Fetal Wellbeing in Labour

Question 1

During the 1st stage how often should you monitor FH?

Answer 1

-Intermittent monitoring every 15 mins immediately after a contraction for at least one minute recorded as a single rate. record accels and decels.

Question 2

What should the FH range be?

Answer 2

110-160bpm.

Question 3

During the 2nd stage how often should you monitor the FH?

Answer 3

-Record every 5 minutes for at least 1 minute immediately after a contraction. Palpate women’s pulse still every 15 minutes to differentiate between mat pulse.

Question 4

What does meconium stained liquor indicate?

Answer 4

Indicative of fetal distress

Question 5

What does bloodstained liquor indicate?

Answer 5

Indicative of intrapartum haemorrhage/ abruption.

Question 6

On admission or taking over should you do an abdominal palpation?

Answer 6

Yes

Question 7

When should a vaginal examination be performed?

Answer 7

• At the onset of labour
• Offer four hourly
• To confirm full dilatation

Question 8

What are the pharmacological methods of analgesia?

Answer 8

• Entonox
• Opioids
• Diamorphine
• Pethidine
• Remifentanil
• Epidural