Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Maternity & Women's Health > Fetal Assessments > Flashcards

Fetal Assessments Flashcards

1
Q

Intermittent Auscultation intervals for low risk pregos:

1) Latent
2) Active
3) Second Stage

A

1) Q 60 min
2) Q 30 min
3) Q 15 min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Intermittent Auscultation intervals for high risk pregos:

1) Latent
2) Active
3) Second Stage

A

1) Q 30 min
2) Q 15 min
3) Q 5 min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Indications for internal fetal monitoring?

A

ruptured, dilated ≥ 3cm, head of baby at 0 level of descent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How to calculate the baseline fetal HR?

A

avg FHR over 10 mins, rounded to nearest 5 BPM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Classifications of FHR variability?

A

absent, minimal, moderate &

marked

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Amplitude of FHR classifications?

A

1) absent = undetectable
2) minimal = ≤ 5 BPM
3) moderate = 6 - 25 BPM
4) marked = > 25 BPM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the normal FHR?

A

110 - 160 BPM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the desired FHR variability classification and amplitude?

A

moderate at 6-25 BPM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Which variability classifications require interventsion?

A

absent and marked

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Which variability classification is indicative of fetal compromise?

A

marked

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Causes of decreased fetal heart rate variability?

A
  • hypoxia and acidosis
    -fetal sleep cycles
  • Drugs (narcs)
  • general anesthesia
  • fetal anomalies
  • fetal sepsis
  • tumors of the
    CNS
  • fetal heart block
  • tachycardia
  • Extreme prematurity
  • Previous neurologic insult
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the description of an early FHR deceleration?

A

uniform deceleration that mirrors contractions during labor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is a Nadir?

A

the lowest part of a FHR deceleration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

When does the nadir occur in an early FHR deceleration during labor?

A

at the peak of the contraction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Description of a late FHR deceleration during labor?

A
  • begins and ends after the contraction

- nadir occurs after the peak of a contraction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Nursing interventions for a late FHR deceleration?

A
  • stop pitocin
  • turn mom on left side
  • O2
  • IV fluids
  • notify provider immediately
17
Q

Description of a variable FHR deceleration?

A
  • an abrupt deceleration below baseline with an acceleration or “shoulder” before returning to baseline
  • can occur with or without a contraction
18
Q

Initial management of Variable Decelerations?

A

keep changing the mom’s position until improvement is noted

19
Q

Management if Variable Decelerations persist?

A
  • IV fluids/bolus
  • Vaginal exam to check for prolapsed cord
  • Notify primary care provider
  • may need amnioinfusion
  • plan for immediate delivery
20
Q

Category 1 baseline FHR and variability?

A
  • 110 -160 bpm

- moderate

21
Q

FHR Category 1 accelerations?

A
  • Early deceleration: present or absent

- late or variable deceleration: absent

22
Q

Normal FHR Category?

A

Category 1

23
Q

FHR Category 3?

A
  • Absent baseline FHR variability & any of the following:
    • Recurrent late decelerations
    • Recurrent variable decelerations
    • Bradycardia
    • Sinusoidal pattern
24
Q

Implications of an FHR Category 3?

A
  • Predicts abnormal fetal acid-base status
  • Requires prompt evaluation
  • Expeditiously resolve the abnormal FHR pattern
25
Q

Interventions for an FHR Category 3?

A 
INTRAUTERINE RESUSCITATION
- Provide maternal oxygen
- Change maternal
position
- Discontinue labor stimulation
- Treat hypotension
26
Q

FHR Category 2 variability?

A
  • minimal
  • absent variability not accompanied by recurrent decelerations
  • marked variabiliy
27
Q

FHR Category 2 accelerations?

A

absence of induced accelerations after fetal stimulation

28
Q

FHR Category 2 decelerations?

A
  • Periodic or episodic decelerations
    • Recurrent variable decelerations with mod. BLV
    • Prolonged deceleration (≥ 2 min. but < 10 min.)
    • Recurrent late decelerations with mod. BLV
    • Variable decelerations with other features,
      ie. slow return to BL, overshoots or shoulders
29
Q

Implications of an FHR Category 2?

A
  • Indeterminate
  • Not predictive of
    abnormal fetal acid-base status
  • Requires evaluation, continued surveillance,
    & reevaluation
  • Take into account the entire clinical circumstances
30
Q

What is the difference between external and internal uterine monitoring?

A

Internal monitoring shows intensity

31
Q

Definition of Tachysystole?

A

> 5 contractions in 10 mins

Maternity & Women's Health (18 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions