SROM & FHRs: after membrane rupture, what is significance of FHR Flashcards

1
Q

What does SROM stand for?

A

Spontaneous rupture of membranes

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2
Q

What is the main consequence of SROM?

A

Leaking of amniotic fluid

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3
Q

Why is FHR monitoring crucial after SROM?

A

To assess fetal well-being

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4
Q

What is cord prolapse in relation to SROM?

A

Condition where the umbilical cord slips into the birth canal ahead of the baby

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5
Q

What can cause changes in FHR following cord prolapse?

A

Compression of the umbilical cord leading to fetal hypoxia

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6
Q

What FHR pattern indicates potential cord prolapse?

A

Sudden, severe, and prolonged decelerations

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7
Q

What is the normal baseline FHR range?

A

110 to 160 beats per minute

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8
Q

What are variable decelerations typically associated with?

A

Cord compression

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9
Q

What do late decelerations potentially indicate?

A

Uteroplacental insufficiency

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10
Q

What are early decelerations usually associated with?

A

Head compression

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11
Q

What does persistent tachycardia indicate?

A

Fetal distress

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12
Q

What does persistent bradycardia indicate?

A

Fetal distress

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13
Q

What is the first step in FHR assessment after SROM?

A

Initial FHR assessment

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14
Q

What types of FHR monitoring may be employed?

A
  • Continuous electronic fetal monitoring
  • Frequent intermittent auscultation
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15
Q

What are some interventions for abnormal FHR?

A
  • Changing maternal position
  • Providing oxygen
  • Ensuring adequate hydration
  • Preparing for urgent delivery
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16
Q

True or False: Early detection of FHR issues can improve fetal outcomes.

A

True

17
Q

Fill in the blank: Monitoring FHR after SROM is critical because it provides immediate feedback on how the fetus is _______.

A

[tolerating labor]