North American Registry of Midwives (NARM) Practice Exam

What does the modified BPP (Biophysical Profile) consist of?

1. An NST alone

2. A combination of NST and AFV

3. Ultrasound and NST

4. AFV alone

The correct answer is: A combination of NST and AFV

The modified Biophysical Profile (BPP) is a prenatal assessment tool used to evaluate fetal well-being, particularly in situations where there are concerns about the health of the fetus. It specifically consists of a combination of a Non-Stress Test (NST) and the assessment of Amniotic Fluid Volume (AFV). The NST measures the fetal heart rate in response to fetal movements, providing insight into fetal autonomy and wellbeing. Normal results from the NST indicate that the fetus is receiving adequate oxygen and is responsive. Meanwhile, the assessment of AFV evaluates the amount of fluid surrounding the fetus, which is critical for fetal development and can be an indicator of conditions such as placental insufficiency or fetal distress. By using both the NST and AFV together, healthcare providers can gain a more comprehensive understanding of the fetus's condition, making the BPP a valuable tool for monitoring pregnancies at risk for complications. This integrated approach helps to improve decision-making regarding further interventions or monitoring as necessary to ensure the safety of both mother and child.