class 3: different EFM readings and what they mean

Question 1

what is a good variability

Answer 1

6-25 BPM range

Question 1

go through repetitive and recurrent decelerations

Question 2

what is minimal/decreased variability

Answer 2

under or equal to 5bpm

Question 3

what is marked variability

Answer 3

over 25 bpm

Question 4

what are some things that cause minimal/absent variability

Answer 4

hypoxemia and acidemia

Question 5

what is sinusoidal pattern and what does it look like

Answer 5

even swoops
associated with severe fetal anemia due to previa or abruption

Question 6

what is an episodic change in FHR

Answer 6

changes not associate with contraction

Question 7

what are the characteristics of an acceleration

Answer 7

• should be at least 15bpm above baseline
  last for 15s to 2 mins

Question 8

what is early deceleration (what does it look like)

Answer 8

deceleration and contraction directly mirror each other

Question 9

what does an early deceleration mean

Answer 9

result of pressure on the head stimulating vagus nerve

Question 10

what is a late deceleration

Answer 10

deceleration starts and nadir of contraction

Question 11

what does a late deceleration mean

Answer 11

fetus cant breathe during contraction

Question 12

what does variable deceleration mean

Answer 12

acord compression

Question 13

what does variable deceleration look like

Answer 13

spikes down lasting awhile

Question 14

how long do prolonged decelerations last for

Answer 14

2-10 mins

Question 15

what are the three things we can do to manage abnormal FHR (intrauterine recitation)

Answer 15

stop or decrease oxytocin
change maternal position (off of back)
check on birther VS

Question 16

what is a fetal PH of 7.20 mean

Answer 16

acidemia, anything other than 7.20 means birth is indicated

Question 17

what does a fetal pH of 7.21 - 7.24 mean

Answer 17

on the cusp, reassess in 30 mins

Question 18

what is a normal fetal pH

Answer 18

7.25 and above

Question 19

what are recurrent decelerations

Answer 19

occur in over 50% of contractions in a 20 min window

Question 20

what are intermittent decelerations

Answer 20

under 50% of contractions in a 20 minute window

Question 21

what are repetitive deceleration

Answer 21

over 3 in a row

Question 22

what are non-repetitive decelerations

Answer 22

1-2 in a row max.