antenatal testing

Question 1

goal of antenatal testing

Answer 1

prevent fetal death

Question 2

what is a good indicator of normal fetal autonomic function?

Answer 2

fetal heart reactivity

Question 3

if decr umbilical artery doppler, then suspect?

Answer 3

IUGR

Question 4

why do intrapartum fetal monitoring?

Answer 4

evaluate fetal oxygenation

Question 5

if membranes are ruptured, what type of monitoring to use?

Answer 5

internal monitoring

Question 6

what can you use to p/u uterine contractions?

Answer 6

tocodynamometer

Question 7

what to use to monitor fetal heart after membranes have ruptured

Answer 7

fetal scalp electrode

Question 8

what can be used to monitor uterine contractions after membranes have ruptured

Answer 8

intrauterine pressure catheter

Question 9

> 5 ctx in 10 min averaged over 30 minutes?

Answer 9

tachysystole

Question 10

normal # uterine contractions is ____ or less in ___min avg over ____min

Answer 10

5 contractions or less in 10 min averaged over 30 minutes

Question 11

normal term baseline fetal HR?

Answer 11

110-160 bpm

Question 12

to establish baseline fetal HR, look at HR occuring____

Answer 12

between contractions

Question 13

fetal tachycardia is defined as?

Answer 13

10 min of longer of HR >160

Question 14

how is baseline variability measured?

Answer 14

amplitude of peak to trough in bpm

Question 15

what is one of the best indicators of intact integration b/w CNS & heart of fetus

Answer 15

normal FHR variability

Question 16

compression of what 3 things can result in decr in fetal HR

Answer 16

1. fetal head
2. umbilical cord
3. uterine myometrial vessels

Question 17

mirror image of contraction

Answer 17

early deceleration

Question 18

transitory decr in HR caused by uteroplacental insufficiency

Answer 18

late deceleration

Question 19

decr in FHR >15 bpm for >15sec, less than 2 min in duration

Answer 19

variable deceleration

Question 20

 Reflex change mediated by vagus nerve; generally caused by umbilical cord compression

Answer 20

variable deceleration

Question 21

what is the most common deceleration noted during labor?

Answer 21

variable deceleration

Question 22

which category indicates abnormal acid-base balance

Answer 22

class 3

Question 23

which category indicates normal acid-base balance

Answer 23

class 1

Question 24

what reliably predicts absence of metabolic acidemia at the time of observation

Answer 24

moderate FHR variability