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FETAL HEART RATE ASSESSMENT Questions and Answers Graded A+ 2024/2025
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FETAL HEART RATE ASSESSMENT Questions and Answers Graded A+ 2024/2025
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FETAL HEART RATE ASSESSMENTFETAL HEART RATE ASSESSMENT - ANS
ROLE OF NURSES - ANS•Nurses are predicted to independently determine, interpret, and
intrude related to interpretations of EFM styles
•Maternity is the maximum _______ vicinity of all nursing
Care for _______ patients.....________ - ANSlitiginous
2
mother and infant
Major litigation is the incapability to - ANSrecognize and/or accurately reply to intrapartum fetal
distress
What happens if there may be confrontation of care? - ANSneed to paintings as a group and go
through the chain of command to make sure not anything is ignored so a day out is known as
What is the motive of the FHR assessment? - ANS•Purpose is to assess and interpret fetal
oxygenation in the course of hard work
What is EFM used for? - ANS•used to continuously verify fetal oxygenation and uterine hobby.
***Who is Intermittant auscultation (IA) used for? - ANS•used for low danger exertions sufferers
with a physician or midwife order
****Intermittent auscultation (IA) - ANS-it would not report contractions most effective fetal HR
sounds
-used if mother doesn't need the continuer FHM on
-•Use Doppler or fetoscope: pay attention with those for a full min
Continuous Electronic Fetal Monitoring - ANS-measures contractions and FHR
-Not supported with the aid of EBP
--Continuous EFM has no impact on toddler mortality and morbidity except reduces neonatal
seizures
Where can uterine contractions be palpated? - ANSgently on the fundus
****Uterine contraction intensity ( subjective) - ANS•Mild or 1+ tip of nostril
•Moderate of +2 chin
•Strong of three+ forehead
, What is cited with contractions? - ANSNote frequency, length, and intensity
What do resting tones experience like btw. Contractions? - ANSsoft or firm
2 styles of EFM - ANS-External
-inner
External EFM - ANS-One is positioned on pinnacle of the fundus with the belt this is referred to
as the Topotransducer and it measures the contractions frequency and duration but it's far an
oblique technique so it does not degree the proper depth of contractions
-the ultrasound transducer is located on the bottom of the stomach or cervix and those pick out
up a few ribs like an ultrasound and you may hear the fetal heart rate
TELEMETRY - ANSwhere affected person is attached to radio transmitter frequency so she can
stroll round, reposition, and bathtub. Allows nurses to supervise the FHR and contractions
remotely.
***Types of outside tracking - ANS-outside digital fetam monitoring
-Ultrasound transducer (EFM)
-Tocodynamometer(TOCO)
***Tocodynamometer(TOCO) - ANSto degree contractions
-Frequency and length.
***Ultrasound transducer (EFM) - ANSto screen FHR
-Can detect baseline, variability, accelerations, and decelerations.
***External Electronic Fetal Monitoring - ANS-Pieces located externally and secured with belts
kinds of internal monitor - ANS-Fetal scalp electrode (FSE)
-Intrauterine Pressure Catheter (IUPC)
Internal Electronic Fetal and Uterine Monitoring - ANS-Two pieces placed internally as soon as
membranes have ruptured for extra correct assessment of contractions and FHR.
-May use together or independently.
Fetal scalp electrode (FSE) - ANS- Applied at once to the providing part to measure FHR.
- measures Baseline ,variability, accelerations, decelerations and dysrhythmias
***Intrauterine Pressure Catheter (IUPC) - ANS- Placed at once within the uterine cavity to
measure contractions
-Frequency, period, depth and resting tone (in mm Hg)
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