Fetal Assessment Techniques — Flashcards

Flashcard 1: Fetal macrosomia: Macrosomia is defined by ACOG as a birth weight of ≥ _____ g

Answer: 4500

Flashcard 2: In Quintero stage _____, donor umbilical artery will show AEDF/REDF, and recipient umbilical vein will be pulsatile

Answer: III

Flashcard 3: A BPP score of _____ indicates imminent delivery

Answer: 0 to 2

Flashcard 4: One test for fetal lung maturity is the _____:albumin ratio in the amniotic fluid

Answer: surfactant

Flashcard 5: The modified biophysical score consists of _____ and AFI only

Answer: NST

Flashcard 6: Absent end-diastolic flow (waves just touch the baseline, don't appear below it) requires termination of pregnancy _____

Answer: at 34 weeks of gestation.

Flashcard 7: The following is a _____chorionic _____amniotic placenta

Answer: mono

Flashcard 8: The presence of cord entanglement is indicative of _____ twins

Answer: monoamniotic

Flashcard 9: Chorion periphery is a thickened, opaque, gray white circular ridge composed of a double fold of chorion and amnion: _____ placenta

Answer: Circumvallate

Flashcard 10: The clinical criteria for diagnosis of _____ include sudden cardiopulmonary collapse, clinical evidence of DIC, and onset during labor or within 30 minutes of placental delivery.

Answer: Amniotic fluid embolism (AFE)

Extra: Amniotic fluid embolism (AFE) is primarily a clinical diagnosis of exclusion. The Society for Maternal-Fetal Medicine (SMFM) diagnostic criteria include: 1. Acute onset of cardiopulmonary collapse (cardiac arrest, or hypotension + respiratory distress). 2. Evidence of Disseminated Intravascular Coagulation (DIC). 3. Clinical onset during labor or within 30 minutes of delivery of the placenta. 4. Absence of other clinical explanations for the findings.