OB NURS 306Study Guide for Week 2 Content Summer 2021.

OB NURS 306Study Guide for Week 2 Content Summer 2021. Study Guide for Week 2 Content (Chapters 6 & 9) The next quiz will ask about the material that is on the study guide. I will expect you to know NST (accelerations, reactive/nonreactive), the definitions about the components of a fetal heart rate tracing, VEAL- CHOP (the mnemonic we used for decelerations and what causes them) since these concepts were introduced in OB CCC. FHR strips will be on the quiz. Please also take a look at the interventions for the decelerations- you should be familiar with them from CCC as well. Chapter 6 ▪ Indications for first trimester ultrasound o Fetal abnormalities o To confirm Pregnancy is intrauterine (not ectopic) o To confirm fetal cardiac activity o Number of fetuses (to detect multiple gestation (number and size of gestational sacs) o Size and correlation to EDC (determining gestational age) o PREGNANCY VERIFICATION DATING ULTRASOUND (done for every patient) ** (usually performed as a TVS- TRANSVAGINAL ULTRASOUND ▪ Best when early in the pregnancy ▪ Tell patient to empty bladder prior to ultrasound o Evaluate pelvic anatomy o Explore cause of vaginal bleeding o Detect other potential abnormalities in early pregnancy o CRL- “crown rump length” ▪ Measure from crown of head to rump for DATING! ▪ Additional info not on study guide** chapter 4!! o RH RhoGAM- mom always gets RhoGAM no matter what (+ or -) o RH+ antibody screen o If mom is negative, were going to give RhoGAM after possible trauma or possible crossing like amniocentesis. o Every woman that is RH Neg- gets RhoGAM at 28 weeks!!! **** o If RH neg, always gets RhoGAM ▪ And trauma or birth o If mom is blood B+, gets RhoGAM shot NEVER***