Certification and Core Review for Neonatal Intensive Care Nursing exam 100% solved

Certification and Core Review for Neonatal Intensive Care Nursing exam 100% solved Placenta a-microglobulin 1 - where is it found? what test detects it? - answerFound in amniotic fluid, cervicovaginal discharge, blood of pregnant women Found in secretions after ROM via amnisure Amnisure - what is it? what are we looking for? - answerUse of swab to obtain vaginal secretions Looking for placenta a-microglobulin 1 to detect ROM 99% sensitivity at ANY gestational age Cause of variable decels - answerUmbilical cord compression d/t oligohydramnios Oligohydramnios definition - answeramniotic fluid index <5cm OR single pocket <2cm How to correct variable decels? - answeramnioinfusion (MUST USE INTRAUTERINE PRESSURE CATHETER) Nifedipine (Procardia) - what type of med? why do we give it in pregnancy? - answerCalcium channel blocker (prevents ca from entering uterine muscle; muscle cannot contract; tocolytic) DELAYS DELIVERY BY 2-7 DAYS AND ALLOWS FOR BETA ADMINISTRATION Foramen ovale - what chambers does it connect? which way is shunt of blood (and why)? - answermoves blood between R and L atriums R to L shunting d/t increased PVR and decreased SVR in utero Umbilical arteries - what type of blood do they transport? where is it transferred from/to? - answertransports deoxygenated blood from aorta to placenta exchanges o2/co2 and removes waste Umbilical vein - what type of blood does it transport? where is it transferred from/to? - answertransports oxygenated blood from placenta to fetus carried to inferior vena cava via ductus venous what does PPHN do to PVR and SVR? which way does it cause blood to shunt? - answerPPHN causes increased