Notes in 07 Non-Invasive Fetal Surveillance

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Published 07/30/2024 {{c1::Antenatal Fetal Surveillance}}All methods to monitor well-being {{c2::BEFORE::BEFORE/AFTER}} labor
Published 07/30/2024 {{c1::Intrapartum Fetal Surveillance}}Monitors fetal well-being {{c2::DURING::BEFORE/DURING/AFTER}} labor
Published 07/30/2024 {{c2::High risk pregnancy}}: {{c1::32-34 weeks}}{{c2::With severe complications}}: {{c1::26-28 weeks}}
Published 07/30/2024 Nursery survival of the hospital: {{c1::23-24 weeks}}
Published 07/30/2024 Non-invasive methodsInvasive methods{{c1::Fetal movement counting}}Amniocentesis{{c1::Non-stress test}}{{c1::Contraction stress test}}Chorionic Villus…
Published 07/30/2024 {{c1::Fetal Movement Counting (FMC)}}Simplest and least expensive method for detecting fetal movementDone during {{c2::second::first/second}} hal…
Published 07/30/2024 Fetal Movement Counting (FMC){{c1::Primigravida}}: Quickening at {{c2::18-20 weeks}}{{c1::Multigravida}}: Quickening at {{c2::16-18 weeks}}
Published 07/30/2024 Fetal Movement Counting (FMC)Compromised fetus {{c1::DEC::INC/DEC}} their O2 requirements by {{c1::reducing::increasing/reducing}} activityF…
Published 07/30/2024 Fetal Movement Counting (FMC)Best method: {{c1::Count-to-10 method}}Patient lies in {{c1::left lateral}} position and concentrate on fetal activi…
Published 07/30/2024 Fetal Movement Counting (FMC)Limitations{{c1::1. Failure to detect growth abnormalities2. Patient comprehension and convenience3. Failure to anticipat…
Published 07/30/2024 Fetal Movement Counting (FMC)Failure to detect growth abnormalitiesActivity diminished only in the {{c1::most severe cases of IUGR}}Fetal weight must …
Published 07/30/2024 Fetal Movement Counting (FMC)Comprehension and Convenience{{c1::Educational attainment and socioeconomic background::Factors}} can influence how a pat…
Published 07/30/2024 Fetal Movement Counting (FMC)Failure to anticipate certain stillbirthsStillbirth may still occur due to {{c1::acute hypoxic changes such as abruptio p…
Published 07/30/2024 Fetal Movement Counting (FMC)Failure to detect malformationsMost fetuses with congenital anomalies show {{c1::normal::normal/abnormal}} fetal mov…
Published 07/30/2024 Fetal Movement Counting (FMC)Failure to distinguish between multiple pregnanciesCannot distinguish between {{c1::twins}} on a daily basis
Published 07/30/2024 Fetal Movement Counting (FMC)DrugsSedating the mother leads to {{c1::sedation of the baby}}Drugs that DEC fetal movement: {{c1::Barbiturates, benzodia…
Published 07/30/2024 Fetal Movement Counting (FMC)SmokingTemporarily {{c1::decrease::increase/decrease}} fetal movement due to:{{c2::INC maternal carboxyhemoglobinDir…
Published 07/30/2024 Electronic Fetal Heart Rate Monitoring{{c1::Tocodynamometer}}: detects {{c2::contractions}}{{c1::Doppler transducer}}: detects {{c2::fetal heart rate}…
Published 07/30/2024 Electronic Fetal Heart Rate MonitoringFetal Monitoring StripUpper: {{c1::Fetal heart rate}}Lower: {{c1::Uterine contractions}}
Published 07/30/2024 Electronic Fetal Heart Rate MonitoringPaper speed is {{c1::3cm/minute}}
Published 07/30/2024 {{c1::Non-Stress Test}}A fetus with {{c2::good integration}} of PNS, spinal cord, brain, and ANS and {{c2::intact}} myocardium will respond …
Published 07/30/2024 Non-Stress TestDescribe {{c1::fetal heart rate acceleration}} in response to fetal movement Primarily a test of {{c1::fetal condition}}
Published 07/30/2024 Non-Stress Test{{c1::Reactive NST}}{{c2::2 fetal movements in 20 minutes::FM}}, FHR accelerates to {{c2::15 bpm lasting for 15 seconds}} with a v…
Published 07/30/2024 Non-Stress Test{{c1::Non-Reactive NST}}{{c2::NO}} accelerations appreciated{{c2::NEG::+/-}} FM, {{c2::NEG::+/-}} accelerations, {{c2::poor or NEG…
Published 07/30/2024 Non-Stress TestNon-Reactive NSTDx of {{c1::Hypoxia}} in a NRNST is a {{c2::diagnosis of exclusion}}
Published 07/30/2024 Non-Stress Test{{c1::Uncertain Reactivity}}{{c2::<2 fetal movements in 20 minutes}} or an acceleration of {{c2::<15 bpm, <15 sec}}, LTV {{c2:…
Published 07/30/2024 Non-Stress TestLimitations{{c1::Fetal Sleep StateMaternal ConditionsGestational AgePoor Predictor of Chronic Asyphxia}}
Published 07/30/2024 Non-Stress Test{{c1::Fetal Sleep State}}Most common limitation of NSTBaby is still {{c2::asleep}} and can remain in that state for {{c2::20-30 mi…
Published 07/30/2024 Non-Stress TestFetal Sleep StatePeriod of quiet sleep lasts for {{c1::1 hr}}To rule out this limitation: {{c1::10-20-40 rule}}
Published 07/30/2024 Non-Stress TestFetal Sleep State{{c1::Vibroacoustic stimulator}}: used to awaken fetusEmits controlled sound of {{c2::80Hz}} with bursts lasting …
Published 07/30/2024 Drugs that INC HRDrugs that DEC HRB-adrenergic stimulation{{c1::Ritodrine, Terbutaline, Isoxuprine}}Vagal stimulation{{c2::Digoxin}}INC metabolic rate…
Published 07/30/2024 Non-Stress TestMaternal Conditions{{c1::Thyrotoxicosis and Hypokalemia}}: {{c2::Baseline FHR variability}}{{c1::Dehydration}}: {{c2::INC FHR}}{{c1::Fe…
Published 07/30/2024 Non-Stress Test{{c1::Gestational Age}}Present {{c2::physiological non-reactivity}}
Published 07/30/2024 Non-Stress TestGestational AgeNST in {{c2::preterm}}: {{c1::15}} bpm amplitude {{c1::not typical::typical/not typical}}{{c1::Less::Less/More}} or…
Published 07/30/2024 Non-Stress TestGestational AgeModification of NST in Preterm:{{c1::Extend testing time}}
Published 07/30/2024 Non-Stress TestPoor Predictor of Chronic AsphyxiaMust combine NST with {{c1::Biophysical Profile Score or Amniotic Fluid Volume}}Clinical efficacy of …
Published 07/30/2024 Non-Stress TestNormal NST{{c1::Reactive}}FHR accelerates by {{c2::≥15 bpm}}, for {{c2::≥ 15 seconds::duration}} within {{c2::20 mins::timeframe}}
Published 07/30/2024 Non-Stress TestAbnormal NST{{c1::Non-reactive}}{{c2::Silent oscillatory}} patternFHR baseline that oscillated {{c2::< 5bpm}}
Published 07/30/2024 {{c1::Contraction Stress Test}}Marginally compromised fetuses with {{c2::limited oxygen reserves and limited placental function}} will manifest w…
Published 07/30/2024 Contraction Stress Test{{c1::20 minutes::time}} recording of {{c1::FHR and uterine activity}}Induce contractions by:{{c2::IV Oxytocin}}: {{c3::3 contr…
Published 07/30/2024 Contraction Stress TestInterpretation{{c1::Negative}}: {{c2::No late decelerationsNo significant variable decelerations}}
Published 07/30/2024 Contraction Stress TestInterpretation{{c1::Positive}}: {{c2::Late decelerations followed by 50% or moreFrequency of <3 in 10 mins}}
Published 07/30/2024 Contraction Stress TestInterpretation{{c1::Equivocal Suspicious}}: {{c2::Intermittent late or significant VD present in one contraction}}
Published 07/30/2024 Contraction Stress TestInterpretation{{c1::Equivocal Hyperstimulatory}}: FHR {{c2::decelerates}} in contractions for {{c2::>2 mins or &gt…
Published 07/30/2024 Contraction Stress TestInterpretation{{c1::Unsatisfactory}}: {{c2::< 3 contractions in 10 minutesUninterpretable}}
Published 07/30/2024 Contraction Stress TestLimitation{{c1::Same as NST(Fetal Sleep State, Maternal conditions, Gestational age, Poor predictor of chronic asphyxia) }…
Published 07/30/2024 Contraction Stress TestManagement{{c1::Preterm}}: {{c2::Backup with another test like BPS or Doppler}}
Published 07/30/2024 Contraction Stress TestManagement{{c1::Term/Post-term}}: In combination with {{c2::(+) CST}}, deliver the baby via {{c2::CS}}
Published 07/30/2024 BIOPHYSICAL PROFILE SCREENINGBPS parameterFetal CNS CenterAOGEmbryogenesisResistance to hypoxiaFetal Tone{{c1::Cortex/Subcortical area}}{{c1::7.5-8 we…
Published 07/30/2024 BIOPHYSICAL PROFILE SCREENINGThe {{c1::more mature}} the center, the {{c1::more resistant}} it is to hypoxiaMost resistant: {{c2::Fetal tone…
Published 07/30/2024 BIOPHYSICAL PROFILE SCREENINGAcute BPS VariablesAltered immediately in the presence of {{c1::fetal hypoxia}}{{c1::FB, FT, FM, FHR}}Chronic BPS Variabl…
Published 07/30/2024 BIOPHYSICAL PROFILE SCREENING{{c1::Brain Sparing Effect}}Fetal compensatory mechanism that directs blood flow to essential organsEssential organs: {{c…
Published 07/30/2024 AMNIOTIC FLUID MONITORINGMethods{{c1::Single vertical pocketAmniotic fluid index}}
Published 07/30/2024 AMNIOTIC FLUID MONITORINGSingle Vertical PocketSINGLE VERTICAL POCKET INTERPRETATION{{c1::<2cm}}{{c2::Oligohydramnios}}{{c1::>2cm}}{{c2::Normal}…
Published 07/30/2024 AMNIOTIC FLUID INDEXINTERPRETATION{{c1::Oligohydramnios}}{{c2::5cm or less}}{{c1::Low Normal}}{{c2::6-<8cm}}{{c1::Normal}}{{c2::8-<25cm}}{{c1::P…
Published 07/30/2024 BPS COMPONENTSRead {{c1::me}}
Published 07/30/2024 Familiarize {{c1::me}}
Published 07/30/2024 MODIFICATIONS IN BPSModified Score: {{c1::8/8}}Preferred because it is more affordableSelective use of {{c1::NST}} when all 4 variables are norma…
Published 07/30/2024 TIMING AND FREQUENCY OF BPSVariable leading to {{c1::Disease-specific Testing}}Must NOT be done at AOG where {{c1::active intervention is not possible…
Published 07/30/2024 LIMITATION OF BPSFetal Rest Activity CyclesSleep states average {{c1::20-30 minutes}}
Published 07/30/2024 LIMITATIONS OF BPSMaternal Glucose Level{{c1::INC::INC/DEC}} incidence of FB after meals{{c1::INC::INC/DEC}} FB in {{c2::2nd and 3rd hr::hour}} a…
Published 07/30/2024 LIMITATIONS OF BPSGestational AgeAOGFetal Breathing{{c1::10 weeks}}{{c2::2%}} of the time{{c1::19 weeks}}{{c2::6%}} of the time{{c1::24-28 weeks}}{{c2…
Published 07/30/2024 LIMITATIONS OF BPSAlcohol and SmokingInhibited by alcohol and smoking: {{c2::Fetal Breathing}}Smoking: {{c1::DEC}} Fetal Breathing {{c3::rate::ra…
Published 07/30/2024 LIMITATIONS OF BPSLabor{{c1::Gross Body Movements and Fetal Tone}}: {{c2::NOT}} affected by labor{{c1::Fetal Breathing}}: Initial {{c2::fall::ris…
Published 07/30/2024 LIMITATIONS OF BPSDrugsDECINC{{c1::Anesthetics, Barbiturates, Narcotics, Benzodiazepines, Prostaglandins, Pancuronium}}{{c2::Catecholamines, Adenyl cy…
Published 07/30/2024 LIMITATIONS OF BPSDrugsDRUGS AFFECTING FETAL MOVEMENTDRUGSEFFECT{{c1::Inhalational anesthetics}}{{c2::ABOLITION}} of FM{{c1::NMB}}{{c1::Narcotics}}{{c…
Published 07/30/2024 LIMITATIONS OF BPSDrugsDRUGS AFFECTING FETAL TONEDRUGSDRUG EFFECT{{c1::NMB}}{{c2::DEC}} flexor tone{{c1::Phenobarbital and Benzodiazepine}}{{c1::Narco…
Published 07/30/2024 LIMITATIONS OF BPS{{c2::Polyhydramnios}}{{c1::NO score}}Maternal conditions with polyhydramnios: {{c1::DM, multiple pregnancies, hydrops}}
Published 07/30/2024 LIMITATIONS OF BPSInability to Provide Estimate of Fetal Reserve{{c1::Bocking's Theory}}Waxing and waning of BPS in {{c2::sustained hypoxemia}} i…
Published 07/30/2024 TEST RELIABILITY OF BPSCorrected perinatal mortality rate  {{c1:: 0-26.4/1000Fairly good }}  False (-) rate{{c1::0.078-2.28}}Average interva…
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