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EXAM II 2. FETAL MONITORING EXAM WITH A 100- CORRECT ANSWERS.
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EXAM II 2. FETAL MONITORING EXAM WITH A 100- CORRECT ANSWERS.
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EXAM II 2. FETAL MONITORINGEXAM WITH A 100% CORRECT
ANSWERS
when do you assess FHR - correct answer- during 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 answer- to recognize abnormal uterine patterns,
evaluate effects of Pitocin and other meds
what are the two methods of fetal monitoring? - correct answer- intermittent
(auscultation with fetoscope or doppler)
electronic/continuous (External toco transducer with ultrasound, internal scalp
electrode with IUPC)
intermittent fetal monitoring - correct answer- low risk, one-to-one nurse-to-pt ratio,
non invasive, mom can be ambulatory
disadvantages of intermittent fetal monitoring - correct answer- Is 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
AWHONN and ACOG Standards for Intermittent fetal monitoring - correct answer-
for high risk mom: stage I - Q30min, stage II - Q15min
for low risk mom: stage I - Q15min, stage II - Q5 min
advantages of EFM - correct answer- Continuous information
, Variability can be determined
Printed record as long as mom is on the monitor
disadvantages of EFM - correct answer- Requires 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
AWHONN standards for EFM - correct answer- Initiation 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
RISK FACTORS to consider for EFM - correct answer- Maternal 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
Prolonged ROM
Premature labor
Premature ROM
Preterm labor
Previa/abruption
Regional Anesthesia
low O2 in blood to Asphixia - correct answer- hypoxemia to hypoxia to acidemia to
acidosis to asphyxia
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