Orientation Lecture: Fetal Monitoring

Question 1

Dips in the fetus’s heart rate are associated with ___________.

Answer 1

fetal distress

Question 2

Normal fetal heart rate is _____________.

Answer 2

between 110 and 160

Question 3

Internal uterine pressure is measured in ____________.

Answer 3

montevideo units

Question 4

What four things should you look for in continuous fetal heart monitoring?

Answer 4

• Baseline FHR

* FHR variability

Question 5

_____________ is the most common cause of fetal tachycardia.

Answer 5

Infection

Question 6

What is considered normal variability in FHR?

Answer 6

6-25 BPM

More than 25 BPM is abnormal.

Question 7

Less than 6 BPM in FHR variability can indicate ______________.

Answer 7

hypoxia

Question 8

Sinusoidal FHR can indicate _______________.

Answer 8

anemia or TTTS

Question 9

“Early” and “late” are in referrence to _____________.

Answer 9

the contraction on the graph; if the deceleration occurs near the beginning of the contraction then that is early

Question 10

How do variable depressions look?

Answer 10

They are quick decelerations followed by quick accelerations.

Question 11

Explain the mnemonic VEAL CHOP.

Answer 11

• Variable decelerations = Cord compression
• Early decelerations = Head compression
• Accelerations = Oxygen low (maybe)
• Late decelerations = Placental insufficiency