class 3: AI vs. EFM Flashcards

1
Q

what does the ductus venosis do

A

shunts blood from the umbilical vein to the IVC AND the portal vein (this goes to liver)

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2
Q

what does the foramen ovale do

A

shunts blood from RA to LA so it can bypass lungs

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3
Q

what does the ductus arteriosis do

A

shunts blood from lungs to aorta so blood can also bypass

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4
Q

what do the umbilical arteries do

A

carry blood from baby to mum to be filtered

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5
Q

what do baroreceptors do

A

respond to change in blood pressure and adjust HR so that cardiac output is good (low BP=high HR)

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6
Q

what do chemoreceptors do

A

detect change in O2 and CO2 and vasodilate and stuff

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7
Q

what is an abnormal finding for contraction stress test

A

Positive CST is basically when the FHR goes down during a contraction (bad)

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8
Q

what do you monitor with FHR to determine fetal health

A

contractions

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9
Q

what does an intrauterine pressure transducer monitor for

A

force of contractions internally

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10
Q

what does a tocodyameter monitor for

A

force of contractions externally

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11
Q

what does a spiral electrode monitor for

A

FHR internally

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12
Q

what does a doppler transducer monitor for

A

FHR externally
put it over the fetal back

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13
Q

how do we assess FHR IA

A

basically assesses HR value and also rhythm, only as regular or irregular

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14
Q

can you assess variability with IA

A

no

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15
Q

how do you assess contractions with IA

A

same for both IA and EFM
frequency
duration
intensity
resting tone

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16
Q

how do you assess accelerations and decelerations

A

only with EFM

17
Q

what are the weeks in which monitoring with IA is appropriate (GA)

A

37 + 0 to 41 + 3 weeks

18
Q

what causes IUGR

A
19
Q

which muscle causes contractions

A

the myometrium (at the fundus)

20
Q

what is a normal frequency of uterine contraction

A

2-5 over 10 minutes

21
Q

what is a normal duration of contractions

A

45-80 seconds

22
Q

what is a normal intensity of uterine contraction and how do we measure

A

palpate!
mild: tip of nose
mod: chin
strong: forehead

23
Q

what the minimum of rest time you need between contractions

A

30 seconds so baby can breathe

24
Q

what are normal findings for uterine contraction intensity

A

mod to strong so baby can come out

25
Q
A
26
Q

memorize table 19.5

A
27
Q
A