Ch 14 Nursing management during labor and birth

Question 1

Accelerations

Answer 1

Transitory abrupt increases in the fetal heart rate above the baseline that last less than 30 seconds from the onset to the Peak

Question 2

Artifact

Answer 2

Irregular variations or absence of the fetal heart rate on the fetal monitor record that result from mechanical limitations of the monitor or electrical interference

Question 3

Baseline fetal heart rate

Answer 3

The average fetal heart rate that occurs during a 10 minute segment that excludes periodic or episodic rate changes, such as tachycardia or bradycardia

Question 4

Crowning

Answer 4

Fetal head is visible at vaginal opening

Question 5

Deceleration

Answer 5

A transit fall in fetal heart rate caused by stimulation of the parasympathetic nervous system Described by their shape and association to a uterine contraction. They are classified as early, Late, and variable only.

Question 6

Electric fetal monitoring EFM

Answer 6

Detects the fetal pause by sensing and analyzing tissue movements via Doppler ultrasound

Question 7

Periodic baseline changes

Answer 7

Temporary, recurrent changes made in response to a stimulus such as a contraction

Question 8

Episiotomy

Answer 8

An incision made in the perineum to enlarge the vaginal outlet, and theoretically to shorten the second stage of labor

Question 9

Leopold maneuvers

Answer 9

A method for determining the presentation, position, and lie of the fetus through the use of four specific steps