fetal distres

Question 1

We monitor fetal heart rate to

Answer 1

assess fetal oxygenation
presence of fetal metabolic acidemia
allow for timely intervention
reduce likelihood of neurologic injury/death

Question 2

Nor FHR is

Answer 2

110-160 bpm (6-25 bpm variability) 
No decelerations
(change in any of those warrant intevention decided by OB)

Question 3

Good finding on non-stress test is

Answer 3

2+ accelerations in 20 minutes

Question 4

Reassuring accelerations are

Answer 4

up 15bpm for 15+ seconds if >32 weeks

up 10bpm for 15+ seconds if <32 weeks

Question 5

When are decelerations seen

Answer 5

Early: mirror contractions, w/ head compression
Late: drop after contraction has started; fetal hypoxia
Variable: irregular drops, temp cord compression