Fetal Adaption

Question 1

How many vein and artery

Answer 1

2 arteries and 1 vein

Question 2

What does the vein carry

Answer 2

Oxygenated blood

Question 3

What does the arteries carry

Answer 3

Deoxygenated blood

Question 4

What is the types of monitoring?

Answer 4

Auscultation/Intermittent Auscultation
External Fetal Monitoring
Internal Fetal Monitoring

Question 5

Tocotransducer and ultrasound transducer are

Answer 5

External Monitoring

Question 6

Internal Scalp Electrode and Intrauterine Pressure Catheter are

Answer 6

Internal Monitoring

Question 7

Frequency

Answer 7

Beginning of one cxt to the beginning of the next cxt

Question 8

What are frequency measured by

Answer 8

Minutes

Question 9

Duration

Answer 9

Beginning of the contraction to the end of the contraction

Question 10

What is Duration measured by

Answer 10

Secs

Question 11

Intensity

Answer 11

Strong of the cxt

Question 12

How is intensity is measured by

Answer 12

Mild, Moderate, Strong

Question 13

Resting Tone

Answer 13

Palpation of uterus when there is no cxt is taking place

Question 14

Why knowing the resting tone important

Answer 14

Allows the fetus to recover and have oxygen exchanged occur

Question 15

Tachycardia

Answer 15

FHR >160 lasting greater than 10 mins

Question 16

Tachycardia causes

Answer 16

early fetal hypoxemia, maternal dehydration, drug induced, intraamniotic infection, maternal hyperthyroidism, fetal anemia, fetal heart failure, fetal cardiac dysrhythmias

Question 17

Bradycardia

Answer 17

FHR <110 BPM greater than 10 mins

Question 18

Bradycardia causes

Answer 18

Late fetal hypoxemia, Drug induced, prolonged cord compression, fetal congenital heart block, maternal hypothermia, prolonged maternal hypogylcemia,

Question 19

Absent Variability

Answer 19

undetectable FHR

Question 20

Minimal Variability

Answer 20

</= 5bpm

Question 21

Moderate Variability

Answer 21

6-25 bpm

Question 22

Marked Variability

Answer 22

> /= 25

Question 23

Periodic

Answer 23

Occurs w/ cxt

Question 24

Episodic

Answer 24

non associated with cxt

Question 25

Etiology of Accelerations

Answer 25

Fetal movement​ Vaginal exam​ Internal Scalp electrode application​ Fetal Scalp Stimulation​ Fetal reaction to external sounds or stimulations​ Breech presentation​ Uterine contractions​ Partial cord compression of the umbilical VEIN resulting in decreased fetal venous return​

Question 26

Early Decelerations Cause

Answer 26

Head Compression -> reflex vagal response c resultant slowing of FHR during the UC. ​

Question 27

What does Early Decelerations look like

Answer 27

A mirror reflection of the cxt

Question 28

What does Variable Deceleration look like

Answer 28

V or W

Question 29

Variable Deceleration causes

Answer 29

Cord Compression​ Can be periodic or Non-periodic (Episodic)​ Short cord​ Knot in cord​ Prolapsed cord = emergency situation

Question 30

Late Deceleration causes

Answer 30

Uteroplacental insufficiency​ Maternal Hypotension/hypertension​ Diabetes​ Decrease in fetal oxygen reserves​ ​Cause by impairment in oxygen exchange

Question 31

What is the BIG 5 Interventions

Answer 31

Stop the Oxytocin/Pitocin​ Turn the patient or reposition the patient​ 02 per facemask – 8 to 10 L/min​ IV fluids or Fluid bolus​ Call Health Care Provider​

Question 32

VEAL

Answer 32

Variable Deceleration​ Early Deceleration​ Acceleration Late Deceleration

Question 33

CHOP

Answer 33

Cord Compression Head Compression Oxygen/Movement Placental/Uterine insufficiency

Question 34

MINE

Answer 34

Move the patient​ Investigate if delivery is coming​ Nothing – this is a good sign​ Everything/Know the Big 5​

Question 35

Category 1

Answer 35

Baseline: 110-160 bpm​ Moderate variability​ No Late or Variable decels,​ +/- Early decels,​ +/- Accels

Question 36

Category II

Answer 36

Everything not categorized as Category I or III​ ​Examples : ​ Tachy, Brady with normal variability​ Absent, minimal, or​ marked variability​ Lates + mod variability, ​unusual variables​

Question 37

Category III What is it

Answer 37

Absent variability, plus either…..​ Recurrent late/variable decels,​ Bradycardia​ Sinusoidal pattern​

Question 38

Category III

Answer 38

Abnormal Fetal Acid and base status

Question 39

Aminofusion

Answer 39

Infusion of room-temperature isotonic (normal saline, lactated Ringer’s solution) fluid into the uterine cavity to relieve intermittent umbilical cord compression resulting in in variable decelerations and transient fetal hypoxemia. ​

Question 40

Purposes of Aminofusion

Answer 40

Treatment of Variable Decels ​ Low amniotic fluid