100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
Fetal Health Surveillance Exam Questions and Answers 100% Pass $12.49
Add to cart
Quickly navigate to
Preview
  2.  
  3. AWHONN Fetal Monitoring
  4.  
  5. AWHONN fetal monitoring

Exam (elaborations)

Fetal Health Surveillance Exam Questions and Answers 100% Pass
 0 view  0 purchase
  • Course
  • AWHONN fetal monitoring
  • Institution
  • AWHONN Fetal Monitoring

Fetal Health Surveillance Exam Questions and Answers 100% Pass Tachysystole - Any excessive uterine activity (UA); >5 contractions in a 10 minute window, averaged over 30 mins. Repetitive Decelerations - 3 or more decels in a row Recurrent Decelerations - Decels that occur with >50% of c...

[Show more]

Preview 3 out of 28  pages

Document information

  • December 22, 2024
  • 28
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • fetal health surveillance exam questions and answe

Written for

  • AWHONN fetal monitoring
  • AWHONN fetal monitoring

Seller

avatar-seller
KatelynWhitman

Reviews received

Content preview

1|Page




Fetal Health Surveillance Exam
Questions and Answers 100% Pass

Tachysystole - ✔✔Any excessive uterine activity (UA); >5 contractions in a 10 minute window, averaged

over 30 mins.


Repetitive Decelerations - ✔✔3 or more decels in a row


Recurrent Decelerations - ✔✔Decels that occur with >50% of contractions in a 20 minute period


Intermittent Decelerations - ✔✔Decels that occur with <50% of contractions in a 20 minute period


Gradual Deceleration - ✔✔≥30 seconds from onset to nadir


Episodic Gradual Deceleration - ✔✔A gradual decel NOT associated with a contraction


Interpretable Electronic Fetal Monitoring - ✔✔Electronic fetal monitoring tracing that has a continuous

display of the fetal heart rate and uterine activity with minimal gaps.


Uterine Activity - How is this documented? - ✔✔Number of contractions present in a 10-minute window,

averaged over 30 minutes (e.g. 3 contractions in 10 minutes) - UNLESS atypical/abnormal in the first 10

minutes of tachysystole - initiate a response without averaging over 30 minutes


Recommended (minimum) tracing for EFM - ✔✔20 Minutes


Early Deceleration - ✔✔*safe*. Begin prior to peak of the contraction and end by the end of it. Caused by

head compression (E.G associated with fetal descent in the pelvis / full dilation). No need for

intervention if variability is within normal range and the FHR is within normal range. Characteristic of




Created by Katelyn Whitman © 2025, All Rights Reserved. 100% PASS GUARANTEE

,2|Page


nadir occurring at same time as peak of contraction. *Usually symmetrical*. Return to normal by end of

contraction.




**Early decelerations are said to be a mirror image of the contractions.**


Uncomplicated variable deceleration - ✔✔Caused by cord compression. 15 BPM below baseline lasting

>15s. Often have shoulders (initial accel, followed by rapid decel to the nadir, rapid return to baseline,

followed by secondary brief accel). Common in late 1st stage.




*NORMAL* if occasional uncomplicated variable decelerations occur


*ATYPICAL* if repetitive (greater than or equal to 3) uncomplicated variable decelerations occur


Complicated Variable Deceleration - ✔✔*Not ok - May be indicative of fetal hypoxia / acidemia* Also

caused by cord compression, but does not return to baseline by end of contraction. Any of: May last >60s

AND go down to <60BPM OR decrease by >60BPM below baseline; overshoot of 20BPM X 20secs after

decel; variable decel in presence of minimal or absent baseline variability, OR baseline tachycardia/

bradycardia. Can occur in 1st or 2nd stage.


Late decelerations - ✔✔*Also not ok - indicates uteroplacental insufficiency, or decreased uteroplacental

blood flow during contraction / associated with fetal hypoxia and acidemia* . = lowered fetal pO2.




Symmetrical - gradual drop and return to baseline, but unlike early decels, the onset, nadir and recovery

occurs AFTER the peak of the contraction.




**Gradual, smooth, delayed deceleration**



Created by Katelyn Whitman © 2025, All Rights Reserved. 100% PASS GUARANTEE

, 3|Page


IA during 1st stage - how often? - ✔✔q15 mins


IA during 2nd stage - how often? - ✔✔q5 mins


EFM During 2nd stage - interpret how often? - ✔✔At least q15mins, otherwise q5mins


Spontaneous Accelerations - ✔✔*Good* - Reassuring, but not required to classify EFM as 'normal'.


Recommended in Response to atypical EFM and abnormal IA - ✔✔Digital Fetal Scalp Stimulation


Primary factors that regulate the FHR - ✔✔The medulla oblongata (in the brainstem), the autonomic

nervous system, baroreceptors, and chemoreceptors


Secondary factors that regulate the FHR - ✔✔Humoral or endocrine factors, blood composition and

volume, blood vessel diameter, cardiac contractility and amniotic fluid composition, as well as substances

released from the: hypothalamus, pituitary gland, adrenal glands, adipose tissue, pancreas, kidneys,

intestines, liver, spleen, bone marrow and heart


CNS - Medulla Oblongata... - ✔✔Serves as the integrative centre for central and peripheral neural control

of the cardiovascular and respiratory system. Blood pressure, heart rate, and vascular resistance are

controlled at this level.


CNS - Higher Brain Centres (mid-brain to cerebral cortex)... - ✔✔Responsible for variations in fetal heart

rate and variability in response to fetal behavioural states including quiet sleep, active sleep, and arousal

states.


Sympathetic Nervous System... - ✔✔Nerves originate in medulla oblongata with wide distribution in the

ventricles; neurotransmitter is norepinephrine; stimulation produces increase in strength of cardiac

contraction and increase in the fetal heart rate


Parasympathetic Nervous System... - ✔✔The vagus nerve originating in the medulla oblongata

innervates the sino-atrial (SA) and atrioventricular (AV) nodes in the heart; the neurotransmitter at the



Created by Katelyn Whitman © 2025, All Rights Reserved. 100% PASS GUARANTEE

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller KatelynWhitman. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $12.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

52510 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$12.49
  • (0)
Add to cart
Added