Fetal Heart Pattern Flashcards
What can cause variable deceleration
Cord compression
What can cause early deceleration
Head compression
Is it ok to see an abrupt increase (acceleration) in FHR above the base line
Yes! Before or after 32 weeks
What would be the cause of a late deceleration
Placental insufficiency
What intervention would/could you do to help with cord compression
Maternal repositioning
What intervention could you do to assess fetal head compression
Identify the labor progress
If acceleration on the FHM are good what intervention would you do
None
What is the normal FHR baseline
110-160
During vaginal examination who can determine the staging of dilation the nurse or doctor.
The doctor
What is the TOCO monitor used for?
To measure continuous contractions
Why is it important to mointor FHR when patient is having contractions
Because contractions can mess with the FHR
What medication is used to help increase contractions
Oxytocin
What interventions would you preform for a patient who is showing late deceleration? What is the name of the intervention and list the steps.
Intrauterine resuscitation
- reposition patient
-turn off pictocin
-increase IV fluids
-administration of oxygen via 10L mask
During intrauterine resuscitation why would you stop pitocin
It increases contractions
If Variable= cord compression what is the intervention
Maternal repositioning
If early deceleration = head compression what is the intervention
Identify labor progressions
If acceleration = optimal (FHT increase) what is the intervention
No intervention
If late deceleration = placenta insufficiency what is the intervention
Intrauterine resuscitation
Non-reactive (concerned tracing)
What two medications are used to help stop frequent contractions
Tocolytics
-terbutaline
-nifedipine
What is the therapeutic use for Tocolytics
Used to relax the uterus
- when contractions become too frequent also known as tachysystole
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
Patients that are considered overweight or obese should gain less weight and should be done towards the end of pregnancy
If a patient is considered normal weight or under weight should they gain more or less weight and when should the patient gain weight
Normal/under weight patient should gain more weight early in the pregnancy
What lab test would you expect to see the doctor order
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
