FHR assessment Chap 9 Flashcards
mild contractions
easily indented (tip of nose)
mod contractions
slightly indented (chin)
strong contractions
cant indent (forehead)
FHR
use ultrasound transducer, FHR location changes as baby descends
contractions monitoring
toco to pick up contractions but doesnt measure intensity
graphs
upper: FHR
lower: contractions
fetal tachycardia causes
maternal fever, infection, dehydration, hyperthyroidism, anxiety, meds/illicit
bradycardia
baseline FHR less than 110 bpm lasting at least 10 mins
fetal bradycardia causes
hypothermia, cardiac arrhythmias, excessive vagal response, drugs, CT disease
baseline variability
small up and down bumps that are marked as absent, minimal, mod, marked
accelerations
15 beats that last 15 secs
early decelerations
gradual decrease and return to baseline that mirror contraction caused by head compression
late decelerations
start after contraction starts and caused by placental insufficiency
variable decelerations
15 beats for 15 sec and caused by cord compression not related to uterine contraction