fetal bradycardia

Question 1

define fetal bradycardia

Answer 1

baseline fetal HR less than 110bpm for greater than 10 minutes

Question 2

define umbilical cord prolapse

Answer 2

umbilical cord enters througth the cervical os presenting in front of the presenting part

Question 3

AROM

Answer 3

maneuver used to cause a perforation in the fetal chorioamniotic membranes.

Question 4

what is first remedy for fetal bradycardia

Answer 4

hydration

Question 5

management of cord prolapse

Answer 5

1. elevate presenting part digitally
2. emergent c-section

note in women with hx of CSD, uterine rupture may manifest as fetal bradycardia

Question 6

manage fetal bradycardia

Answer 6

1. confirm fetal heart rate (vs maternal HR)
2. vaginal examination to assess for cord prolapse
3. positional changes
4. oxygen
5. IV fluid bolus and pressors if hypotension occurs
6. d/c oxytocin

Question 7

define accelerations post 32 weeks

Answer 7

increase of FHR of at least 15bpm from baseline lasting for at least 15seconds.

they indicated adequate fetal oxygenation