion of a catheter into the uterus to obtain placental villi for testing. Best performed at 10-13
weeks correct answers What is chorionic villus sampling (CVS)?
10 to 12 weeks gestation correct answers When can the uterine fundus be palpated above the
symphysis pubis the first time?
16, 36 correct answers Starting at ___ weeks and lasting until week ___, the fundal height
measured in centimeters usually conforms with the weeks of gestation
symphysis pubis correct answers where does measuring the fundal height begin at?
dysmaturity correct answers SGA is also called ___
multiple gestation, genetics, placental malfunction, maternal disease, drug use, birth defects
correct answers What are some common causes of SGA?
symmetric, assymetric correct answers What are the two types of IUGR?
Head and body are small, occurs early in pregnancy, caused by chromosomal abnormalities and
infections correct answers Describe symmetric IUGR
Head or body smaller than the other, occurs late in pregnancy, caused by placental insufficiency
and preeclampsia correct answers Describe asymmetric IUGR
maternal diabetes correct answers What is the main cause of LGA?
The insertion of a 20-22 gauge spinal needle through the abdominal wall into the amniotic sac to
obtain amniotic fluid for analysis, guided by ultrasound correct answers What is an
amniocentesis?
14, 1 correct answers When an amniocentesis is done before ___ weeks, the sample can only
contain ___ ml for each week gestation
biochemical disorders, CNS anomalies, ventral wall defects, and other disorders correct answers
What can be diagnosed with amniocentesis?
injury to fetus, short-term vaginal bleeding, leakage of aniotic fluid, infection correct answers
What are possible complications of an amniocentesis?
, Percutaneous umbilical cord blood sampling, cordocentesis correct answers What does PUBS
stand for? PUBS is also called?
Fetal blood cells drawn from umbilical vein in utero via ultrasound to assess red cell and platelet
status or genetic analysis including immunological, hematological, and metabolic studies correct
answers Describe PUBS
fetal injury or death, fetal bradycardia, amniotic fluid loss, vaginal bleeding, infections, or
bleeding into the cord or from the fetus into the mother's circulation correct answers What are the
possible complications from PUBS?
10, 2, 26, 32 correct answers For fetal kick counts, the mother should feel ___ movements in ___
hours and should begin counting at ___ weeks in high risk pregnancies and ___ in low risk
pregnancies
maternal blood, amniotic fluid, cervicovaginal secretions correct answers Where are fetal
fibronectin, a glycoprotein, found?
implantation, placental adhesion, cervical changes prior to onset of labor correct answers What is
fetal fibronectin involved in?
Premature labor within 1 to 2 weeks correct answers What does fetal fibronectin in
cervicovaginal secretions indicative of?
Nothing in vagina for 24 hours previously, obtain a swab free of amniotic fluid and blood,
negative test is the most accurate, positive is 30% correct correct answers Describe a fetal
fribronectin test; positive/negative results
fetal muscle tone, movement breathing, reactivity of FHR, AFV, NST, 2, 10 correct answers
Describe what is evaluated in a biophysical profile: Each category is given a score of 0 to ___. A
perfect score is ___
Immediate delivery correct answers What does a biophysical profile score of 0 to 2 mean?
possible need for delivery based on gestational age correct answers What does a biophysical
profile score of 4 mean?
signals the need for delivery of the term infant or re-testing the next day for premature infants
correct answers What does a biophysical profile of 6 mean?
Reactivity of the FHR and the amniotic fluid volume correct answers What does the modified
biophysical profile assess?
2 accels within 20 minutes of each other and within 40 minutes after monitoring begins correct
answers What is the goal of an NST?
