Fetal Assessments

Question 1

Fetal movements are a fairly significant and reliable marker for a baby’s wellbeing from how many weeks gestation?

Answer 1

28 weeks

Question 2

Abdominal palpation determines all EXCEPT?

Answer 2

Station

Question 3

You perform an abdominal palpation for Gina and find that her baby is “left occipital lateral (LOL) has a presenting part that is 2/5th palpable, and the FHR is 115 beats/minute. Your explanation to Gina includes what?

Answer 3

Your baby’s back is on your left side. I can feel. 2/5th of the baby’s head above your pelvic brim. Your baby’s heart rate is normal.

Question 4

What is the lie of the baby?

Answer 4

The relationship of the long axis of the fetus with the long axis of the uterus e.g. longitudinal, transverse, oblique

Question 5

What is presentation of the baby?

Answer 5

The part of the fetus that lies at the pelvic brim e.g. cephalic/vertex, breech, face, brow or shoulder

Question 6

What is the position of the baby referring to?

Answer 6

The relation of the presenting part of the fetus to the six points on the maternal pelvis e.g. left occiput anterior (LOA) – most common, left occiput posterior

Question 7

What is the descent of the baby referring to ?

Answer 7

How palpable the fatal head is above the pelvic brim measured in fifths e.g. 2/5 palpable above the pelvic brim

Question 8

What is attitude of the baby referring to?

Answer 8

The relationship of the fetal head and limbs to the rest of the body e.g. fully flexed, deflexed, partially extended, completely extended

Question 9

What is engagement of the baby referring to?

Answer 9

Is when the widest presenting transverse diameter has passed through the pelvic brim

Question 10

What is the presenting part?

Answer 10

The part of the fetus that lies over the cervical os

Question 11

What is the normal range for the fetal heart rate?

Answer 11

110 - 160 BPM

Question 12

What is the normal range for fetal temperature?

Answer 12

36.5 - 37.5 degrees celsius

Question 13

What is the normal fetal respiration rate?

Answer 13

40 - 60 breaths per minute

Question 14

What are the symptoms of thrush?

Answer 14

In the mouth it can appear as thick, white coating on the tongue, gums, or cheeks that do not go away after feeding
In the groin/buttocks it can appear as small, raised, red lumps

Question 15

What is the treatment for oral thrush?

Answer 15

Neonate - 1ml of nystatin liquid 100,000 U/mL applied to tongue four times daily after breastfeeding for 6 days
Mother - needs to be treated in case they pass it back and forth to one another. Miconazole 2% cream applied after breastfeeding twice daily for 10 - 14 days