Maternal Risk Factors and Birth History

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6 Terms

1
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Problems associated with the following:

  • Polyhydramnios

  • Oligohydramnios

  • CNS, GI, cord prolapse

  • Urinary tract, musculoskeletal, IUGR, cord banding, cord compression, RDS d/t decreased surfactant production

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What does the biophysical profile (BPP) test for?

Fetal status: FHR, respirations, movement, tone, and AF volume

3
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What does the quad screen test for?

NTD, trisomies, multiple gestation: AFP, Hcg, Estriol, Inhibin A

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For what defects is AFP:

  • High

  • Low

  • High for NTDs, multiple gestation, abdominal wall defects, renal disorders

  • Low for trisomies

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What does each FHR tracing category indicate?

  • I: Normal FHR, moderate variability, normal acid-base status

  • II: In between I and III

  • III: No variability, recurrent decels, abnormal acid-base status

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What are causes of decreased placental blood flow?

Vasoconstriction, vasodilation, decreased cardiac output, decreased maternal blood flow, tachysystole, severe stress