Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Ctg > CTG > Flashcards

CTG Flashcards

1
Q

Indications for ctg in labour - name 5

A

iol, epidural, reduced fetal movements before onset of contractions, SGA below 10th centile, diabetes, advanced gestational age 42+ weeks, augmentation of oxytocin, meconium, PROM, previous c section, oligo or polyhydramnios, blood stained liquor other than a show, hypertension, maternal pyrexia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is DR C BRAVADO

A

Define risk
Contractions
Baseline rate
Variability
Accelerations
Decelerations
Overall picture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the normal rate for contractions

A

3-4 in 10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is tachysystole

A

5+ contractions in 10 minutes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is hypertonous

A

Contractions lasting 2 mins or longer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is hyper stimulation

A

Either tachysystole and hypertonus with fetal heart rate abnormalities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is baseline rate

A

The mean fetal heart rate, should be 110-160 bpm. Excluding any acceleration and deceleration. Should be appropriate to gestation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is variability

A

Minor oscillations in FHR, should be 5-25bpm. Usually 3-5 cycles in a minute. Excludes accel + decel. Estimate the different between highest to lowest FHR in 1 min.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is an acceleration

A

These should be present, increases in FHR of 15bpm or more lasting 15 seconds or more.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is a deceleration

A

Can be none/early/late/variable. Transient episodes when FHR drops below baseline 15bpm or more for 15 seconds or more.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What events should be ruled out with a prolonged decel (3mins or more)

A

Cord prolapse
Uterine rupture
Placental abruption
Hypotension
Hyper stimulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are concerning features of variable decels

A

Lasts more than 60 seconds
Reduced baseline variability within decel
Failure to return to baseline
W shape
No shouldering

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Plan of care post ctg depending on scenario

A

Explain to mother and partner
Full set of maternal observations
Encourage hydration
Left lateral
Exclude acute events
Consider repositioning uss or FSE
Fluids oral or IV
take bloods FBC, G&s
Adjust toco
Palpate contractions
Consider expaditing delivery
consider FBS
WOMANS PREFERENCE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the methods of assessing fetal wellbeing

A

Fetal movements
Liqueur levels
Doppler
Colour of liquor
Measure SFH
listening to FH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What could cause reduced variability

A

Associated with drugs
Infection
Congenital abnormalities
Hypoxia or acidosis in the CNS
Fetal sleep (40mins)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are early decels

A

Uniform and repetitive with contractions. Caused by head compression.

17
Q

What are variable decels

A

Sharp drop, random, V shaped, quick recovery, caused by cord compression. Baro

Ctg (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions