Chapter 14 mother baby

What device detects the fetal pulse by sensing and analyzing tissue movements via Doppler ultrasound?

Electronic Fetal monitor (correct)

Ultrasound machine

Electrocardiogram (ECG)

Stethoscope

What refers to the average fetal heart rate (FHR) that occurs during a 10 minute segment, excluding periodic or episodic rate changes, such as tachycardia or bradycardia?

Baseline Fetal Heart Rate (correct)

Variability

Acceleration

Deceleration

What is defined as irregular fluctuations in the baseline fetal heart rate (FHR), which is measured as the amplitude of the peak to trough in beats per minute?

Variable decelerations

Baseline variability (correct)

Accelerations

Early decelerations

What term describes temporary, recurrent changes made in response to a stimulus such as a contraction?

Periodic baseline changes Signup and view all the answers

What are transitory abrupt increases in the fetal heart rate (FHR) above the baseline that last less than 30 seconds from onset to peak called?

Accelerations Signup and view all the answers

What are visually apparent, usually symmetrical, and characterized by a gradual decrease in the FHR in which the nadir (lowest point) occurs at the peak of the contraction?

Early decelerations Signup and view all the answers

What is a transient fall in fetal heart rate (FHR) caused by stimulation of the parasympathetic nervous system?

Deceleration Signup and view all the answers

What are visually apparent, usually symmetrical, transitory decreases in FHR that occur after the peak of the contraction?

Late Deceleration Signup and view all the answers

What are visually apparent abrupt decreases in fetal heart rate (FHR) below baseline, with an unpredictable shape, possibly demonstrating no consistent relationship to uterine contractions?

Variable decelerations Signup and view all the answers

What is described as having a visually apparent smooth, sinewave-line undulating pattern in the FHR baseline with a cycle frequency of 3 to 5 bpm that persists for more than 20 minutes?

Sinusoidal pattern Signup and view all the answers

Sinusoidal FHR pattern is considered what category pattern?

Category III Signup and view all the answers

Fetal bradycardia occurs when the FHR is below how many bpm lasting 10 minutes or longer?

110 bpm Signup and view all the answers

Fetal tachycardia is a baseline FHR lasting for 10 minutes or longer greater than how many BPM?

160 BPM Signup and view all the answers

What term is used to describe irregular variations or absence of the FHR on the fetal monitor record that result from mechanical limitation of the monitor or electrical interference?

Artifact Signup and view all the answers

What are three ways to provide comfort measures to laboring women?

Position changes, turning the patient, asking the patient what will help them push better Signup and view all the answers

What does the pain assessment tool FOCUS stand for?

Find, Organize, Clarify, Understand, Select Signup and view all the answers

What are some nonpharmacologic pain measures that a nurse can use for a patient in labor? (Select all that apply)

Warm compresses, Ambulation, Hydrotherapy, Labor support Signup and view all the answers

What is the name of the method for determining the presentation, position, and lie of the fetus using 4 specific steps?

Leopold's Maneuvers Signup and view all the answers

Leopold Maneuvers

Maneuver 1 = What fetal part (head or butt) is located in the fundus? Maneuver 2 = On which maternal side is the fetal back located? Maneuver 3 = What is the presenting part? Maneuver 4 = Is the fetal head flexed and engaged in the pelvis? Signup and view all the answers

What should we include in a maternal assessment during labor and birth? (SATA)

Maternal status including prenatal records Signup and view all the answers

To check the duration of a contraction you count the boxes on the monitor.

True Signup and view all the answers

To check the frequency of contractions, you count from the beginning of one contraction to the beginning of the next contraction.

True Signup and view all the answers

Amniotic fluid analysis

Clear = Healthy, what we want, preferred Green = The baby pooped Cloudy, smelly = Infection Slightly pink tinge = Also okay Signup and view all the answers

What is the difference between intermittent and continuous fetal heart rate monitoring?

Intermittent monitoring checks the heart rate at regular intervals, while continuous monitoring tracks the heart rate throughout labor. Signup and view all the answers

Where is the fetal heart rate (FHR) most clearly heard?

Near the fetus's back Signup and view all the answers

How long should the Fetal Heart Rate (FHR) be assessed initially upon entry to the hospital?

10-20 minutes Signup and view all the answers

What are the two types of continuous internal fetal monitoring?

Fetal scalp electrode and intrauterine pressure catheter Signup and view all the answers

What constitutes a Category 1: normal fetal heart rate pattern?

Baseline fetal heart rate between 110-160 bpm, moderate variability, and no late or variable decelerations Signup and view all the answers

What constitutes a Category 2: indeterminate fetal heart rate pattern? (SATA)

Repetitive variable decelerations with minimal or moderate baseline variability Signup and view all the answers

What constitutes a Category 3: abnormal fetal heart rate pattern?

Repetitive late decelerations Signup and view all the answers

What are the primary objectives of continuous electronic fetal monitoring? (Select all that apply)

To provide information about fetal oxygenation Signup and view all the answers

What criteria is required for using continuous internal monitoring of the Fetal Heart Rate (FHR)? (SATA)

Ruptured membranes and appropriate fetal position low enough for placement Signup and view all the answers

Four categories of baseline variability

Absent = fluctuation range undetectable Minimal = fluctuation range observed at <5 bpm Moderate (Normal) = fluctuation range from 6-25 bpm Marked = fluctuation range >25 bpm Signup and view all the answers

What are the types of periodic baseline changes in variability during fetal monitoring?

Accelerations and decelerations Signup and view all the answers

What would be a reason that minimal baseline variability in fetal monitoring is not a concern?

The fetus is asleep. Signup and view all the answers

What are some interventions for category 3 fetal heart rate patterns? (Select all that apply)

Increase maternal oxygen supply and IV fluid rate Signup and view all the answers

When we are first assessing a patient in the first stage of labor, what important question should we ask them?

What is your childbirth plan? Signup and view all the answers

What does GBS stand for in the admission labs?

Group B Streptococcus Signup and view all the answers

To help the patient when it is time to push, what position should we put the patient in?

High fowlers Signup and view all the answers

What are some things we assess for during the fourth stage of labor? (Select all that apply)

Maternal vital signs, DVT assessment Signup and view all the answers