Lesson 11-Intrapartum Fetal
Surveillance--TEST 2
- correct answer ✔Objectives
1. . Identify key physiologic principles underlying fetal heart rate and uterine
activity assessment in the intrapartum period.
2. Discuss advantages and limitations of each method of intrapartum fetal
surveillance: auscultation and electronic fetal monitoring.
3. Explain instrumentation types used for auscultation and electronic fetal
monitoring.
4. Review principles of fetal heart rate and uterine activity interpretation using
a standardized approach.
5. Identify specific components of the three fetal heart rate categories.
6. Describe clinical interventions performed for normal, indeterminate and
abnormal fetal heart rate patterns.
7. Use the nursing process to plan care for a woman undergoing intrapartum
fetal assessment.
To make sure that the fetus is well oxygenated in labor. - correct answer
✔Why do we monitor FHR during labor?
reliable - correct answer ✔EFMs can have many false negatives, so there
are times that it can't be ______________, but for the most time, you know
that the baby is ok
- correct answer ✔A good strip is a good indication that the baby will be ok.
Not always though
,Babies were being born with cerebral palsey. EFM was created to try and
predict with some level of certainty if the baby was suffering from acute
injuries that could progress cerebral palsey. - correct answer ✔Reason for
EFM being created?
-Not really
-But it was useful to have evidence that baby was ok. EFM tells whether the
baby should be delivered now or stay in utero - correct answer ✔Did it work?
18 - correct answer ✔In most states, hospitals must keep EFM of all babies
and documentation until the child is ____ years, so that mothers don't come
back with sue cases
AWHONN - correct answer ✔_____________-class that most nurses must
take.
Includes: intermittent FH monitoring classes; not a certification
NCC - correct answer ✔__________: Actual certification; like taking the
NCLEX; all questions are on FH monitoring. Certified in FH monitoring;
certification done every 3 years
- correct answer ✔Nurses cannot read FH monitoring strips if they do not
take AWHONN and NCC
Physicians don't need to. Only the 3hr class about it. Hence, there's
discrepencies b/w doctor and nurses
1. Sufficient maternal blood flow and volume to the placenta and the fetus
, 2.Normal maternal oxygen saturation
3.Adequate exchange of oxygen and carbon dioxide
4. An open circulatory path from placenta to fetus through umbilical cord
vessels
5.Normal fetal circulatory and oxygen-carrying functions
6. Uteroplacental circulation
7. Fetal placental circulation
8. Fetal heart regulation
9. Hormonal influences - correct answer ✔What are the five factors for
adequate fetal oxygenation?
circulatory, mix - correct answer ✔4. -An open _____________ path from
placenta to fetus through umbilical cord vessels
True knot: a literal knot in the umbilical cord. Some babies live; some do not.
Until the baby is born, we can not assess whether there is a knot or not. Most
of the time, the knots are loose
-Normal fetal circulatory and oxygen-carrying functions
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