Fetal Heart Rate Monitoring

Question 1

Types of Monitoring

Answer 1

External: Ultrasound, Internal: Spiral Electrode

Question 2

Terms relating to contractions

Answer 2

Periodic and Episodic, not related to variability though

Question 3

Healthy pattern of Accelerations

Answer 3

15x15

Question 4

Reading an early Decel

Answer 4

Healthy for the infant. THe contraction stimulates the vegal nerve and temporarily reduces the HR

Question 5

Late Decels mean what?

Answer 5

Possible Placental insuffucuency, blood flow could be cut off to fetus, this is dangerous and the mother will need to relax placenta, or have baby

Question 6

Actions taken during Variable Decels

Answer 6

Insert sterile NS into amniotic fluid (amniocentesis)

Question 7

Meaning of a repetitive late decel

Answer 7

Compromised acidodic baby, placental insufficiency

Question 8

What is done to the mother if there are repetitive late decals?

Answer 8

Non-rebreather mask, Reposition to side, ^ fluids, stop pit, give tocolytic (Terbutaline), Possible vaginal exam to assess for cord prolapse

Question 9

If maternal blood pressure is low and won’t come back up, what meds would be administered

Answer 9

ephedrine or phenylephrine

Question 10

Fetal Accelerations mean what

Answer 10

Caused by fetal stimulation, completely healthy

Question 11

Fetal Early Decels mean what?

Answer 11

Head contractions from fundus, pressure. These are normal, not associated with any dangerous things

Question 12

Fetal Late Decels mean what

Answer 12

Uteroplacental insufficiency. THis is dangerous and needs to be dealt with tocolytics

Question 13

Variable decels mean what?

Answer 13

Umbilical cord compression, Could be dangerous, but normally not mortality

Question 14

Macrosomia

Answer 14

Chubby baby, enlarged organs and fat shoulders

Question 15

Terbutaline causes what reponse in the mother

Answer 15

calms respiratory distress, tachycardia, and fetal distress

Question 16

Mag Sulfate does what in the mother?

Answer 16

CNS depressant, calms uterine smooth muscle. v resp and impaired reflexes if toxicity

Question 17

Difference between PTL and incompetent cervix

Answer 17

PTL needs contractions, Incompetent cervix needs to have a circlage to keep it closed