UNIT 3 FETAL MONITORING CHAPTER 15

Question 1

What is Veal Chop?

Answer 1

Indicatorr of what is going in with the fetus during fetal monitoring

Question 2

What is going on when the fetal monitor shows variable deceleration

A. the fetus is in a healthy environment
B. cord compression
C. heads compression
D. placental insufficiency

Answer 2

B. cord compression

Question 3

What is going on when the fetal monitor shows Early deceleration

A. the fetus is in a healthy environment
B. cord compression
C. heads compression
D. placental insufficiency

Answer 3

C. heads compression

Question 4

What is going on when the fetal monitor shows Late deceleration

A. the fetus is in a healthy environment
B. cord compression
C. heads compression
D. placental insufficiency

Answer 4

D. placental insufficiency

Question 5

What is going on when the fetal monitor shows acceleration (15x15 rule)

A. the fetus is in a healthy environment
B. cord compression
C. heads compression
D. placental insufficiency

Answer 5

A. the fetus is in a healthy environment

Question 6

What are the two most common equipment to monitor mother’s contractions and monitor fetal heart rate?

Answer 6

Tocometer -contraction of fundus
Ultrasound- fetal heart rate

Question 7

Is the fetus at high risk for infection for an internal (intrauterine pressure catheter) monitor?

A. No
B. Yes

Answer 7

B. Yes

Amniotic sac is ruptured , and a needle is being inserted in the scalp of the fetus to accurately measure the intensity of contractions

Amniotic Sac must be ruptured
Can by used for amnioinfusion
Will provide accurate
measurement of intensity of
contraction- measured in
mmHg

Question 8

Internal Fetal Monitoring , can the amniotic sac not be ruptured prior to using thus instrument?

A. YES
B. No

Answer 8

B. No

Amniotic sac must be ruptured
Needs to be attached to bony
part of head
Provides accurate assessment
of FHR, like and ECG monitor
for an adult

Question 9

Interventions for Late deceleration

Answer 9

Uteroplacental Insufficiency
-Must take action:
Put on oxygen
Turn off Pitocin
Turn to side
Increase IV fluids
Call HCP

Question 10

Interventions for Variable deceleration

Answer 10

Caused by cord
compression
If mild and intermittent no
action necessary
Position change may help
If deep as seen here and
amniotic sac ruptured
may do amnioinfusion

Question 11

Interventions for Early Deceleration

Answer 11

-Vagal nerve stimulation
-Mirrors contraction
-Only intervention would be to perform vaginal exam to assess
for dilation and fetal descent

Question 12

Could the baby be sleeping if the strip shows minimal variability ?

A. Yes
B. No

Answer 12

A. Yes

Can occur if baby is sleeping or after administration of
medications such as narcotic

Question 13

What is Galen’s value for fetal heart rate

Answer 13

110-170bpm

The baseline fetal heart rate is the average rate during a 10-minute segment that excludes periodic or episodic changes, periods of marked variability, and segments of the baseline that differ by more than 25 beats/min

Question 14

Is moderate variability normal?

Answer 14

Moderate variability is considered normal (