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Exam 2 > Fetal Heart Pattern > Flashcards

Fetal Heart Pattern Flashcards

1
Q

What can cause variable deceleration

A

Cord compression

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2
Q

What can cause early deceleration

A

Head compression

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3
Q

Is it ok to see an abrupt increase (acceleration) in FHR above the base line

A

Yes! Before or after 32 weeks

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4
Q

What would be the cause of a late deceleration

A

Placental insufficiency

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5
Q

What intervention would/could you do to help with cord compression

A

Maternal repositioning

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6
Q

What intervention could you do to assess fetal head compression

A

Identify the labor progress

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7
Q

If acceleration on the FHM are good what intervention would you do

A

None

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8
Q

What is the normal FHR baseline

A

110-160

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9
Q

During vaginal examination who can determine the staging of dilation the nurse or doctor.

A

The doctor

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10
Q

What is the TOCO monitor used for?

A

To measure continuous contractions

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11
Q

Why is it important to mointor FHR when patient is having contractions

A

Because contractions can mess with the FHR

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12
Q

What medication is used to help increase contractions

A

Oxytocin

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13
Q

What interventions would you preform for a patient who is showing late deceleration? What is the name of the intervention and list the steps.

A

Intrauterine resuscitation
- reposition patient
-turn off pictocin
-increase IV fluids
-administration of oxygen via 10L mask

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14
Q

During intrauterine resuscitation why would you stop pitocin

A

It increases contractions

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15
Q

If Variable= cord compression what is the intervention

A

Maternal repositioning

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16
Q

If early deceleration = head compression what is the intervention

A

Identify labor progressions

17
Q

If acceleration = optimal (FHT increase) what is the intervention

A

No intervention

18
Q

If late deceleration = placenta insufficiency what is the intervention

A

Intrauterine resuscitation
Non-reactive (concerned tracing)

19
Q

What two medications are used to help stop frequent contractions

A

Tocolytics
-terbutaline
-nifedipine

20
Q

What is the therapeutic use for Tocolytics

A

Used to relax the uterus
- when contractions become too frequent also known as tachysystole

21
Q

If a patient has a high BMI should the patient gain more weight or lest and when is it the best time to gain the weight

A

Patients that are considered overweight or obese should gain less weight and should be done towards the end of pregnancy

22
Q

If a patient is considered normal weight or under weight should they gain more or less weight and when should the patient gain weight

A

Normal/under weight patient should gain more weight early in the pregnancy

23
Q

What lab test would you expect to see the doctor order

A

Urinalysis- infection, protein
CBC- assessing for blood loss
RPR- syphilis
Blood typing and screening- for Rh- factor
Titers- Hep B, rubella
GBS
Glucose test
Genetic testing
HIV

Exam 2 (3 decks)

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