Complications of pregnancy: part 2 with 100% correct answers 2023/2024

Complications of pregnancy: part 2 Antepartum fetal monitoring - correct answer US at 18-20 weeks - anomaly scan, establish baseline fetal gestational age & size Serial US may be needed At 32 weeks, regularly scheduled NST and BPP are usually performed until birth Monitoring - correct answer NST - fetal no stress test Mom in a chair with monitor on uterus and Doppler for FHR Event marker for kicks Monitor risk of FHR (15 bpm over 15 sec is a REACTIVE) BPP - biophysical profile Tech observes fetus over 30 minutes for suck, kick, flexion of neck, fist, muscle tone AFI - amniotic fluid index Measurement of the amount of fluid in the sac Normal decrease at term Timing/Route of Delivery in SDM - correct answer Close to term, but not post-dates to reduce macrosomia and fetal demise Delivery at 37 weeks reduces risk of shoulder dystocia, but increased risk of pulmonary immaturity and failed labor induction Routine induction of labor on or before 39 weeks reduces risk of macrosomia and does not increase risk of C section