Exam (elaborations)
2024 INTERMEDIATE FETAL MONITORING EXAM WITH CORRECT ANSWERS
- Course
- Institution
2024 INTERMEDIATE FETAL MONITORING EXAM WITH CORRECT ANSWERS
[Show more]
Content preview
2024 INTERMEDIATE FETALMONITORING EXAM WITH
CORRECT ANSWERS
How does a toco work? - CORRECT-ANSWERSdetects changes in shape of
abdomen resulting from uterine tension
5 Physiological Goals - CORRECT-ANSWERS1. support maternal coping and
labor progress
2. maximize uterine blood flow
3. maximize umbilical circulation
4. maximize oxygenation
5. maintain appropriate uterine activity
Why is emotional support important? - CORRECT-ANSWERSdecreases
catecholamine response and increases fetal oxygenation
Interventions to maximize blood flow - CORRECT-ANSWERS-reduce
anxiety/pain
-maternal positioning (lateral)
-hydration
-medication to reduce uterine contractions (decrease pit or tocolytics)
Interventions to maximize umbilical circulation - CORRECT-ANSWERS-
maternal position
-amnioinfusion (closely monitor resting tone)
Interventions to maximize oxygenation - CORRECT-ANSWERS-maternal
breathing
-supplemental oxygen (cautious use, not 1st line, not for prophylactic use)
Interventions to maintain appropriate uterine activity - CORRECT-ANSWERS-
oxytocin
-fluid bolus
-position change
Baseline Rate - CORRECT-ANSWERS-approximate mean FHR rounded to
increments of 5bp during a 10 min segment
, - duration must be at least 2 min. or the baseline for that period is
indeterminate
Bradycardia - CORRECT-ANSWERSbaseline rate less than 110 bpm
Tachycardia - CORRECT-ANSWERSbaseline of greater than 160 bpm
Baseline variability - CORRECT-ANSWERSfluctuations in baseline FHR that are
irregular in amplitude and frequency
Absent variability - CORRECT-ANSWERSamplitude range undetectable
Minimal variability - CORRECT-ANSWERSamplitude range > undetectable but
<5/min
Moderate variability - CORRECT-ANSWERSamplitude ranges 6-25 bpm
Marked variability - CORRECT-ANSWERSamplitude range greater than 25
bpm
Acceleration - CORRECT-ANSWERSvisually apparent abrupt (<30 sec to
peak) increase in FHR above baseline for less than 2 minutes
-15bpmx15sec for 32 weeks and up
-10bpmx10sec for less than 32 weeks
Prolonged Acceleration - CORRECT-ANSWERSacceleration lasting longer than
2 minutes but less than 10 minutes.
Early Deceleration - CORRECT-ANSWERSA visually apparent usually
symmetrical gradual (more than 30 sec) decrease in FHR and return to
baseline associated with a contraction
-nadir occurs at the same time as the peak of the contraction
Late Deceleration - CORRECT-ANSWERSvisually apparent, usually
symmetrical gradual decrease in FHR and return to baseline associate with a
contraction
-delayed in timing with the nadir occurring after the peak of the contraction
Variable Deceleration - CORRECT-ANSWERSvisually apparent abrupt
decrease in FHR
-decrease is 15 bpm lasting for more than 15 sec but less than 2 minutes
Prolonged Deceleration - CORRECT-ANSWERSvisually apparent decrease in
FHR that is at least 15 bpm lasting greater than or equal to 2 minutes but
less than 10 minutes from onset to return to baseline
The benefits of buying summaries with Stuvia:
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
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
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 Elitaa. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
80461 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now