Fetal Well-being Assessment

Functional fetal CNS and absence of hypoxia or acidosis

The parameters of a biophysical profile are indicators of:

True

T/F: BPP has a low false negative/positive rate

Decreased fetal movement, Hypertension, diabetes, oligohydramnios, fetal growth restriction, late term, multiple pregnancy, maternal cyantoic heart disease

What are some indications for antepartum testing

Gross fetal movement, fetal breathing, fetal tone

What is observed during the BPP ultrasound

Amniotic fluid pocket

What is measured during the BPP ultrasound

No

Is the non stress test preformed during the ultrasound

No

Can you get a 1/2 mark on an aspect in the BPP

8

What is the ultrasound portion of the BPP out of

10

What is the whole BPP out of

30

How many minutes does the fetus get to perform all elements

2

What mark does the fetus get for doing a required exercise

0

What does the fetus get for no adequately preforming a task

Rolling of fetal trunk or turning of head

What is gross body movements

Breathing motion or hiccups (diaphragm moving)

What is breathing

Flexion and extensions of a limb, fingers, etc

What is fetal tone

Low oxygen in the fetus

What is asphyxia

Sedatives, analgesics, anaesthetics

What drugs affect BPP score

Develops first and is the last activity to disappear

The area in the fetal brain that control fetal tone:

28 weeks

When does fetal heart rate reactivity center mature

FHR creativity center

What is the first part of the fetal brain is the first to be affected by asphyxia

30 seconds

How long must the fetus demonstrate breathing

Fetal lung growth

Spontaneous movement of the diaphragm in a cephalad-caudad direction is considered essential for:

Fetal breathing

What is the most frequent element that we do not see the fetus preform during the BPP

6 seconds

How long of a break can the fetus take during the 30 seconds of breathing

True

T/F: you should check breathing as soon as you start the exam and check back periodically if you don't see it

Mom's breathing

What is a pitfall of fetal breathing movements

3 or more gross body movement

What does the fetus have to do to get a score on gross fetal movement

Large limb and face/hand movements, swallowing

What also counts as gross fetal movement

One episode of flexion and extension

What must the fetus do to get a mark for fetal tone

Arm, leg, spine, finger/hand, toe/foot, a yawn

What structures can count as fetal tone

At least 2x1cm

What does the measurement of the amniotic fluid pocket be to get a score for amniotic fluid pocket

No

Do you include the cord in the amniotic fluid pocket measurement

Non stress test

What test will the patient receive if the BPP score is less than 8

Amniotic fluid

Is it more concerning if the fetus does not get a score for fetal breathing or amniotic fluid

Sum of the depth is of amniotic fluid in 4 quadrants of the uterus

What is AFI

Less than 5cm

What AFI indicated oligohydramnios

Greater than 25cm

What AFI indicates polyhydramnios

Umbilical artery

What is the most common vessel to Doppler

High diastolic

What is normal umbilical artery spectral

Difficult for fetus to return blood to the placenta

What does low or absent diastolic flow indicate in the umbilical artery

Immediate delivery

What is the treatment if the umbilical artery is found to have reverse diastolic flow