Fetal Heart Rate Monitoring

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Questions and Answers

What is the normal range for a fetal heart rate (FHR) in BPM?

80-100 BPM
170-200 BPM
60-80 BPM
110-160 BPM (correct)

What is being assessed when evaluating FHR?

Presence of accelerations only
Variability only
Baseline rate only
Baseline rate, variability, accelerations, and decelerations (correct)

If the fetus is in a vertex presentation, where should the FHR be assessed on the mother's abdomen?

Directly at the umbilicus
Below the umbilicus in the right or left lower quadrant (correct)
Above the umbilicus in the left upper quadrant
Above the umbilicus in the right upper quadrant

Which maneuver should be performed prior to assessing the FHR to determine the position of the fetus?

<p>Leopold Maneuver (C)</p> Signup and view all the answers

Flashcards

Normal FHR

Normal range of fetal heart rate.

FHR Baseline Rate

Average FHR during a 10-minute period (excluding accelerations, decelerations, and marked variability).

FHR Variability

Fluctuations in the FHR baseline, indicating good oxygen reserve.

FHR Accelerations

Abrupt increases in FHR above the baseline, indicating fetal movement or stimulation.

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FHR Decelerations

Decreases in FHR below the baseline, can be periodic or episodic.

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Study Notes

Fetal Heart Rate (FHR) should be between 110-160 BPM, and should be monitored for 20 minutes to determine the baseline.
The key components of FHR assessment are: baseline rate (determined over a 10-min window), variability (fluctuations in the baseline FHR), presence/absence of accelerations (abrupt increases above baseline), and periodic or episodic decelerations (decreases below baseline).
For a vertex presentation, FHR should be assessed below the umbilicus in either the right or left lower quadrant of the abdomen.
For a breech presentation, FHR should be assessed above the umbilicus in either the right or left upper quadrant.
Leopold Maneuvers should be performed before assessing FHR to determine the position of the fetus.

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Description

Fetal Heart Rate (FHR) should be between 110-160 BPM and monitored for 20 minutes. Key components of FHR assessment includes baseline rate, variability, accelerations, and decelerations. FHR is assessed differently based on vertex or breach presentation.