NSPN 7200 - Mod 6 Questions with Complete Correct Answers | Grade A+

Risks of post-term pregnancy Ans: Increased risk of maternal/fetal morbidity and mortality induction of labour dysfunctional labour caesarean birth fatigue/frustration macrosomia decreased amniotic fluid volume (oligohydramnios) meconium aspiration Major risk factors for stillbirth Ans: maternal age over 35 maternal infections poor nutrition 2 GDM modifiable factors such as smoking and obesity (90% of stillbirths) SOGC Recommendations for Reducing Inductions Ans: -All women have a first trimester ultrasound to ensure accurate dating of pregnancy -Offer sweeping of membranes between 38 and 41 weeks gestation. Sweeping of membranes releases endogenous prostaglandins which soften the cervix in preparation for labour Sweeping of membranes Ans: -Releases prostaglandin -You have to be 1 cm dilated; during a VE separate membranes from cervical lining -Starts at 38 weeks and happens weekly; twice weekly after 41 weeks What assessments should occur twice a week after 41 wks GA Ans: fetal movement counting, non-stress tests, and possibly ultrasound and/or a biophysical profile Priority Indications for IOL Ans: Pre-eclampsia > 37 wks, Term PROM with GBS+ (#1 reason in Canada), chorioamnionitis, suspected fetal compromise, stable antepartum hemorrhage, significant maternal disease, post term > 42