Fetal Bradycardia: Causes and Nursing Actions
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Questions and Answers

What is the duration threshold for bradycardia in electronic fetal monitoring?

  • Less than 110 bpm lasting 10 minutes (correct)
  • Less than 120 bpm lasting 15 minutes
  • Less than 100 bpm lasting 5 minutes
  • Less than 90 bpm lasting 20 minutes

Which maternal condition can cause fetal bradycardia?

  • Hyperthermia
  • Supine position (correct)
  • Increased hydration
  • Elevated blood pressure

What is an appropriate nursing action for fetal bradycardia?

  • Increase the oxytocin
  • Encourage the mother to stand
  • Administer an epidural
  • Turn the mother on her left side (correct)

Which fetal condition can result to bradycardia?

<p>Cord occlusion (B)</p> Signup and view all the answers

Which of these medications may cause fetal bradycardia?

<p>Certain types of anesthesia (D)</p> Signup and view all the answers

Flashcards

Bradycardia (Fetal)

Fetal heart rate less than 110 bpm sustained for 10 minutes.

Supine Hypotension

Lying on the back during labor puts pressure on the vena cava, reducing blood flow.

Maternal Hypotension

A sudden drop in maternal blood pressure that can reduce oxygen delivery to the fetus.

Fetal Hypoxia

A condition of reduced oxygen supply to the fetus.

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Bradycardia Interventions

Administer oxygen, reposition the mother, and stop oxytocin.

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Study Notes

  • Bradycardia in electronic fetal monitoring is defined as a heart rate of less than 110 bpm, lasting for at least 10 minutes.
  • Maternal causes of bradycardia include:
    • Supine position
    • Dehydration
    • Hypotension
    • Cardiac issues
    • Rupture of the uterus
    • Placental abruption
    • Certain medications
  • Fetal causes of bradycardia include:
    • Hypoxia
    • Cord occlusion
    • Acute hypoxemia
    • Late or profound hypoxemia
    • Hypothermia
    • Hypokalemia
    • Chronic fetal head compression
    • Bradyarrhythmias
  • Nursing actions to address bradycardia include:
    • Administering oxygen to the mother
    • Providing fetal stimulation
    • Turning the mother onto her left side
    • Discontinuing oxytocin administration

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Description

Bradycardia in electronic fetal monitoring is defined as a heart rate below 110 bpm for at least 10 minutes. Causes include maternal factors like hypotension and fetal factors like hypoxia. Nursing actions involve oxygen administration and addressing the underlying cause.

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