Fetal heart rate

Question 1

Normal fetal heart rate

Answer 1

110-160bpm

Question 2

Indications of continuous electrical fetal monitoring

Answer 2

oxytocin infusion, epidural, hypertension, meconium presence

Question 3

Category 1

Answer 3

normal fetal heart rate

Question 4

Characteristics of category 1

Answer 4

moderate variability, no decelerations, acid-base status is normal

Question 5

Category 2

Answer 5

indeterminate

Question 6

Characteristics of category 2

Answer 6

unknown acid-base status, baseline tachycardia or bradycardia, variability present, decelerations present, no accelerations with stimulation

Question 7

Management of category 2

Answer 7

measures to enhance oxygen delivery to the fetus

Question 8

Category 3

Answer 8

abnormal fetal heart rate

Question 9

Characteristics of category 3

Answer 9

no variability, recurrent decelerations, sinusoidal pattern

Question 10

Interventions for category 3

Answer 10

IV fluids, oxygen, prompt delivery if no change, L/R lateral side positioning, knees to chest to increase placental perfusion and relieve cord compression

Question 11

When is baseline FHR determined

Answer 11

when mom is not having any contractions

Question 12

Variability

Answer 12

irregular fluctuations in baseline FHR

Question 13

Absent variability

Answer 13

fluctuation undetectable

Question 14

Minimal variability

Answer 14

fewer than 5bpm

Question 15

Moderate variability

Answer 15

healthy! 6-25bpm

Question 16

Marked variability

Answer 16

> 25bpm

Question 17

What is variability an important indicator of

Answer 17

fetal acid-base balance and cerebral tissue perfusion