Electronic Fetal Monitoring Question and answers correctly solved
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Course
NCC ELECTRONIC
Institution
NCC ELECTRONIC
Electronic Fetal Monitoring Question and answers correctly solved Electronic Fetal Monitoring
What is the primary goal of fetal monitoring?
Interpretation and ongoing assessment of fetal oxygenation
What are 4 goals of EFM?
maximize: placental perfusion, umbilical cord blood flow, avail...
Electronic Fetal Monitoring
What is the primary goal of fetal monitoring?
Interpretation and ongoing assessment of fetal oxygenation
What are 4 goals of EFM?
maximize: placental perfusion, umbilical cord blood flow, available oxygen
and maintain appropriate uterine activity
What are 3 low-tech surveillance for intermittent auscultation and uterine
palpations?
Fetoscope, Doptone, Uterine Palpation
Low-tech surveillance allows for freedom of what?
Movement
Low-tech surveillance is effective when performed in accordance with what?
Guidelines
The following guidelines are for what type of auscultation: Assess for active
labor, Immediately after rupturing of membranes, Preceding and following
,ambulation, Prior to and following pain medication and/or anesthesia,
Following - vaginal exam, enema, catheterization, and Events of abnormal or
excessive uterine contractions.
Guidelines for intermittent auscultation
True or false. Auscultate FHR for 45-120 seconds between contractions to
determine a baseline.
False, 30-60 seconds
True or false. Auscultate before and after a contraction to determine FHR
response to the contractions.
False, before DURING and after
True or False. The prudent nurse knows to provide proper education and
continuous EFM.
True
Patient comfort for FHM includes what 3 things?
Empty bladder, Position of comfort, Left lateral to avoid vena cava
compression
Describe what Leopold's is.
, Identifying fetal position and placing the ultrasound at the point of maximum
impulse
Describe how to palpate the fundus.
Identify the uterine activity and place toco on fundus
What are the 2 types of FHM used to encourage frequent maternal position
changes?
External FHM (ambulate for voiding), Internal FHM (bedpan)
How frequently should temperatures be checked after ruptured membranes
when monitoring VS for FHM?
Temperature checks q 2hrs
What are the maternal indications for continuous fetal monitoring?
Gestational diabetes, hypertension, kidney dz, placenta abruption, placenta
previa, induction/augmentation (cervical ripening or oxytocin), and abnormal
FHM testing (non-stress or contraction stress test)
What are the fetal indications for continuous fetal monitoring?
Multiple gestations, post-date gestation, intrauterine growth restriction,
meconium-stained fluid, and fetal bradycardia
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