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2024 FETAL MONITORING EXAM II 2 WITH CORRECT ANSWERS
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2024 FETAL MONITORING EXAM II 2 WITH CORRECT ANSWERS
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2024 FETAL MONITORING EXAM II2 WITH CORRECT ANSWERS
disadvantages of intermittent fetal monitoring - CORRECT-ANSWERSIs a
learned skill
May miss detection of information with a weak signal or movement of mom
and baby
Difficult to identify periodic changes
Difficult to detect variability
No printed record other than nursing documentation
causes of fetal bradycardia - CORRECT-ANSWERSHypotension
Regional anesthesia and anesthesia
Accidental monitoring of maternal pulse
Prolonged head compression (vagal)
Prolonged umbilical cord occlusion
Fetal dysrhythmia
Hypoxemia or late fetal asphyxia
when do you assess FHR - CORRECT-ANSWERSduring labor
Prior to labor stimulants, periods of ambulation, administration of
medications, initiation of anesthesia
following ROM, vaginal exams, periods of ambulation, and procedures such
as enemas and caths
why do you assess FHR? - CORRECT-ANSWERSto recognize abnormal uterine
patterns, evaluate effects of Pitocin and other meds
AWHONN standards for EFM - CORRECT-ANSWERSInitiation of monitoring and
ongoing evaluation only by licensed healthcare providers
Fetal heart rate monitoring includes:
Application of monitoring components
Initial assessment of mother and fetus
Intermittent auscultation
Ongoing monitoring and interpretation
Clinical interventions
episodic accelerations - CORRECT-ANSWERSreassuring changes in the fetal
heart rate that are not associated with contractions, are associated with fetal
movement, stimulation, outside stimulus
, what are the two methods of fetal monitoring? - CORRECT-
ANSWERSintermittent (auscultation with fetoscope or doppler)
electronic/continuous (External toco transducer with ultrasound, internal
scalp electrode with IUPC)
intermittent fetal monitoring - CORRECT-ANSWERSlow risk, one-to-one nurse-
to-pt ratio, non invasive, mom can be ambulatory
AWHONN and ACOG Standards for Intermittent fetal monitoring - CORRECT-
ANSWERSfor high risk mom: stage I - Q30min, stage II - Q15min
for low risk mom: stage I - Q15min, stage II - Q5 min
advantages of EFM - CORRECT-ANSWERSContinuous information
Variability can be determined
Printed record as long as mom is on the monitor
disadvantages of EFM - CORRECT-ANSWERSRequires advanced assessment
and clinical judgment skills
Has a history of controversy for interpretation and interventions Restriction
of mom's activity
Expensive
May increase C/S rate, infections
Use should be based on risk assessment but also is based on obstetric staff
preference and hosp policy
RISK FACTORS to consider for EFM - CORRECT-ANSWERSMaternal Risk
Factors
Fever
Infection
Preeclampsia
Any disease process
Grand multiparity
Previous C/S
Fetal Risk Factors
Decreased movement
Meconium
Post dates
IUGR
Abnormal presentation
Multiples
Uterine Risk Factors
Dysfunctional labor
Failure to progress
Use of Pitocin
Uterine anomalies
Complications
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