Fetal Assessment Flashcards
when can a fetal heart be heard
at 12 weeks
fundal height
symphysis pubis to top of the fundus
what causes accelerations of heart rate in a fetus
external sounds, position, vaginal examination, contraction, abdominal palpitation, internal HR monitor
what causes decelerations of heart rate in a fetus
pressure on head, umbilical contractions, prolonged labor, disruption of O2 transfer, maternal DM, mother supine, epidural, PIH, post term, infection
prolonged decelerations
when the fetal heart rate is below 15 beats per minute than baseline for longer than 2 min
nuchal cord
the umbilical cord is around the neck 360 degrees
Emergency measures for nuchal cord
reposition or c-section
Fetal kick test
mom eats and there needs to be 5 to 10 kicks in a half hour
Leopold Maneuvers determine what…
baby position, presentation, engagement, uterine irritability, contractions, movement and weight
electronic monitoring
records fetal activity, fetal HR, it is done continuous during labor to find complications, used for fetal testing, there are complications with the mother if obese or the baby is in a weird position
Accelerations in FHR caused by
external sounds, position, vaginal exams, contractions, abdominal palpitation, internal HR monitor
Decelerations in FHR are caused by
pressure on the head, umbilical cord compression, prolonged labor, disruption in O2 transfer, maternal DM, mother supine, epidural, PIH, post term, maternal infection
Prolonged Decelerations
when the FHR is below 15 beats than baseline for longer than 2 mins
Chorionic Villus Sampling
done to do genetic testing on the baby
Ultrasound can tell
gestational age, growth, placenta location, polyhydraminos or oligohydraminos
