Fetal Monitoring

Question 1

Fetal monitoring
1. Indication
2. Best screening test
3. Diagnostic test

Answer 1

1. Fetal movement decreased
2. Modified Bishop Score - NST + AFI
3. Bishop score

Question 2

Components of NST

Answer 2

1. Fetal HR 110-160
2. Beat to beat variability 5-25
3. Fetal HR acceleration

Question 3

Marker of fetal distress

Answer 3

1. HR < 110bpm bradycardia
   ( 110-160 )
2. Beat to beat variability <5bpm
   (5-25)
3. HR acceleration< 2 in 20 min - repeat for another 20 mins
   <2 in 40 min

Question 4

Types of deceleration , cause ,mgt

Answer 4

1.Early - head compression
Wait n watch
2. Late - uteroplacental insufficiency
PT in left lateral position,iv fluids, oxygen,stop uterotonic drugs
Persist- C-section

3. Variable - cord compression
   PT head low position,iv fluids,aminoinfusion
   Persist- C-section

Question 5

Bishop score
1. Done via
2. Duration
3. Also k/a

Answer 5

USG
30 mins
Manning score

Question 6

Bishop score components

Answer 6

1. Fetal tone1 ep of extension flexion
2. Fetal breathing movement:>=1 30s
3. Gross body movements : >=3 30m
4. Single largest vertical pocket of amniotic fluid : >= 2 cm
5. NST : Reactive

TB Meningitis Always Notorious

Question 7

Bishop score assessment

Answer 7

8 or 10/10: health pt
6/10: reassess
<6/10: fetal hypoxia terminate pregnancy

Question 8

Sinusoidal pattern

Answer 8

Fetal anemia
1. Vasa previa
2. Twin to twin transfusion syndrome
3. Rh isoimmunization