Maternity Newborn Exam #3 - Questions with All Correct Answers.

Maternity Newborn Exam #3



1. Non-Stress Test (NST) Reactive (Normal) Result

: At least 2 accelerations: an increase of FHR from baseline of at least 15 bpm x
15 seconds
1. Biophysical Profile: US + NST
Healthy: 8-10
<8 = Baby is not getting enough O2



2. Ferning or Nitrazine Test


: Distinguishes between urine and amniotic fluid

4. Alpha Fetoprotein:

High level may indicate spina bifida or twins or down syndrome




5. Internal Fetal Monitor:


Electrode is placed on presenting part of fetus via needle, mom must be 2cm +
dilated
Risk of ifx




,CI
with HIV/AIDS

7. EFM: Variability:


Regular fluctuations in the baseline fetal heart rate, which is measured as
the amplitude of the peak to try and beats per minute


8. EFM: Absent Variability:

fluctuation range undetectable
BAD


9. EFM: Minimal Variability:

fluctuation range < 5 bpm
BAD


10. EFM: Moderate Variability:

fluctuation range from 6 to 25 bpm
GOOD, indicates sufficient placental perfusion


11. EFM: Marked Variability:

fluctuation range > 25 bpm
BAD

12. VEALCHOP:



, V: variable deceleration C: cord compression (abnormal)
E: early H: head compression with ctx (normal)
A: acceleration O: ok (normal)
L: late decel P: placental insufficiency (abnormal)


13. VEALCHOP: V Interventions:

Trendelenburg, knee-chest position
LIONS
(Left side lying
Increase IVF
O2 & dc Oxytocin
Notify HCP
Surgery (C-Birth))
May need amnioinfusion


14. VEALCHOP: L Interventions:


LION
Left side lying
Increase IVF
O2 & dc Oxytocin
Notify HCP)


15. Preterm Labor Patho/Def:

Regular uterine contractions (4 every 20 min), cervical effacement (80%+) &
dilation (2cm+) before the end of the 37th week gestation