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Nursing 201 > Fetal Monitoring > Flashcards

Fetal Monitoring Flashcards

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0
Q

What is the most notable abnormality in FHR?

A

CP

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1
Q

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

A

8-12 weeks

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2
Q

What does FHR reflect?

A

Fetal oxygenation

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3
Q

Excessive amniotic fluid

A

Polyhydramnios

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4
Q

What doesn’t an external fetal monitor show?

A

Intensity

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5
Q

What is the most common uterine monitoring?

A

Toco transducer

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6
Q

Where is the uterine monitor placed?

A

On the maternal fundus; superior

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7
Q

What tightens with a contraction?

A

Maternal fundus

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8
Q

Frequency is measured in

A

Minutes

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9
Q

Duration is measured in

A

Seconds

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10
Q

The frequency shows

A

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

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11
Q

The duration shows

A

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

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12
Q

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

A

Internal fetal monitoring

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13
Q

ISE or FSE stands for

A

Internal or fetal scalp electrodes

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14
Q

IUPC

A

Intrauterine pressure catheter

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15
Q

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

A

10 seconds

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16
Q

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

A

1 minute

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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

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18
Q

This is the pressure maintained in the uterus

A

Resting tone

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19
Q

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

A

Intensity

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20
Q

What lies vertical on the monitor paper?

A

Rate

21
Q

What lies horizontal on the monitor paper?

A

Duration

22
Q

What is the average FHR on the monitoring paper?

A

Baseline

23
Q

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

A

At least 10 minutes

24
Q

What is a normal FHR?

A

110-160

25
Q

How do we round the baseline FHR?

A

To the nearest 5

26
Q

Interplay between the sympathetic and parasympathetic nervous system

A

Baseline variability

27
Q

This is the most predictable indicator of fetal oxygenation

A

Baseline variability

28
Q

What are the 4 baseline variability indicators?

A

Absent
Minimal
Moderate (happy baby)
Marked

29
Q

What is considered bradycardia ?

A

< 110 bpm

30
Q

What is considered severe bradycardia?

A

< 80 bpm

31
Q

What is considered tachycardia?

A

> 160 bpm

32
Q

What is considered severe tachycardia?

A

> 180 bpm

33
Q

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

A

Accelerations

34
Q

This is a decrease in FHR and occurs with blood supply changes.

A

Decelerations

35
Q

These Decelerations occur due to compression of the head and mirror a contraction

A

Early Decelerations

36
Q

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.

A

Variable Decelerations

37
Q

These Decelerations occur due to a UPI (utero placental insufficiency). The are ominous and should be monitored by an internal monitor.

A

Late Decelerations

38
Q

The highest point

A

Peak

39
Q

The lowest point

A

Nadir

40
Q

This is a condition of danger for the fetus

A

Fetal distress

41
Q

The baseline FHR may show what, during fetal distress?

A

Increase or decrease

42
Q

The changes on the monitor during fetal distress will show what?

A

Late and variable Decelerations

43
Q

What does POPI stand for?

A

Position change (remove fetal weight)
Oxygen (10 L non-rebreather mask)
Pitocin (stop pit)
IV bolus (increase circulating blood volume at 999ml)

44
Q

What is POPI used for?

A

Intrauterine resuscitation

45
Q

What is VEAL CHOP?

A

Variable early Acceleration late

Cord Head okay Placenta

46
Q

Week 1 to week 20

A

Abortion

47
Q

Week 20 to 36 6/7

A

Preterm

48
Q

37 to 40 weeks

A

Term

49
Q

40 weeks to 42 weeks

A

Post term

Nursing 201 (21 decks)

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