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Diagnostic Tests Sandy Warner RNC-OB, MSN Carrie Hallett- Voss, RNFA
NST - Non Stress Test ,[object Object]
Non Stress Test (NST) ,[object Object],[object Object]
NST Definition  ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Non Stress Test (NST) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Non Stress Test (NST) ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Reactive Non Stress Test Arrows above from pushing the MARK button Indicating mother’s perception of fetal movement FM and Accelerations 15 X 15
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Non Reactive NST ,[object Object],[object Object],[object Object],[object Object]
Non Reactive NST  Non Reactive NST
NST ,[object Object],Non Stress Test (NST)
[object Object],[object Object],[object Object],[object Object]
Vibroaccoustic  Stimulation ,[object Object],[object Object],[object Object]
Vibroaccoustic Stimulation ,[object Object],[object Object],[object Object],[object Object]
Contraction Stress Test  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Interpretation: CST ,[object Object],[object Object]
Interpretation: CST ,[object Object],[object Object],[object Object]
Limitations of CST ,[object Object],[object Object],[object Object],[object Object]
Tachysystole of uterus Too many UC. Rising resting tonus. Positive CST
Key Points for  Contraction Stress Test ,[object Object],[object Object],[object Object]
Ultrasound ,[object Object],[object Object],[object Object],[object Object]
Ultrasound ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Ultrasound Indications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Ultrasound con’t ,[object Object],[object Object],[object Object],[object Object],[object Object]
Amniotic Fluid Index (AFI) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Biophysical Profile (BPP) ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],Five Parameters of Biophysical Profile
Five Parameters of Biophysical Profile ,[object Object],[object Object]
Scoring the BPP ,[object Object],[object Object],[object Object]
Interpretation of BPP ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Grading the Placenta
Doppler Studies ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Amniocentesis ,[object Object],[object Object],[object Object]
Amniocentesis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Amniocentesis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Amnioreduction ,[object Object],[object Object],[object Object]
Amnioreduction
Fetal Vesicoamniotic Shunt ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fetal Vesicoamniotic Shunt
Fetal Vesicoamniotic Shunt -  echotip needle in bladder
Fetal Vesicoamniotic Shunt –  post shunt placement and decompression of bladder
Bilateral Hydronephrosis (enlarged kidneys)
Cordocentesis /  Fetal Blood Transfusion ,[object Object],[object Object],[object Object]
Cordocentesis /  Fetal Blood Transfusion
Fetal MRI ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fetal MRI Con’t ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fetal Echocardiogram ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
THE END

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Diagnositcs day 2 review

Editor's Notes

  1. Non-reactive NST does not meet the acceleration criteria Non-reactive NST’s occur more often in the preterm infant under 32 wks because they are more likely not to meet the criteria due to immature ANS Meds such as Betamethasone, alcohol, beta-blockers, muscle relaxants, and CNS depressants
  2. Multiple choice
  3. True or False TRUE or FALSE 8. Results of the NST can be reinforced and carry more weight when amniotic fluid volume is adequate.
  4. 6. True or False Non stress tests can be facilitated by doing (VAS) Vibroaccoustic stimulation when the fetus is thought to be in a sleep mode.
  5. Watch language with pt – tazer, buzzer, zapper VAS programmed for this time, push button til stops Decels common Do not use if fetus compromised or has heart issues
  6. MULTIPLE CHOICE 10. The tracing above shows: a. lates and q1 min contractions b. positive CST; Non Reactive NST c. Late decelerations with hyperstimulation
  7. Many studies, none to find side effects to fetus
  8. Measurement of crown rump is most accurate. If LMP and crown rump measurement > 7 days, date not changed Discrepancy > 1 wk, usually due to inaccurate LMP As pregnancy progresses, measurements not as accurate for dating as genetic and other factors
  9. Decreased flow to cerebral artery can indicate anemia or hypoxemia
  10. Reverse flow needs immediate intervention – continous EFM AND/OR delivery
  11. For ABO imcompatbilities or hyprops, can tell amt of bilirubin in amniotic fluid to see if fetus needs transfusion
  12. Maternal symptoms: difficulty breathing, uterine contractions
  13. Enlarged bladder with echotip needle in fetal bladder to drain bladder
  14. Bladder now regular sized
  15. Isoimmunization(mom antibodies attack fetal RBC), parvo virus (slows production of RBC), fetal maternal hemorrhage
  16. Graph is little blurry but shows how much blood to transfuse.
  17. Magnetic resonance imaging Able to separate maternal and fetal tissue, clearer image Claustrophobia, size of abd and fitting in chamber
  18. Due to organ formation
  19. Goal 