Ch 13 Fetal Assessment During Labor Flashcards

1
Q

In vertex position, where is PMI located

A

Either the right or left lower quadrant above the maternal umbilicus

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2
Q

In breech presentation, where is PMI located

A

Either the right or left upper quadrant

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3
Q

How are external fetal monitors used

A

A ultrasound transducer is placed over the clients abdomen to determine PMI, which records the FHR, and a tocotransducer that records uterine contractions

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4
Q

What is considered marked variability in FHR

A

A increase greater than 25

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5
Q

What is considered moderate variability in FHR

A

A increase of 6-25

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6
Q

What is considered minimal variability of FHR

A

Greater than undetectable but less than 5

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7
Q

Episodic FHR patterns

A

Are not assoc with uterine contractions

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8
Q

Periodic changes of FHR

A

Occur with uterine contractions

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9
Q

What are uterine contractions comprised of

A

Increment- the beginning of the contraction as intensity is increasing
Acme- the peak intensity of the contraction
Decrement- the decline of the contraction intensity as the contraction is ending

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10
Q

How are absent or undetectable variability of FHR categorized

A

As non reassuring

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11
Q

What is PMI

A

Point of maximum impulse

The optimal location where the FHT are auscultated the loudest on the woman’s abdomen.

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