SROM & FHRs: after membrane rupture, what is significance of FHR Flashcards
What does SROM stand for?
Spontaneous rupture of membranes
What is the main consequence of SROM?
Leaking of amniotic fluid
Why is FHR monitoring crucial after SROM?
To assess fetal well-being
What is cord prolapse in relation to SROM?
Condition where the umbilical cord slips into the birth canal ahead of the baby
What can cause changes in FHR following cord prolapse?
Compression of the umbilical cord leading to fetal hypoxia
What FHR pattern indicates potential cord prolapse?
Sudden, severe, and prolonged decelerations
What is the normal baseline FHR range?
110 to 160 beats per minute
What are variable decelerations typically associated with?
Cord compression
What do late decelerations potentially indicate?
Uteroplacental insufficiency
What are early decelerations usually associated with?
Head compression
What does persistent tachycardia indicate?
Fetal distress
What does persistent bradycardia indicate?
Fetal distress
What is the first step in FHR assessment after SROM?
Initial FHR assessment
What types of FHR monitoring may be employed?
- Continuous electronic fetal monitoring
- Frequent intermittent auscultation
What are some interventions for abnormal FHR?
- Changing maternal position
- Providing oxygen
- Ensuring adequate hydration
- Preparing for urgent delivery