Fetal Heart Rate Monitoring: Categories II & III
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Questions and Answers

What fetal heart rate pattern indicates Category III, suggesting fetal hypoxia?

  • Absent variability with recurrent late decelerations (correct)
  • Absent variability with recurrent accelerations
  • Moderate variability with occasional accelerations
  • Marked variability with no decelerations

Which condition necessitates preparation for a C-section due to fetal hypoxia?

  • Category III fetal heart rate pattern (correct)
  • Category I fetal heart rate pattern
  • Category II fetal heart rate pattern
  • Normal fetal heart rate pattern

What characterizes a Category II fetal heart rate pattern?

  • Absent variability with no recurrent decelerations
  • Everything else that isn't Category I or Category III (correct)
  • Sinusoidal pattern
  • Absent variability with recurrent late decelerations

Which fetal heart rate characteristic is associated with a Category III tracing?

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

Besides recurrent late decelerations, what other type of deceleration with absent variability indicates a Category III fetal heart rate pattern?

<p>Recurrent variable decelerations (C)</p> Signup and view all the answers

Flashcards

Category II Fetal Heart Rate

Fetal heart rate pattern showing absent variability without recurrent decelerations, it encompasses patterns not categorized as Category I or III.

Category III Fetal Heart Rate

Fetal heart rate pattern indicative of fetal hypoxia, characterized by absent variability and recurrent late decelerations, recurrent variable decelerations, or bradycardia. Requires preparation for C-section.

Fetal Heart Rate Variability

Fluctuations in the baseline fetal heart rate.

Late Decelerations

Gradual decrease in fetal heart rate with onset after the peak of the contraction and recovery after the contraction ends, indicating possible uteroplacental insufficiency.

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Variable Decelerations

Visually apparent abrupt decrease in fetal heart rate below the baseline, can indicate umbilical cord compression.

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Study Notes

  • Category II: Absent variability without recurrent decelerations; encompasses all fetal heart rate patterns not classified as Category I or III.
  • Category III: Indicates fetal hypoxia, necessitating preparation for a C-section.
    • Absent variability accompanied by recurrent late decelerations.
    • Absent variability along with recurrent variable decelerations.
    • Absent variability with bradycardia.
    • Sinusoidal pattern: visually apparent smooth, sine-wave-like pattern.

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Description

An overview of Category II and III fetal heart rate patterns. Category II patterns lack variability without recurrent decelerations. Category III patterns indicate fetal hypoxia and may require a C-section, including absent variability with decelerations, bradycardia or a sinusoidal pattern.

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