NR 327 Exam 2 Review

NR 327 Exam 2 Review What Antepartum testing determine? (Answer)- - Congenital abnormalities What can Antepartum testing evaluate? (Answer)- - Condition of the fetus What right(s) must a nurse respect in antepartum testing? (Answer)- - The Right to Refuse testing What does MSAFP stand for? (Answer)- - Maternal Serum Alpha Feto-Protein When can a MSAFP be done? (Answer)- - 16-18 weeks What does a MSAFP screen for? (Answer)- - Alpha Proteins What does a High Alpha Protein level indicate with MSAFP screening? (Answer)-

• Neuro-tube defects (NTD)
• Spina Bifida

What is Spinal Bifida/ (Answer)- failure of the spinal column to close completely What test is considered a SCREENING Test? (Answer)- - MSAFP What does a Low Alpha Protein level indicate with MSAFP screening? (Answer)-

• Chromosomal abnormalities occur

How are MSAFP tests result presented in? (Answer)- - as a Percentage What screening should be performed if a MSAFP results are abnormal? (Answer)-

• Triple Screen
• Quad Screen

What are the three types of diagnostic tests? (Answer)- - Ultrasound

• Chronic Villus Sampling (CVS)
• Amniocentesis

During the first trimester, what can an ultrasound determine? (Answer)- - Gestational age of a baby 1 / 3

• Location of Placenta / baby

What can an ultrasound confirm during the first trimester? (Answer)- - Confirmation of the pregnancy

• Positive s/s of a pregnancy

What can an ultrasound determine, r/t a positive s/s of a pregnancy, in the first trimester? (Answer)- - Heart beat

• visualization of the baby

What can a Ultrasound locate in the first trimester of the pregnancy? (Answer)- - Placenta location

• Baby location

During the first trimester, how is a ultrasound performed? (Answer)- - Transvaginally During the 2nd/3rd trimester, What diagnostic tests can an ultrasound be utilized to guide? (Answer)- - Amniocentesis

• Chronic Villus Sampling (CVS)

What measured during the 2nd/3rd trimester of pregnancy with an ultrasound?(Answer)- - Fetal Growth What can be detected in the 2nd/3rd trimester of pregnancy with an ultrasound?(Answer)- - Abnormalities

• Amniotic fluids

What profile test can be performed with an ultrasound during the 2nd/3rd trimester of pregnancy? (Answer)- - BPP What can be measured during the 3rd trimester of pregnancy with an ultrasound?(Answer)- - Fetal weight What can be assessed about the fetus in the 3rd trimester with an ultrasound?(Answer)- - Fetal position What can an ultra sound be utilized, as a doppler, to assess? (Answer)- - Blood flow of the baby 2 / 3

What can a Chronic Villus Sampling (CVS) diagnose? (Answer)- - Chromosomal abnormalities

• DNA abnormalities

What does a Chronic Villus Sampling (CVS) aspirate? (Answer)- - Placental tissue What is the NUMBER ONE (1) benefit of utilizing a Chronic Villus Sampling (CVS) test? (Answer)- - Early diagnostic tool for EARLY DECISIONS about pregnancy When can a Chronic Villus Sampling (CVS) test be performed? (Answer)- - 10-12 weeks What should be administered with a Chronic Villus Sampling (CVS) test?(Answer)- - Terbutaline What does Terbutaline do? (Answer)- - Stops contractions

• Prevents preterm labor

What are the two requirements an expecting mother must have before having a Chronic Villus Sampling (CVS) diagnostic test? (Answer)- - Personal History of Chromosomal/ DNA abnormalities

• Family History of Chromosomal / DNA abnormalities

What is a complication of Chronic Villus Sampling (CVS) testing? (Answer)- - Limb Reduction defects What is the purpose of an Amniocentesis diagnostic test for EARLY TERM?(Answer)- - Detects Chromosomal / DNA abnormalities

- DETECTS INTRAUTERINE INFECTIONS

During the third trimester, what is the purpose of performing an Amniocentesis?(Answer)- - Assess Fetal Lung Maturity What does an Amniocentesis assess to determine Fetal Lung Maturation (FLM)?(Answer)- - L/S ratio or FLM What drug is administered to speed up L/S ratio or FLM? (Answer)- - Betamethasone IM What is an adverse effect of Betamethasone? (Answer)- - Hyperglycemia

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