Labor and Birth Flashcards
What is variability in fetal heart rate
fluctuations that are irregular in amplitude and frequency
What is absent variability
undetectable
What is minimal variability
equal or less than 5 bpm
What is moderate variability
6-25 bpm
What is marked variability
more than 25 bpm
What are accelerations in fetal heart rates
abrupt increase of at least 15 bpm above baseline
What is the onset to peak in accelerations
less than 30 seconds
How long to accelerations last for
15 seconds - 2 minutes
What is the cause of accelerations and do they need to be treated
fetal movement, no
What are early decelerations
symmetrical, gradual decrease in FHR associated with contractions that line up with the peak of the contraction
What is the cause of early decelerations
head compression
What is the treatment for early decelerations
none, change in position for mom
What are late decelerations
symmetrical, gradual decrease in FHR associated with contractions that occur after the peak of the contraction
What is the cause of late decelerations
placental insufficiency
What is the treatment for late decelerations
turn off Pitocin, O2, change in position for mom
What are variable decelerations
abrupt decrease in FHR with or without contractions and drop more than 15 bpm
What is the cause of variable decelerations
cord compression
How is Oxytocin administered
IV piggy back at 1-2 mU/min
How often and by how much do you increase Oxytocin
increase by 1-2 mU/min every 15-60 minutes
What are the risks of Oxytocin (10)
- Tachysystole
- Maternal HTN
- Uterine rupture
- Placental abruption
- Rapid labor/birth
- Decreased placental function
- Fetal hypoxia
- Fetal bradycardia
- Hyperbilirubinemia
- Trauma
What color is amniotic fluid
clear, pale straw colored
Does amniotic fluid have a smell
no
What can be found in the amniotic fluid
vernix or lanugo
What is the pH of amniotic fluid
6.5-7.5
