Ch 13 Fetal Assessment During Labor

Question 1

In vertex position, where is PMI located

Answer 1

Either the right or left lower quadrant above the maternal umbilicus

Question 2

In breech presentation, where is PMI located

Answer 2

Either the right or left upper quadrant

Question 3

How are external fetal monitors used

Answer 3

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

Question 4

What is considered marked variability in FHR

Answer 4

A increase greater than 25

Question 5

What is considered moderate variability in FHR

Answer 5

A increase of 6-25

Question 6

What is considered minimal variability of FHR

Answer 6

Greater than undetectable but less than 5

Question 7

Episodic FHR patterns

Answer 7

Are not assoc with uterine contractions

Question 8

Periodic changes of FHR

Answer 8

Occur with uterine contractions

Question 9

What are uterine contractions comprised of

Answer 9

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

Question 10

How are absent or undetectable variability of FHR categorized

Answer 10

As non reassuring

Question 11

What is PMI

Answer 11

Point of maximum impulse

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