Fetal Monitoring

Question 1

How would you monitor the fetus in a low risk labour?

Answer 1

Intermittent auscultation

Question 2

How would you monitor the fetus in a high risk or abnormal labour?

Answer 2

Cardiotocography (CTG)

Question 3

What is the function of Cardiotocography (CTG)?

Answer 3

Records pressure changes in the uterus using internal or external pressure transducers

Question 4

What does Cardiotocography (CTG) represent?

Answer 4

Autonomic and central nervous system activity

Question 5

What is the normal fetal heart rate?

Answer 5

100-160/min

Question 6

When is a doppler ultrasound used?

Answer 6

For 1 minute after every contraction

Question 7

When would you use a doppler ultrasound after the first stage of labour?

Answer 7

Every 15 minutes

Question 8

When would you use a doppler ultrasound after the second stage of labour?

Answer 8

Every 5 minutes

Question 9

What would you do if there are any abnormalities or intrapartum complications?

Answer 9

A cardiotocography (CTG)

Question 10

What are some indications for cardiotocography (CTG)?

Answer 10

• Induction of labour
• Post-maturity (>42 weeks) or prematurity (<37 weeks)
• Multiple pregnancy
• Underlying maternal health condition- Pre-eclampsia or diabetes
• Abnormal lie
• Epidural anaesthesia
• Antepartum or intrapartum haemorrhage

Question 11

What can a fetal blood sample be used to confirm the CTG diagnosis of?

Answer 11

Fetal hypoxia

Question 12

What is the normal pH of fetal blood?

Answer 12

pH 7.25

Question 13

What would you do if the fetal blood pH >7.25?

Answer 13

Repeat in 1 hour if CTG remains abnormal

Question 14

What would you do if the fetal blood pH 7.21-7.24?

Answer 14

Repeat in 30 mins if CTG remains abnormal

Question 15

What would you do if the fetal blood pH <7.20?

Answer 15

Immediate delivery

pH indicates that baby doesn’t have enough oxygen

Question 16

What does DR C BRAVADO stand for?

Answer 16

Define Risk 
Contractions
Baseline Rate
Variability
Accelerations
Decelerations
Overall impression

Question 17

What does define risk include?

Answer 17

Why is the woman having external fetal monitoring?

Question 18

What do you need to think about Contractions?

Answer 18

How many in 10 minutes