NCC Exam
Maternal Serum Alpha Fetoprotein (MSAFP) - ANS 16-18 Weeks, Increased in neural
tube defects
Syphilis - ANS Red hands, feet, and sniffles; need LP
HIV/AIDS - ANS Can be spread through breastfeeding = NO BREASTFEEDING
Chlamydia - ANS Can develop conjunctivitis, pneumonia; 3-4 months
Thrombocytopenia - ANS Low platelets, usually benign, dt hemodilution (mom low
platelets, baby low platelets)
Oligohydramnios - ANS Low fluid; Potters, hypoplastic Lungs, positional deformities
Poliyhydramnios (Hydramnios) - ANS Increased fluid; GI obstructions
Phosphatidylglycerol (PG) - ANS Present in amniotic fluid; indicates lung maturity
L/S ratio - ANS >/= 2 is normal
VEAL CHOP (Decels) - ANS Variable = Cord; Early = Head; Accelerations = OK; Late =
Placental Insufficiency
Sustained fetal tachycardia - ANS Think Infection
Magnesium Sulfate - ANS Respiratory Depression
Vacuum Assisted Delivery - ANS Consider hyperbilirubinemia
Shoulder Dystocia - ANS Fx clavicles and palsies
SGA - ANS Hypoglycemia, hypocalcemia, asphyxia, mec asp, Polycythemia (increased
RBC's to increase 02 carrying capacity)
LGA - ANS RDS - insulin deactivates surfactant
Maternal Serum Alpha Fetoprotein (MSAFP) - ANS 16-18 Weeks, Increased in neural
tube defects
Syphilis - ANS Red hands, feet, and sniffles; need LP
HIV/AIDS - ANS Can be spread through breastfeeding = NO BREASTFEEDING
Chlamydia - ANS Can develop conjunctivitis, pneumonia; 3-4 months
Thrombocytopenia - ANS Low platelets, usually benign, dt hemodilution (mom low
platelets, baby low platelets)
Oligohydramnios - ANS Low fluid; Potters, hypoplastic Lungs, positional deformities
Poliyhydramnios (Hydramnios) - ANS Increased fluid; GI obstructions
Phosphatidylglycerol (PG) - ANS Present in amniotic fluid; indicates lung maturity
L/S ratio - ANS >/= 2 is normal
VEAL CHOP (Decels) - ANS Variable = Cord; Early = Head; Accelerations = OK; Late =
Placental Insufficiency
Sustained fetal tachycardia - ANS Think Infection
Magnesium Sulfate - ANS Respiratory Depression
Vacuum Assisted Delivery - ANS Consider hyperbilirubinemia
Shoulder Dystocia - ANS Fx clavicles and palsies
SGA - ANS Hypoglycemia, hypocalcemia, asphyxia, mec asp, Polycythemia (increased
RBC's to increase 02 carrying capacity)
LGA - ANS RDS - insulin deactivates surfactant
