Fetal Well-Being

Question 1

In whom should you order uterine artery dopplers?

Answer 1

Between 17-22 weeks in pt with RF for adverse perinatal outcome: 1) Based on past OB hx: prev IUGR, early onset pre-eclampsia, abruption, stillbirth
2) Based maternal hx: chronic HTN, renal disease, TIDM with vascular complications, abnormal MSS (inc AFP or beta-hCG, or low PAPP-A),

Question 2

Which of the following is recommended by the SOGC:

a) an admission fetal heart strip on all triage patients
b) continuous fetal monitoring for patients with risk factors for adverse pregnancy outcomes
c) umbilical artery doppler screen on all third trimester ultrasound assessments
d) IA should be done every 5 minutes in the first stage of labour

Answer 2

b

Question 3

Define the recommended intervals for intermittent auscultation.

Answer 3

Every 15 minutes in 1st stage
Every 5 minutes in 2nd stage
Switch to EFM if abnormality detected

Question 4

When is a fetal scalp sample indicated?

Answer 4

> 34 weeks with atypical or abnormal FHR when delivery is not imminent and no acceleration seen with digital scalp stimulation.