FHR tracings Flashcards

1
Q

mean FHR rounded to increments of 5 bpm during a 10 min segment, excluding periodic / episodic changes or segments that differ by more than 25 bpm

A

baseline

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2
Q

baseline must be for a minimum of __ in any __ segment, or the baseline is indeterminate

A

2 minutes
10 minute

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3
Q

normal FHR baseline

A

110-160 bpm

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4
Q

tachycardia

A

> 160

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5
Q

bradycardia

A

< 110

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6
Q

fluctuations in the baseline FHR that are irregular in amplitude and frequency

A

baseline variability

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7
Q

variability is visually quantitated as what?

A

the amplitude of peak-to-trough in bpm

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8
Q

absent variability

A

amplitude range undetectable

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9
Q

minimal variability

A

amplitude range detectable but 5 bpm or fewer

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10
Q

moderate (normal) variability

A

amplitude range 6-25 bpm

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11
Q

marked variability

A

amplitude range greater than 25 bpm

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12
Q

a visually apparent abrupt increase in the FHR

A

acceleration

(onset to peak in less than 30 seconds)

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13
Q

at 32 + weeks gestation, an acceleration has a peak of __ + above baseline, with a duration of __ + but less than __ from onset to return

A

15 bpm
15 seconds
2 minutes

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14
Q

before 32 weeks gestation, an acceleration has a peak of __ + above baseline, with a duration of __ + but less than __ from onset to return

A

10 bpm
10 seconds
2 minutes

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15
Q

prolonged acceleration lasts between

A

2-10 min

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16
Q

if an acceleration lasts 10 min or longer, it is a __ ?

A

baseline change

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17
Q

visually apparent usually symmetrical gradual decrease and return of FHR associated with a uterine contraction

A

deceleration

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18
Q

a gradual FHR decrease is defined as ?

A

from the onset to the FHR nadir of 30 seconds or more

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19
Q

the decrease in FHR is calculated from ?

A

the onset to the nadir of the deceleration

20
Q

the nadir of the deceleration occurs at the same time as the peak of the contraction

A

early deceleration

21
Q

for an early deceleration, in most cases, the onset / nadir / recovery of the deceleration occur?

A

coincident with the beginning / peak / ending of the contraction

22
Q

the deceleration is delayed in timing, with the nadir of the deceleration occurring after the peak of the contraction

A

late deceleration

23
Q

for a late deceleration, in most cases, the onset / nadir / recovery of the deceleration occur?

A

after the beginning / peak / ending of the contraction

24
Q

visually apparent abrupt decrease in FHR

A

variable deceleration

25
Q

an abrupt decrease is defined as from __ to __ of less than __ ?

A

the onset of the deceleration
the nadir
30 seconds

26
Q

with a variable deceleration, the decrease in FHR is __ or greater, lasting __ or greater, and less than __ in duration

A

15 beats
15 seconds
2 minutes

27
Q

when __ decelerations are a/w uterine contractions, their onset, depth, and duration commonly vary with successive uterine contractions

A

variable

28
Q

visually apparent decrease in the FHR below baseline

A

prolonged deceleration

29
Q

prolonged deceleration = decrease in FHR from baseline that is __ or more, lasting __ or more, but less than __ in duration

A

15 bpm
2 minutes
10 minutes

30
Q

if a deceleration lasts 10 min or longer, it is a __ ?

A

baseline change

31
Q

visually apparent, smooth, sine wave-like undulating pattern in FHR baseline

A

sinusoidal pattern

32
Q

sinusoidal pattern typically has a cycle frequency of __ which persists for __ or more

A

3-5 / minute
20 minutes

33
Q

EFM =

A

electronic fetal monitoring

34
Q

how often should the FHR tracing be reviewed during the first stage of labor?

A

every 30 minutes

35
Q

how often should the FHR tracing be reviewed during the second stage of labor?

A

every 15 minutes

36
Q

category I FHR tracing

4

A
  1. baseline rate 110-160 bpm
  2. moderate variability
  3. absent late / variable decelerations
  4. present or absent early decelerations / accelerations
37
Q

category II FHR tracing

A

all FHR tracings not categorized at category I or III

38
Q

category III FHR tracing

A
  1. absent baseline FHR variability + recurrent late decelerations / recurrent variable decelerations / bradycardia
  2. sinusoidal pattern
39
Q

what type of variable decelerations occur with less than 50% of contractions?

A

intermittent

40
Q

what type of variable decelerations occur with more than 50% of contractions?

A

recurrent

41
Q

common causes of recurrent late decelerations

A

transient or chronic uteroplacental insufficiency - maternal hypotension, uterine tachysystole, maternal hypoxia

42
Q

management of recurrent late decelerations

A

maternal lateral positioning, IV fluid bolus, maternal oxygen administration, eval for tachysystole

43
Q

for minimal FHR variability thought to be due to recent maternal opioid admin, variability often improves / returns to moderate variability within what time frame

A

1-2 hours

44
Q

how long does a fetal sleep cycle generally last

A

20 min

but can persist up to 60

45
Q

what is considered tachysystole

A

> 5 contractions in 10 minutes, averaged over 30 minutes