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Fetal Testing & Assessments

Teacher: Professor Hunt
Across
Decelerations caused by uteroplacental insufficiency.
Genetic testing in early pregnancy.
Fetal heart rate increases 15 beats above baseline for 15 seconds.
Screening for neural tube defects, trisomy 18, trisomy 21. Includes MSAFP, hCG, unconjugated estriol, inhibin A.
Measures the amount of amniotic fluid.
Decelerations caused by cord compression.
Routinely done at 20 weeks to assess fetal anatomy.
Assessed with doppler, fetoscope, ultrasound, or EFM.
Down
Decelerations caused by head compression.
A score of 8-10 indicates fetal well-being; assessment of 5 biophysical variables.
A positive result indicates fetal distress (3 contractions in 10 minutes; late decelerations with at least half of the contractions).
Possible to do after 14 weeks; indications include diagnosis of genetic disorders and pulmonary maturity.
Indicator of fetal growth; gestational age should equal cm from 18-30 weeks gestation.
Maneuvers to determine fetal presentation, position, and lie.
Considered reactive when there are 2 accelerations in 20 minutes.