Fetal Monitoring Flashcards

1
Q

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

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

Components of NST

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

Marker of fetal distress

A
  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
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4
Q

Types of deceleration , cause ,mgt

A

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

  1. Variable - cord compression
    PT head low position,iv fluids,aminoinfusion
    Persist- C-section
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5
Q

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

A

USG
30 mins
Manning score

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6
Q

Bishop score components

A
  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

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7
Q

Bishop score assessment

A

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

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8
Q

Sinusoidal pattern

A

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

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