Decreased FM Flashcards
1
Q
when pt complains of decreased fetal movement, think…
A
IUFD
2
Q
decreased FM are MC due to…
A
quiescent state often resolves
(q 60 min activity-quiecsent state)
OR
hypoxia
3
Q
if increased FM and inc FHT, think…
A
maternal hypoglycemia
4
Q
reassuring FM counts
A
*after 28-32w
10 distinct FM in 2 h
5
Q
workup
A
- NST
- AFI
6
Q
admit for dec FM if…
A
- oligohydramnios
- persistent nonreactive NST
- nonreassuring fetal testing
7
Q
how to count FMs
A
- lie on L side with hand on stomach
2. count FM x 1 hr
8
Q
When to call OB triage or L&D for FM…
A
if:
- no FM in 12 h
- <3 move in 1 hr OR <10 in 2 hr
- movements are 1/2 of what have been
9
Q
Count to 10 method
A
- start counting in AM
- record time of day feel 10th movement
- contact provider if <10 in 12 h period OR if it takes longer each day to reach 10 moves
