Fetal Health Monitoring in Labor and Delivery
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Questions and Answers

What is the normal diameter of the umbilical cord?

  • 3 to 3.5 cm
  • 4 to 4.5 cm
  • 1 to 1.5 cm
  • 2 to 2.5 cm (correct)

Which of the following correctly describes the contents of a normal cord?

  • 1 artery and 1 vein
  • 2 arteries and 1 vein (correct)
  • 1 artery and 2 veins
  • 2 veins and 1 artery

What is a common component found in normal umbilical cords?

  • Chorionic villi
  • Placental tissue
  • Amniotic fluid
  • Wharton's Jelly (correct)

Which symptom indicates placenta separation during delivery?

<p>Gushing of blood per vagina (B)</p> Signup and view all the answers

What happens to the umbilical cord during placenta separation?

<p>It elongates (A)</p> Signup and view all the answers

What generally happens to the fetal heart rate (FHR) during labor?

<p>It descends and moves toward the midline. (A)</p> Signup and view all the answers

What can make it difficult to listen to fetal heart sounds during a contraction?

<p>Maternal movement or muffling of the sounds. (D)</p> Signup and view all the answers

Which of the following is NOT a reason for difficulty in listening to the FHR during contractions?

<p>Maternal anxiety affecting heart rate. (C)</p> Signup and view all the answers

What is a common characteristic of fetal heart rate patterns during contractions?

<p>They may become difficult to detect. (B)</p> Signup and view all the answers

Which statement about fetal heart rate during labor is accurate?

<p>Fetal heart rate can descend and align with a midline. (B)</p> Signup and view all the answers

Study Notes

Fetal Heart Rate During Labor

  • During labor, the fetal heart rate (FHR) commonly descends and moves closer to the midline.
  • It can be difficult to accurately listen to the FHR during contractions due to maternal movement or muffling of sound.

Umbilical Cord

  • The umbilical cord typically has a diameter of 2 to 2.5 centimeters.
  • The structure of the umbilical cord consists of two arteries and one vein.
  • Wharton’s Jelly is a gelatinous substance that surrounds and protects the blood vessels within the umbilical cord.

Placenta Separation

  • Gushing of blood from the vagina is a sign of placental separation.
  • Elongation of the umbilical cord is another sign of placental separation.

Cervical Cytology

  • The transformation zone of the cervix is the area where most malignancies arise.
  • Changes in the cervical epithelium can be observed as color variations.

Non-Stress Test (NST)

  • The NST is a safe and noninvasive test for pregnant women.
  • The NST is sometimes called cardiotocography (CTG).
  • The NST is typically performed after 30 weeks of pregnancy.
  • The frequency of NSTs should be twice weekly.
  • The FHR is monitored externally using a sensor attached to a belt placed on the mother's abdomen.

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Description

This quiz assesses knowledge on key aspects of fetal health monitoring during labor, including fetal heart rate patterns, umbilical cord structure, placental separation signs, and cervical cytology. Test your understanding of the Non-Stress Test and its implications for maternal and fetal well-being.

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