Intrapartum Care and Fetal Heart Monitoring
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Questions and Answers

What is the primary cause of variable decelerations?

  • Fetal head compression
  • Reduced flow through the umbilical cord (correct)
  • Maternal position changes
  • Fetal compromise

    • What is a characteristic of early decelerations?

  • They are associated with fetal compromise
  • They are mirror images of contractions (correct)
  • They require nursing intervention
  • They are caused by cord compression

    • What is NOT a characteristic of early decelerations?

  • They are associated with fetal compromise (correct)
  • They are affected by maternal position changes
  • They are mirror images of contractions
  • They return to baseline fetal heart rate by the end of the contraction

    • What is the significance of variable decelerations?

    <p>They require nursing intervention</p> Signup and view all the answers

    What is the shape of variable decelerations?

    <p>An abrupt fall and rise in rate</p> Signup and view all the answers

    What is the normal range of baseline variability in fetal heart rate?

    <p>2-25 BPM</p> Signup and view all the answers

    What is the definition of accelerations in fetal heart rate?

    <p>A temporary increase in FHR of 2 or more bpm for 15 seconds in 20 minutes</p> Signup and view all the answers

    Which type of deceleration is associated with head compression?

    <p>Early deceleration</p> Signup and view all the answers

    What is the significance of accelerations in fetal heart rate?

    <p>They are a sign of a healthy fetal response</p> Signup and view all the answers

    What is the definition of decelerations in fetal heart rate?

    <p>Decreases in FHR defined by their relationship to contractions</p> Signup and view all the answers

    What is the category of a normal finding in prelabor fetal testing?

    <p>Category I</p> Signup and view all the answers

    What is the primary goal of maternal assessment in labor?

    <p>To safeguard mother and infant</p> Signup and view all the answers

    What is the normal range of fetal heart rate (FHR) in beats per minute?

    <p>110-160 BPM</p> Signup and view all the answers

    What is the purpose of Leopold's maneuvers in fetal assessment?

    <p>To identify fetal position</p> Signup and view all the answers

    What is the advantage of intermittent auscultation in low-risk women?

    <p>It allows for mobility and a more natural atmosphere</p> Signup and view all the answers

    What is the definition of bradycardia in fetal heart rate?

    <p>Fetal heart rate less than 110 BPM</p> Signup and view all the answers

    What is the purpose of electronic fetal monitoring (EFM)?

    <p>All of the above</p> Signup and view all the answers

    What is the normal flow of oxygenated maternal blood into the placenta?

    <p>Normal flow of oxygenated maternal blood into the placenta</p> Signup and view all the answers

    What is a pathologic influence on fetal oxygenation?

    <p>Maternal cardiopulmonary alterations</p> Signup and view all the answers

    What is the limitation of intermittent auscultation?

    <p>Uterine activity is assessed for a small part of the total labor</p> Signup and view all the answers

    What is the interpretation of a fetal heart rate with a baseline of 140, regular in rate, and without decelerations after the contraction ends?

    <p>Fetal well-being</p> Signup and view all the answers

    What is the primary concern associated with late decelerations in fetal heart rate patterns?

    <p>Fetal hypoxia and possible acidosis</p> Signup and view all the answers

    What is the definition of a reassuring fetal heart rate pattern?

    <p>A rate of 110-160 bpm with moderate variability</p> Signup and view all the answers

    What is the primary goal of nursing interventions in response to non-reassuring fetal heart rate patterns?

    <p>To improve placental perfusion and fetal oxygen supply</p> Signup and view all the answers

    What is the characteristic of a sinusoidal fetal heart rate pattern?

    <p>None of the above, as it is not a recognized pattern</p> Signup and view all the answers

    What is the appropriate response to a prolonged deceleration in fetal heart rate patterns?

    <p>Change the maternal position to reduce cord compression</p> Signup and view all the answers

    Why is it important to identify the cause of a non-reassuring fetal heart rate pattern?

    <p>To develop targeted nursing interventions to improve fetal outcomes</p> Signup and view all the answers

    What is the primary purpose of administering O2 via face mask in a non-reassuring FHR pattern scenario?

    <p>To increase fetal oxygenation</p> Signup and view all the answers

    Which of the following FHR patterns is associated with fetal well-being?

    <p>Category I: Normal</p> Signup and view all the answers

    What is the primary intervention for maternal hypotension in a non-reassuring FHR pattern scenario?

    <p>Elevating the maternal legs</p> Signup and view all the answers

    What is the significance of Category III FHR tracings?

    <p>Favorable signs are absent</p> Signup and view all the answers

    What is the significance of late or variable decelerations in a FHR tracing?

    <p>They are associated with fetal distress</p> Signup and view all the answers

    What is the purpose of internal fetal monitoring in a non-reassuring FHR pattern scenario?

    <p>To confirm a non-reassuring FHR pattern</p> Signup and view all the answers

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