Fetal Monitoring Flashcards

0
Q

What is the most notable abnormality in FHR?

A

CP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
1
Q

At what time do we assess a FHR for normal vs. Abnormal?

A

8-12 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What does FHR reflect?

A

Fetal oxygenation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Excessive amniotic fluid

A

Polyhydramnios

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What doesn’t an external fetal monitor show?

A

Intensity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the most common uterine monitoring?

A

Toco transducer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Where is the uterine monitor placed?

A

On the maternal fundus; superior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What tightens with a contraction?

A

Maternal fundus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Frequency is measured in

A

Minutes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Duration is measured in

A

Seconds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

The frequency shows

A

From the start of one contraction to the start of the next

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

The duration shows

A

From the start of one contraction to the end of the same contraction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What measures frequency, duration, intensity, and resting tone?

A

Internal fetal monitoring

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

ISE or FSE stands for

A

Internal or fetal scalp electrodes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

IUPC

A

Intrauterine pressure catheter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Each small block on the fetal strip indicates how much time?

A

10 seconds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What does each large block on the fetal monitor indicate as far as time?

A

1 minute

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

A internal fetal monitor cannot be placed unless what happens first?

A

The membranes are ruptured and the cervix is dilated to at least 2cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

This is the pressure maintained in the uterus

A

Resting tone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

The strength of the contraction is what? And can be palpated.

A

Intensity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What lies vertical on the monitor paper?

21
Q

What lies horizontal on the monitor paper?

22
Q

What is the average FHR on the monitoring paper?

23
Q

How long is a FHR monitored until the baseline is determined?

A

At least 10 minutes

24
What is a normal FHR?
110-160
25
How do we round the baseline FHR?
To the nearest 5
26
Interplay between the sympathetic and parasympathetic nervous system
Baseline variability
27
This is the most predictable indicator of fetal oxygenation
Baseline variability
28
What are the 4 baseline variability indicators?
Absent Minimal Moderate (happy baby) Marked
29
What is considered bradycardia ?
< 110 bpm
30
What is considered severe bradycardia?
< 80 bpm
31
What is considered tachycardia?
> 160 bpm
32
What is considered severe tachycardia?
> 180 bpm
33
These are temporary increases in FHR above baseline rate and they must increase in 15 seconds and last at least 15 seconds; this is normal
Accelerations
34
This is a decrease in FHR and occurs with blood supply changes.
Decelerations
35
These Decelerations occur due to compression of the head and mirror a contraction
Early Decelerations
36
These Decelerations are caused by compression of the umbilical cord and they quickly drop and quickly recover. They can happen regardless of any contractions or take any shape.
Variable Decelerations
37
These Decelerations occur due to a UPI (utero placental insufficiency). The are ominous and should be monitored by an internal monitor.
Late Decelerations
38
The highest point
Peak
39
The lowest point
Nadir
40
This is a condition of danger for the fetus
Fetal distress
41
The baseline FHR may show what, during fetal distress?
Increase or decrease
42
The changes on the monitor during fetal distress will show what?
Late and variable Decelerations
43
What does POPI stand for?
Position change (remove fetal weight) Oxygen (10 L non-rebreather mask) Pitocin (stop pit) IV bolus (increase circulating blood volume at 999ml)
44
What is POPI used for?
Intrauterine resuscitation
45
What is VEAL CHOP?
Variable early Acceleration late | Cord Head okay Placenta
46
Week 1 to week 20
Abortion
47
Week 20 to 36 6/7
Preterm
48
37 to 40 weeks
Term
49
40 weeks to 42 weeks
Post term