Maternal Newborn ATI, Maternal Newborn Proctor ATI

Maternal Newborn ATI, Maternal Newborn Proctor ATI FHR can be heard by Doppler at: 10-12 weeks GA When should you start measuring a woman's fundal height? After 12 weeks GA Between 18 and 30 weeks the fundal height should measure what? It should equal the week of gestation MSAFP screening is done: 15-22 weeks of gestation maternal serum alpha-fetoprotein (MSAFP) screen. It's usually as part of a set of tests, which screen for genetic problems, called the quad screen. AFP is a substance made in the liver of an unborn baby (fetus). Smoking tobacco during pregnancy is associated with : Low Birth Weight Pregnant mothers should consume how much water each day? 2 to 3 Liters of water from food and beverage sources. Regarding kick counts, what are signs that a woman needs further evaluation? Fetal movements of less than 3 in one hour No fetal movement for 12 hours The recommended weight gain during pregnancy is usually: 25-35lbs 3-4 lb in first trimester 1 lb per week in the last two trimesters Foods high in folic acid are: Leafy vegetables Dried peas Dried beans Seeds Orange juice It is recommended that _____ mcg of folic acid be taken during pregnancy. 600 It is recommended that clients who are lactating consume ____ mcg of folic acid. 500 What vitamin aids in the absorption of Iron? Vitamin C The clients bladder needs to be _____ before an ultrasound. Full biophysical profile (BPP) normal score is A biophysical profile (BPP) test measures the health of your baby (fetus) during pregnancy. 8-10 BPP abnormal score is 4 If a BPP comes back as 6..... It should be retested BPP assess for Fetal well being non-stress test ( NST) most widely used technique for antepartum evaluation of fetal well being performed during the third trimester. Reactive NST FHR is a normal baseline rate with moderate variablity Two accelerations to 15 bpm for at least 15 secs in 20 min period A non reactive NST would indicate what about the fetus? The fetal heart rate does not accelerate adequately with fetal movement. -A BPP or CST will need to be done now Positive CST is normal or abnormal abnormal The contraction stress test — also called a stress test or an oxytocin challenge test — may be done during pregnancy to measure the baby's heart rate during uterine contractions. Its purpose is to make sure the baby can get the oxygen he needs from the placenta during labor. Positive CST is indicated when: Persistent and consistent late decels on more than half of the contractions. An amniocentesis may be performed when? After 14 weeks gestation AFP can be measured from the amniotic fluid between: 16 and 18 weeks alpha-fetoprotein Presence of PG on a fetal lung test is associated with: Respiratory distress CVS can be done at 10-12 weeks Chorionic villus sampling (CVS) is a prenatal test that diagnoses chromosomal abnormalities such as Down syndrome, as well as a host of other genetic disorders. The doctor takes cells from tiny fingerlike projections on your placenta called the chorionic villi and sends them to a lab for genetic analysis. First stage of labor: 1-1.5 cm (onset of labor) Latent phase of labor: 0-3 cm mild to moderate contractions irregular q 5-30 min lasts 30-40 sec Active phase of labor: 4-7 cm moderate to strong contractions regular q 3-5 min lasts 40-70 sec Transition phase of labor 8-10 cm strong to very strong contractions q 2-3 min lasts 45-90 sec Second stage of labor: Full dilation Intense contractions BIRTH!! Third stage of labor: Delivery of placenta Fourth stage: Maternal stabilization of vital signs First stage pain: internal visceral may be felt as back/leg pain Second stage pain: somatic occurs with fetal descent and expulsion Third stage pain: similar to first stage pain Pain S&S: Increased BP Tachycardia Hyperventilation Absent or undetectable variability is considered: Non-reasurring Minimal variability: undetectable but 5/min Moderate variability: 6-25/min Marked variability: 25/min Accelerations mean: Healthy fetal/placental exchange Fetal bradycardia means (less than 60) Uteroplacental insufficiency Umbilical cord prolapse Maternal hypotension Prolonged umbilical cord compression Fetal congenital heart block Anesthetic meds Fetal tachycardia means: Maternal infection Fetal anemia Fetal heart failure Fetal cardiac dysrythmias Maternal use of cocaine or meth Maternal dehydration Decrease or loss of variability means: Meds that depress the CNS Fetal hypoxemia w/resulting acidosis Fetal sleep cycle congenital abnormalities Early decels mean: Compression of the fetal head resulting from uterine contraction Vaginal exam Fundal pressure Late decels mean: UPI causing inadequate fetal oxygenation Maternal hypotension placental abruption Uterine hyperstimulation w/pitocin Variable decels mean: Umbilical cord compression Short cord Prolapsed cord Nuchal cord Oligohydraminos Fetal descent and cervical dilation are caused by Frequency, duration, and strength of contractions What is the sensation the patient will feel when completion of dilation and fetal descent? She will feel like she needs to take a big ole poooo! First degree laceration extends through: skin of perineum Second degree laceration extends through: skin of perineum muscles of perineum Third degree laceration extends through: skin of perineum muscles of perineum anal sphincter Fourth degree laceration extends through: skin of perineum muscles of perineum