The Stresses of the Non-Stress Test | Biophysically Speaking . . . | Is our baby really ok? | The Doppler Effect | Potpourri |
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What is 10 beats?
At less than 32 weeks, a reactive tracing is defined as 2 accelerations at least this many beats above baseline
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What are the AFI, NST, breathing, movement, and tone?
These are the 5 components of the biophysical profile.
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What is over 50%?
A contraction stress test is positive is you have late decelerations with this percentage of contractions?
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What is intrauterine fetal growth restriction (IUGR) ?
Per ACOG and SMFM, this is the one indication for the use of umbilical artery doppler velocimetry as a part of antepartum fetal surveillance.
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What is the non-stress test AND the amniotic fluid index?
These are the components of a modified biophysical profile.
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What is variability ?
This component of a fetal heart rate tracing is an indication of fetal oxygenation status/ oxygenation reserve.
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What is greater than 30 seconds ?
In order to get points for fetal breathing, a sonographer/sonologist must see one episode of fetal breathing for this long throughout the entirety of the biophysical profile.
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What is 75-90%?
This is the false positive rate of a non-reactive non-stress test as a test for fetal reassurance.
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What is the ductus venosus ?
This vessel, connecting the umbilical vein to the portal portion of the inferior vena cava, should always have forward flow within it. If not, your baby's got a problem.
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What is the contraction stress test (~30-40%) ?
This test for antepartum fetal surveillance has the lowest false positive rate.
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What are variable decelerations ?
These types of decelerations may be observed in up to 50% of all non-stress tests.
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What is the 1F state ?
This is the fetal stage of quiet sleep.
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What is twice weekly non-stress tests ?
This is the type AND frequency of antenatal surveillance for someone greater than 40 weeks gestation.
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What is the peak systolic velocity ?
In pregnancies impacted by fetal anemia, this value is measured in the middle cerebral artery.
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What is vibro-acoustic stimulation ?
If a tracing is non-reactive, this may be used before considering moving toward ordering a biophysical profile.
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What is 32-34 weeks ?
Type 1 diabetes, chronic hypertensives and those with lupus should begin twice weekly non-stress tests at this gestational age.
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What is repeat the biophysical profile in 6 hours all the while leaving on continuous monitoring?
This is what should be done in a patient with a biophysical profile of 6/10 at 34 weeks gestation who presented for decreased fetal movement, non-reactive NST.
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What is brain sparing ?
This is the phenomenon in which blood is shunted to to vital organs when growth restriction is becoming worse and worse.
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What is delivery ?
This should be done if a patient presents to OB Triage at 37 weeks with a fetus in the 3rd percentile for estimated fetal weight with intermittent absent end diastolic flow.
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What is the amniotic fluid index ?
This component of the biophysical profile, if abnormal, is an indication of chronic compromise to the utero-placental unit.
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What are late decelerations?
These occur due to perceived fetal hypoxemia at the level of arterial chemoreceptors, leading to alpha adrenergic activation and subsequent vagal compensation.
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What is 200-600/1000 ?
A biophysical profile score is 0/8 corresponds to a fetal death rate of this within 1 week.
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What is greater than or equal to 40,000 ?
In doing an amniocentesis for quantification of fetal lung maturity, the lamellar body count should be greater than this in order to be considered mature.
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What are the uterine arteries ?
Notching of these vessels have been said to be seen possibly in those women who suffer from severe gestational hypertension/ pre-eclampsia.
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What is 10-15 % ?
This is the risk of twin-to-twin transfusion syndrome in mono-chorionic/ di-amniotic twin gestations?
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