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Exam II 2. Fetal Monitoring Questions and Answers Graded A+ 2024/2025
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Exam II 2. Fetal Monitoring Questions and Answers Graded A+ 2024/2025
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Exam II 2. Fetal MonitoringWhile do you verify FHR - ANSduring hard work
Prior to hard work stimulants, periods of ambulation, management of medicinal drugs, initiation
of anesthesia
following ROM, vaginal checks, intervals of ambulation, and strategies consisting of enemas
and caths
why do you assess FHR? - ANSto recognize extraordinary uterine patterns, compare
consequences of Pitocin and different meds
what are the two techniques of fetal tracking? - ANSintermittent (auscultation with fetoscope or
doppler)
digital/non-stop (External toco transducer with ultrasound, inner scalp electrode with IUPC)
intermittent fetal monitoring - ANSlow chance, one-to-one nurse-to-pt ratio, non invasive, mother
can be ambulatory
negative aspects of intermittent fetal monitoring - ANSIs a learned talent
May omit detection of statistics with a vulnerable signal or movement of mom and child
Difficult to perceive periodic modifications
Difficult to come across variability
No printed file other than nursing documentation
AWHONN and ACOG Standards for Intermittent fetal tracking - ANSfor high danger mom: level I
- Q30min, level II - Q15min
for low threat mother: stage I - Q15min, stage II - Q5 min
blessings of EFM - ANSContinuous statistics
Variability may be determined
Printed document so long as mother is on the display
negative aspects of EFM - ANSRequires superior assessment and clinical judgment skills
Has a history of controversy for interpretation and interventions Restriction of mom's interest
Expensive
May increase C/S fee, infections
Use ought to be based on danger assessment however also is based totally on obstetric
personnel desire and hosp coverage
AWHONN requirements for EFM - ANSInitiation of monitoring and ongoing evaluation only via
licensed healthcare carriers
Fetal heart rate monitoring consists of:
, Application of monitoring additives
Initial evaluation of mother and fetus
Intermittent auscultation
Ongoing tracking and interpretation
Clinical interventions
RISK FACTORS to recall for EFM - ANSMaternal Risk Factors
Fever
Infection
Preeclampsia
Any disease system
Grand multiparity
Previous C/S
Fetal Risk Factors
Decreased motion
Meconium
Post dates
IUGR
Abnormal presentation
Multiples
Uterine Risk Factors
Dysfunctional hard work
Failure to development
Use of Pitocin
Uterine anomalies
Complications
Prolonged ROM
Premature labor
Premature ROM
Preterm exertions
Previa/abruption
Regional Anesthesia
low O2 in blood to Asphixia - ANShypoxemia to hypoxia to acidemia to acidosis to asphyxia
baseline FHR ordinary is what? How do you check this? - ANS110-160 bpm
To Assess: Mean FHR in a 10 min and rounded to increment of five i.E. 125, a hundred thirty,
135 etc.
Must have at least 2 min. Of identifiable baseline phase
FHR: Tachycardia - ANSFHT over 160 for 10 min or greater
Considered an ominous signal if followed with the aid of different bad styles
FHR: bradycardia - ANSFHT below a hundred and ten for 10 min or greater
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