CTG

Question 1

normal metal heart rate?

Answer 1

110 -150

Question 2

tachycardia?

Answer 2

> 150

Question 3

bradykardia?

Answer 3

less than 110

Question 4

what is normal baseline variability?

Answer 4

5-25

Question 5

too little?

Answer 5

less than 5

Question 6

too much?

Answer 6

more than 25

Question 7

4 features of a CTG assessment

Answer 7

basline metal heart rate (110-150), baseline variability, presence or absence of decelerations, presence of accelerations

Question 8

which decelerations are ok? not ok?

Answer 8

early decelerations are fine . late ones are no, associated with asphyxia

Question 9

what does DR BRAVADO stand for?

Answer 9

determine risk, contractions, baseline rate, variability, accelerations, decelerations, overall impression

Question 10

what is reassuring varaibalilty?

Answer 10

over 5

Question 11

non reassuring?

Answer 11

if its less than 5 for 40-90 minutes

Question 12

abnormal?

Answer 12

less than 5 for more than 90 minutes

Question 13

what are accelerations?

Answer 13

an abrupt increase in baseline heart rate of >15bpm for >15 seconds

Question 14

they are reassuring, however, absence of them is fine

Answer 14

.

Question 15

decelerations?

Answer 15

abrupt decrease in hr of >15 for more than 15 seconds

Question 16

3 kinds of decelerations?

Answer 16

early, variable or late

Question 17

early decelerations?

Answer 17

start when contraction begins and stops when they stop. NOT PATHOLOGICAL

Question 18

variable - usually due to

Answer 18

cord prolapse

Question 19

late?

Answer 19

begin at peak and finish after contraction ends. They are serious,

Question 20

what do you need to do if you see late d?

Answer 20

metal blood sampling and emergency c section

Question 21

overall impression - reassuring, suspicious, pathological

Answer 21

.

Question 22

metal blood sampling. if pH is less than ______, this is abnormal. what action should be taken?

Answer 22

deliver

Question 23

borderline pH?

Answer 23

7.2 - 7.25, repeat in 30 minutes