Fetal Growth Assessment...Fetal Growth Assessment Test 1 21.01.2020 3 7. Using the diagram below,...
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Fetal Growth Assessment Test 1 21.01.2020 1 Fetal Growth Assessment Test 1 Name Unit Job Title Email :
Transcript of Fetal Growth Assessment...Fetal Growth Assessment Test 1 21.01.2020 3 7. Using the diagram below,...
Fetal Growth Assessment Test 1
21.01.2020 1
Fetal Growth Assessment
Test 1
Name
Unit
Job Title
Email :
Fetal Growth Assessment Test 1
21.01.2020 2
Answer all the following questions in the space provided:
1. a. What is plotted using the left hand axis on a customised growth
chart (CGC)?
b. What is plotted using the right hand axis on a CGC?
2. List 3 of the requirements for optimum Fundal Height
Measurement (FHM) technique (not including consent and hand
washing)
3. At what gestation should you begin fundal height measurements
(FHM)?
4. Is fundal height measurement appropriate for multiple pregnancy?
5. Where the fetus presents as a transverse lie, how would you
perform the FHM?
6.
7.
6. If there is static growth at 39 weeks would you:
a. Explain to the mother that this is possibly due to descent of the
head, and arrange the next appointment for 2 weeks time?
b. Refer for a growth scan – as the fundal height should still continue
to increase despite descent of the head?
c. See in 1 week to re-measure?
d. Refer to a consultant clinic for the doctor to check the
measurement?
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7. Using the diagram below, which is the highest point on the fundus
when measuring fundal height? Circle your answer
A B C
8. Using the diagram below, which point do you consider to be the
top of the symphysis pubis when measuring fundal height? Circle your answer
D E F
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9. On the chart below, plot the following fundal height measurement:
• 26cms at 28 weeks + 2 days
What would be your subsequent management?
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21.01.2020 5
10. On the chart below, plot the following fundal height
measurements:
• 27 cm at 27 weeks + 4 days
• 30 cm at 31 weeks + 4 Days
• 33 cm at 34 weeks + 4 Days
• 34 cm at 37 weeks + 4 Days
What would be your subsequent management?
Fetal Growth Assessment Test 1
21.01.2020 6
11. On the chart below, plot the following measurements:
Fundal height
• 27cms at 28 weeks
• 29cms at 31 weeks
• 32cms at 34 weeks
• 32cms at 36 weeks
Estimated fetal weight
• 2500g at 37 weeks
• 2500gms with reduced liquor at 39 weeks
Demonstrate how you measure fundal height on the anatomical model provided. ……………………………………………….
End of test
Fetal Growth Assessment Test 2
21/01/20 1
Fetal Growth Assessment
Test 2
Name
Unit
Job Title
Email :
Fetal Growth Assessment Test 2
21/01/20 2
Answer all the following questions in the space provided:
1. a. What is plotted using the right hand axis on a CGC?
b. What is plotted using the left hand axis on a CGC?
2. How frequently should you perform fundal height measurements?
3. List 3 of the requirements for optimum Fundal Height Measurement (FHM)
technique (not including consent and hand washing)
4. Where the fetus presents as a breech, how would you perform the FHM?
5. Do you need to generate a CGC for a woman who books at 30 weeks?
YES NO
6. If there is static growth at 38 weeks would you:
a. Explain to the mother that this is possibly due to descent of the head, and
arrange the next appointment for 2 weeks’ time
b. Refer for a growth scan – as the fundal height should continue to increase
despite descent of the head
c. See in 1 week to re-measure
d. Refer to a consultant clinic for the doctor to check the measurement
Fetal Growth Assessment Test 2
21/01/20 3
7. Using the diagram below, which is the highest point on the fundus when
measuring fundal height? Circle your answer
A B C
8. Using the diagram below, which point do you consider to be the top of the
symphysis pubis when measuring fundal height? Circle your answer
D E F
Fetal Growth Assessment Test 2
21/01/20 4
9. On the chart below, plot the following fundal height measurements:
• 28cms at 28 weeks + 3 days
• 31cms at 31 weeks + 6 days
• 37cms at 34 weeks + 5 days
What would be your subsequent management?
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21/01/20 5
10. On the chart below, plot the following fundal height measurements:
• 27cms at 28 weeks + 2 days
• 30cms at 31 weeks + 5 days
• 32cms at 34 weeks + 4 days
• 32cms at 37 weeks
What would be your subsequent management?
Fetal Growth Assessment Test 2
21/01/20 6
11. On the chart below, plot the following measurements:
• A fundal height of 25cms at 28 weeks
• An estimated fetal weight of 1050gms at 29 weeks
What would be your subsequent management?
Demonstrate how you measure fundal height on the anatomical model provided.
……………………………………………….
End of test
