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EXAM 1- FETAL HEART MONITORING Questions with 100% Actual correct answers | verified | latest update | Graded A+ | Already Passed | Complete Solution

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EXAM 1- FETAL HEART MONITORING Questions with 100% Actual correct answers | verified | latest update | Graded A+ | Already Passed | Complete Solution

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  • June 19, 2024
  • 9
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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  • exam 1 fetal heart monitoring questions with 100

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EXAM 1- FETAL HEART MONITORING
What is *fetal heart monitoring*?
- purpose
- done through what methods
- goal to reduce ___ - ANS-- measures the heart rate and rhythm of your baby

- lets your healthcare provider see how your baby is doing

- primary evaluation tools used to determine fetal oxygen status indirectly

- can be done intermittently through fetoscope or doppler

OR

- can be done continuously with an electronic fetal monitor internally or externally

- GOAL: to reduce mortality/morbidity by ensuring all fetal hypoxic insults are identified
in time

What is *intermittent FHR monitoring*?
- uses 2 types
- does not
- assessed for ___ seconds - ANS--periodically listening to baby's heartbeat at set times
throughout labor by pressing a special stethoscope or Doppler

- can use *Fetoscope*: a modified stethoscope attached to a headpiece -> assesses
FHR

- can use *Doppler*: an ultrasound device that uses waves to bounce of fetal heart

- allows women to be mobile in first stage of labor

- DOES NOT
> provide continuous FHR recording

> document ow fetus responds to stress

> detect variability and types of decelerations

, - FHR is assessed for full minute after a contraction to establish baseline

- then on, listen for 30 seconds

- most clearly heard at fetal back (lower quadrant of mother)

What is *Continuous External FHR monitoring*? - ANS-- 2 ultrasound transducers are
attached to a belt around woman's abdomen

- one is used for sensing uterine contractions while the other senses the baseline FHR,
long-term variability, accelerations, and decelerations

- can measure approx duration and frequency of contractions

- can be used when membranes are intact with undilated cervix -> OR if not intact and
dilated

What is *Continuous Internal FHR monitoring*?
- given for
- done how
- 4 requirements to use this - ANS-- indicated for women or fetuses considered high risk

- involves placement of spiral electrode in the fetal presenting part

- electrode is most accurate method of detecting fetal heart characteristics

4 REQUIREMENTS
*(1)* ruptured ROM

*(2)* cervical dilation of at least 2 cm

*(3)* Presenting fetal part low enough to place electrode

*(3)* Skilled practitioner to insert it

What is *Internal Uterine Pressure Catheter*?
- used for
- what can it tell

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