Antepartum + Early Intrapartum Care

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Across
  1. 6. Absence of fetal tone predicts fetal ______ 100% of the time
  2. 8. In the abdominal exam using Leopold’s maneuvers, the first step is to determine fetal ____
  3. 9. A positive CST is persistent late _____ with 50% or more of contractions
  4. 10. normal psychological responses to pregnancy include ______ and adjustment
  5. 13. Management strategies for hemorrhoids include: Avoiding constipation and straining, elevating hips with pillow or knee-chest position, Sitz baths, Witch hazel or Epsom salt compress, Reinsertion with lubricated finger, ______ exercises
  6. 15. Fluid collected for sampling to confirm ROM should be from the posterior fornix or vaginal wall with sterile swab for 10-15 seconds. It is best to avoid the ____ when collecting the sample
  7. 16. appropriate ______ plan and preparation should addresses childbirth preparation, feeding plan (breast/chest feeding), and childrearing classes
  8. 18. Possible tests to confirm ROM are nitrizine, ______, and Amnisure
  9. 20. A BPP evaluates 5 areas: breathing movements, body movement, _____, amniotic fluid, reactivity
  10. 21. In a CST, contractions may be result of administration of _______ oxytocin or nipple stimulation (2 minutes of nipple stimulation followed by 5 min of rest, avoid stim during contraction)
  11. 22. Factors that influence NST results include: fetal sleep, ________ within 30 minutes of test, medications, Fetal CNS anomalies, fetal hypoxia and/or acidosis
  12. 23. In preeclampsia without severe features, management includes: assessment of maternal signs/symptoms (weigt gain, edema, DTR), daily fetal movement counts, twice-weekly BP reading, weekly labs that inlcudes _____ and LFTs
  13. 24. There are two different protocols for fetal movement counting (also called fetal kick counts). The Sanovsky protocol involves counting FM for 30 minutes TID; Greater than ____ movements in a 30 minute period is reassuring
  14. 25. There are two different protocols for fetal movement counting (also called fetal kick counts). The Cardiff method or “count to 10” method involves counting at the same time every day, and monitoring how long it takes to get to 10 movements. If fewer than 10 movements in 2 hours or amount of time it takes to reach 10 movements increases, a ____ should be performed
  15. 26. An assessment of fetal wellbeing by observing FHR response to uterine contractions is called a ____
Down
  1. 1. With gestation age > 32 weeks, a _______ NST has two or more accelerations in FHR of 15 bpm or more lasting ≥15 seconds, within a 15-20 minute period
  2. 2. Factors to consider when admitting patient in labor include: ______, parity, access to labor support, and need for fetal surveillance
  3. 3. Women taking ________ at the time of conception are less likely in need of treatment for NVP
  4. 4. A fetus who is compromised, or _______, has decreased oxygenation, which may result in metabolic acidosis
  5. 5. patients with ruptured membranes require more frequent vital signs, especially _____
  6. 7. HG is diagnosis of _______ when other causes of nausea and vomiting have been explored
  7. 11. With GA 28-32 weeks: ≥10 bpm lasting 10 ______
  8. 12. According to the IOM, someone who is considered ______ by BMI prior to pregnancy (BMI 25.0-29.9) should gain a total of 15-25 lbs total or 0.5-0.7 lb/week in second and third trimester
  9. 14. Normal AFI is between _____ and 24 cm
  10. 17. Caloric recommendation in pregnancy is 2500 kcal/day with average intake of 60 g ______day
  11. 19. Diagnosing ROM involves sterile speculum exam and assessing the color, consistency, and ___ of fluid