Fetal Monitoring E2

Question 1

Electric fetal Monitoring (EFM) set up

Answer 1

• Baby side has lots of gel and is placed on the baby’s back (Leopold maneuver)
• Mothers side (measures contractions at the fundus) Has no gel and is labeled ‘TOCO’

Question 2

Fetal scalp electrode + Intrauterine pressure catheter

Answer 2

Scalp: monitor fetal heartrate
Complications: Increased risk of infection

Question 3

Basic information about reading strips

Answer 3

Fetal heart rate 110-160
Bold lines 1 minute (60 seconds) Small boxes (10 seconds)
Calculate baseline HR intervals of 5
Measure contractions from start of one to start of next

Question 4

Variability

Answer 4

Change in HR from the baseline

Question 5

Absent variability

Answer 5

Straight line, maybe cutting out; can be a misplacement or signs of non intact CNS

Question 6

Minimal variability

Answer 6

Changes in HR are <5 bpm
- If mom got systemic med, or baby is ‘napping’

Question 7

Moderate variability

Answer 7

Reassuring finding
6-25 bpm change in HR

Question 8

Marked variability

Answer 8

Change >25 BPM