L11-High RIsk Pregnancy

If a PT is pregnant with twins, what type of doctor will they be assigned?

maternal fetal medicine

What are the two goals of antepartum testing?

Identifies the fetuses in trouble or at risk for trouble and those that are not.

• IUGR & genetically small babies

1. Identify fetuses at risk for injury caused by acute or chronic interruption of oxygenation so that permanent injury or death might be prevented.

2. Identify appropriately oxygenated fetuses so that unnecessary intervention can be avoided

What are some ways to wake up a fetus to cause movement?

• Taking a walk or moving your body.

• Drinking juice or another sweet beverage.

• Eating a meal.

• Lying down on your left side (this maximizes blood flow).

• Playing loud music.

What level of ultrasonography is used for dating the age of the fetus?

standard/basic

What can determine an estimated due date during the 1st trimester of pregnancy with accuracy?

ultrasonography

What are the major uses for ultrasonography in the 2nd trimester?

• establish/confirm EDD

• confirm viability

• placental location

What are the major uses for ultrasonography in the 3rd trimester?

• dtect IUGR

• fetal position

• growth

What is a mjaor risk factor for shoulder dystocia?

macrosomia

• A large baby may deliver the head, but the anterior shoulder becomes lodged behind the mother's pubic symphysis.

What is the purpose of a biophysical profile (BPP)?

reliable predictor of comprehensive fetal well-being

________ — an invasive prenatal diagnostic procedure that involves removing amniotic fluid from the uterus using a needle under ultrasound guidance.

amniocentesis

What must be obtained in order for a doctor to perform an amniocentesis?

written informed consent

High levels of Maternal Serum Alpha-Fetoprotein (MSAFP) indicate __________

neural tube defects

Low levels of Maternal Serum Alpha-Fetoprotein (MSAFP) indicate __________

down syndrome

What does an indirect Coombs’ test screen for?

Rh incompatibility

• tests the mother’s blood for antibodies

___________ is the most used technique for antepartum evaluation of fetus

Nonstress test (NST)

What result does a RN want for a nonstress test (NST)?

REACTIVE