What are the two things measured in Electronic Fetal Monitoring, otherwise known as
Cardiotocography? - ANSFetal Heart Rate
Uterine Activity - Contractions
What are the 5 components described in an EFM? - ANS1. Baseline heart rate
2. Variability
3. +/- Accelerations
4. +/- Decelerations
5. Frequency of contractions
The mean FHR is rounded to nearest ___ bpm during a 10 minute segment - ANS5 bpm
Normal baseline FHR = - ANS110-160 bpm
Bradycardia = FHR < _____ bpm for ≥ 10 min - ANS110 bpm
Tachycardia = FHR > ____ bpm for ≥ 10 min - ANS160 bpm
Causes of FHR Tachycardia = - ANS1. Maternal hypotension
2. Umbilical cord prolapse
3. Rapid fetal descent
4. Uterine tachysystole
5. Placental abruption
6. Uterine rupture
7. Myocardial Conduction Defect
Causes of FHR Bradycardia = - ANS1. Infection (chorioamnionitis)
2. Medications (Terbutaline, cocaine)
3. Fetal anemia
4. Placental abruption
5. Maternal hyperthyroidism
6. Hypoxemia/acidemia
Fluctutations in beat to beat rate; amplitude of peak to trough in beats per minute = -
ANSVariability
Variability
Absent =
Minimal =
Moderate =
Marked = - ANSAbsent = Amplitude Range Undetectable
Minimal = Amplitude Range ≤ 5 bpm
Moderate = Amplitude Range 6 - 25 bpm