Mod 3 part 2

Question 1

Primary goal of fetal surveillance

Answer 1

To enable clinicians to assess adequacy of fetal oxygenation during labor.

Question 2

Adequate fetal oxygenation requires:

Answer 2

1) Sufficient maternal blood flow and volume to the placenta

Question 3

Variability

Answer 3

Most critical predictor of adequate fetal oxygenation

Question 4

Chemoreceptors

Answer 4

Increase the fetal heartrate

Question 5

Baroreceptors

Answer 5

Get us to baseline heartrate

Question 6

Know mom’s heart rate before you start reading the fetal strip

Answer 6

So you know it’s separate from the baby’s heart rate

Question 7

Intermittent auscultation vital sign monitoring schedule

Answer 7

Latent phase: Every 30 minutes

Question 8

minimal variability

Answer 8

> undetectable but <5/min

Question 9

moderate variability

Answer 9

amplitude range 6-25 bpm

Question 10

Marked variability

Answer 10

Greater than 25/min

Question 11

sinusoidal variability

Answer 11

ominous sign on fetal monitoring strip. Smooth, wavelike pattern. Category 3.

Question 12

Normal baseline FHR

Answer 12

110-160 bpm

Question 13

Early decelerations

Answer 13

Decelerations which begin prior to peak of the contraction and end by the end of it. they are caused by head compression. no need for intervention if variability is within normal range (6-10) and the FHR is within normal range. safe

Question 14

Late decelerations

Answer 14

Bad (placental insufficiency)

Question 15

Variable decelerations

Answer 15

Decelerations which show an abrupt decrease of FHR less than 15 bpm, lasting 15 seconds to 2 minutes; caused by umbilical cord compression

Question 16

Recurrent decelerations

Answer 16

Decelerations which occur in more than 50% of uterine contractions in a 20-minute period.

Question 17

Category 1

Answer 17

Baseline 110-160

Question 18

Category 2

Answer 18

Bradycardia

Question 19

Category 3

Answer 19

Absent baseline variability AND

Question 20

Ketorolac (Toradol)

Answer 20

class: nonsteroidal anti-inflammatory agents, nonopioid analgesics

Question 21

Mag Sulfate

Answer 21

Anticonvulsant commonly given in OB

Question 22

methergen

Answer 22

Medication given to contract uterus to remove clots

Question 23

Hemabate

Answer 23

Medication given for active hemorrhaging

Question 24

Oxytocin (Pitocin)

Answer 24

Stimulates uterine contractions for the purpose of induction or augmentation of labor. Uses: antepartum for contraction stress test (CST), intrapartum for induction or augmentation of labor, postpartum to promote uterine involution. Precautions/interactions: contraindicated with placental insufficiency. Side effects: intense uterine contractions, uterine hyperstimulation (contraction longer than 90 seconds), uterine rupture.

Question 25

Labetolol

Answer 25

Drug given in labor for extremely high blood pressure 160/110

Question 26

Airway management will always take precedence over Narcan

Answer 26

In a newborn with respiratory depression.

Question 27

Spinal block

Answer 27

Post-dural headache is common.

Question 28

gated pain theory

Answer 28

Theory that the brain can only process one form of stimulation/pain at a time. Providing a secondary source of stimulation such as light touch or deep massage can reduce the perception of pain.

Question 29

LION

Answer 29

Intervention for interrupted oxygen pathway:

Question 30

When membranes rupture the nurse should assess

Answer 30

Color, quality, smell, fetal heart rate, and time