Test 2 - Powerpoints Flashcards
Baseline FHR
110-1160
Causes of bradycardia
maternal depressant drugs, prolonged fetal hypoxia, hypercapnia, acidemia (low pH)
Causes of tachycardia
maternal fever; maternal stimulants; prolonged fetal hypoxia
Variability
Absent, minimal, moderate
Absent variability
no discernible variation around baseline
Minimal Variability
<5 bpm variation around baseline
Moderate Variability
6-25 bpm variation around baseline (good)
Marked Variability
>25 bpm
Acronym for Acels and Decels to causes
V - C
E - H
A - O
L - P
VEAL
V - Variable (can happen, not good if Ix doesn’t change)
E - Early Decel (kinda good)
A - Acel (good)
L - Late Decel (always bad,3 tolerated but if Ix don’t work must c-section)
CHOP
C - Cord compression (kinked garden hose)
H - Head compression (women feels pressure in pressure)
O - Oxygenated baby (kicking, moving, “good”)
P - Placental insufficiency (Hemorrhage, HT, smoking, etc)
Acceleration description
At least 15 bpm high and 15 sec long (1.5x1.5 boxes)
Variable Deceleration Actions
TOONDA -
Turn pt
Open mainline IV (bolus)
Oxygen (8-10 L masks)
Notify HCP
Document
Amnioinfusion (if ordered)
Late Deceleration actions
pTOONDA -
Pitocin off
Turn pt
Open mainline IV (bolus)
Oxygen (8-10 L masks)
Notify HCP
Document
Assess
Rapid repeating Variable deceleration cause and Ix
most likely because of a cord prolapse (passes through the vagina and can wrap around the head while the station is high and bag gushing causing the cord to go first)
Requires an emergent c-section
Cord prolapse Ix
Stick hand into vagina, and hold the cord from the head squishing it
Is variable = variability
No
Cause of Absent variability
infection or drugs in system
causes of minimal variability
decreased O2 - infection - drugs - baby sleeping (tolerated for 20 min then IxTOONDA) - negative response to something
How soon should late decels resolve?
with in minutes but report if not with in normal in 20 min; if not c-section would be needed
What variability accompanies late decels
minimal or absent
What does mom feel on early decels
pressure
Infertility
lack of conception despite 12 months of unprotected intercourse
Subfertility
prolonged times to conceive, or can conceive but just takes longer
