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Nursing of Childbearing Family > Chapter 17: Intrapartum Fetal Surveillance > Flashcards

Chapter 17: Intrapartum Fetal Surveillance Flashcards

1
Q

Adequate fetal oxygenation requires normal blood ______ and _________ to the placenta.

A

flow, volume

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2
Q

Adequate fetal oxygenation requires adequate exchange of ___________ and _______________ in the placenta

A

oxygen, carbon dioxide

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3
Q

Adequate fetal oxygenation requires normal oxygen ____________ in the blood

A

saturation

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4
Q

Adequate fetal oxygenation requires a(n) ______________________________________________ between the placenta and fetus through vessels in the umbilical cord

A

open circulatory path

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5
Q

Adequate fetal oxygenation requires normal fetal ____________ and ________________________ functions

A

circulatory, oxygen carrying

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6
Q

Gelatinous substance in the umbilical cord that helps cushion it

A

Wharton’s jelly

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7
Q

Actual decrease in maternal blood volume is caused by this

A

hemorrhage

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8
Q

Relative decrease in maternal blood volume is caused by this

A

altered distribution

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9
Q

Epidural block anesthesia and resulting hypotension is an example of (actual, relative) reduction in blood volume

A

relative

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10
Q

Term for contractions that are too long, are too frequent, or have an inadequate relaxation period

A

tachysystole

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11
Q

Contractions that are too long are more than _______________

A

90-120 seconds

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12
Q

Contractions that are too frequent are closer than every ___________

A

2 minutes

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13
Q

Contractions with an inadequate relaxation period are less than _____________

A

30 seconds

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14
Q

Term for separation of the placenta before birth

A

abruptio placentae

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15
Q

Term for necrosis of varying amounts of placental tissue

A

infarcts

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16
Q

Term for umbilical cord around the fetal neck

A

nuchal cord

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17
Q

Low fetal _____________, ___________, or __________ may cause fetal tissues to be hypoxic despite adequate oxygenation and exchange.

A

blood volume, hypotension, anemia

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18
Q

This fetal monitoring method allows increased mobility of the mother

A

Auscultation of FHR

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19
Q

This fetal monitoring method allows the mother to use water-based pain management

A

Auscultation of FHR

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20
Q

This fetal monitoring method provides a more natural atmosphere

A

Auscultation of FHR

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21
Q

This fetal monitoring method can only assess FHR and uterine activity for a small part of labor

A

Auscultation of FHR

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22
Q

This fetal monitoring method might have distracting interruptions

A

Auscultation of FHR

23
Q

This fetal monitoring method may be uncomfortable due to pressure of the instrument

A

Auscultation of FHR

24
Q

This fetal monitoring method is staff intensive and may require a nurse-to-staff ratio greater than 1:1

A

Auscultation of FHR

25
Q

This fetal monitoring method is not recommended in high-risk conditions that require continuous fetal monitorin

A

Auscultation of FHR

26
Q

This fetal monitoring method supplies more data than the other method

A

Electronic Fetal Monitoring (EFM)

27
Q

This fetal monitoring method provides a permanent record

A

Electronic Fetal Monitoring (EFM)

28
Q

This fetal monitoring method can show gradual trends in FHR and uterine activity

A

Electronic Fetal Monitoring (EFM)

29
Q

This fetal monitoring method can be used continuously

A

Electronic Fetal Monitoring (EFM)

30
Q

This fetal monitoring method allows the mother to listen to the sound of the fetal heartbeat, which can be comforting

A

Electronic Fetal Monitoring (EFM)

31
Q

This fetal monitoring method can help anticipate beginning and end of contractions

A

Electronic Fetal Monitoring (EFM)

32
Q

This fetal monitoring method allows one nurse to care for two patients during the first stage of labor

A

Electronic Fetal Monitoring (EFM)

33
Q

This fetal monitoring method limits the mother’s mobility

A

Electronic Fetal Monitoring (EFM)

34
Q

This fetal monitoring method may require constant readjustments from position changes or active fetus

A

Electronic Fetal Monitoring (EFM)

35
Q

This fetal monitoring method requires readjustments as the fetus moves downward

A

Electronic Fetal Monitoring (EFM)

36
Q

This fetal monitoring method’s belts/stockinette can be uncomfortable

A

Electronic Fetal Monitoring (EFM)

37
Q

This fetal monitoring method is difficult to obtain good data with a thick abdominal pad

A

Electronic Fetal Monitoring (EFM)

38
Q

______________ in FHR is the number one sign of fetal wellbeing.

A

Variability

39
Q

This internal fetal monitoring method detects electrical signals from the fetal heart and involves a wire attached to fetal skin (often the head)

A

fetal scalp electrode (FSE)

40
Q

This type of internal fetal monitoring senses intrauterine pressure and increases in intraabdominal pressure

A

Intrauterine Pressure Catheter (IUPC)

41
Q

One type of IUPC has an additional lumen to infuse sterile solution (NS) into the uterus, which is used for this

A

amnioinfusion

42
Q

FHR is termed bradycardia or tachycardia when it has been out of range for at least __________. If this occurs, check _____________.

A

10 minutes, temperature

43
Q

To obtain an FHR baseline, obtain a clear tracing for ___________ while the uterus is at _______.

A

2 minutes, rest

44
Q

This type of deceleration starts early in the contraction but returns to baseline at the end of the contraction

45
Q

Early decelerations indicate this

A

head compression

46
Q

Interventions required for early decelerations

47
Q

This type of deceleration starts late in the contraction or towards the end of a contraction and continues after the contraction ends

48
Q

Late decelerations indicate this

A

placental insufficiency

49
Q

Late decelerations are expected with _______ BP and __________ patients

A

high, postterm

50
Q

Interventions done for late decelerations

A

Change position (left side)
Stop Pitocin (oxytocin)
Increase rate of or bolus nonadditive fluids
Administer O2
Notify HCP

51
Q

Type of deceleration that can occur anywhere

52
Q

Interventions for variable decelerations

A

Change position (left side)
Stop Pitocin (oxytocin)
Increase rate of or bolus nonadditive fluids
Administer O2
Notify HCP
Amnioinfusion

53
Q

Term for infusion of sterile isotonic solution into the uterus, which can be used to increase the fluid around the fetus and cushion the cord and reduce likelihood of C section

A

amnioinfusion

Nursing of Childbearing Family (15 decks)

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