Hi Class, Tonight we will have Part 1 of your skills lab validation.๎ The validation will
take the form of a quiz.๎ Here is a study guide for you to prepare for tonight.
SKILLS LAB REVIEW PART 1
1. Hyperreflexia and clonus in pregnancy can signal severe pre-eclampsia,
which requires immediate medical evaluation and monitoring for symptoms
such as headache, visual changes, or high blood pressure.
2. Reflexes graded 3+ or 4+ are considered brisk or hyperactive and may
indicate increased risk of complications such as pre-eclampsia.
3. The patellar (knee-jerk) reflex is the most commonly assessed DTR in
pregnant patients to monitor for hyperreflexia associated with pre-eclampsia.
4. Sustained clonus (more than 2โ3 beats) is abnormal and may indicate
neurological irritation from hypertension, commonly seen in pre-eclampsia.
5. Hyperreflexia, especially in the lower extremities, can be an early sign of pre-
eclampsia, a potentially serious hypertensive disorder during pregnancy.
6. BPP scores: 8โ10: Reassuring, 6: Equivocal, may need repeat testing, 4 or
less: Non-reassuring, possible immediate intervention
7. A nonreactive NST may require further evaluation such as a BPP or repeat
NST to determine fetal well-being before considering intervention.
8. Each parameter (fetal breathing, movement, tone, amniotic fluid, and NST) is
scored 2 points if normal. If all are normal except one (e.g., NST not done),
total can be 8/10. This indicates reassuring fetal status.
9. The BPP combines NST and ultrasound to give a comprehensive assessment
of fetal well-being.
10.A reactive NST demonstrates fetal well-being by showing accelerations with
fetal movement. This is the expected normal finding in a healthy fetus โฅ32
weeks.
11.Adequate hydration and feeding enhance bilirubin elimination through stool
and urine.
12.Phototherapy can affect thermoregulation; significant temperature
fluctuations require prompt action to prevent complications.
13.Eye protection prevents retinal damage from phototherapy light exposure.
14.Phototherapy converts unconjugated bilirubin into water-soluble isomers that
can be excreted without liver conjugation.
15. Phototherapy is used to reduce elevated bilirubin levels and prevent
complications such as kernicterus.