Questions and Answers
What is the cause of variable deceleration?
Cord compression
What is the cause of early deceleration?
Head compression
What is the cause of accelerations?
That's normal, may need oxygen
What is the cause of late deceleration?
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Nursing interventions for cord compression include: Amnioinfusion, O2, and _____.
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Nursing interventions for head compression?
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Nursing interventions for acceleration?
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Nursing interventions for late decelerations include: Administer O2, discontinue oxytocin, increase IV fluids, and _____.
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Variable deceleration
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Early deceleration
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Acceleration
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Late deceleration
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Category one FHR Patterns is ___________ of normal fetal acid-base status.
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Category II FHR Patterns is ____________ of abnormal fetal acid-base status.
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Category III FHR Patterns is _____________ of abnormal fetus acid-base.
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Study Notes
Fetal Heart Rate (FHR) Decelerations
- Variable decelerations occur due to cord compression.
- Early decelerations are caused by head compression.
- Accelerations in FHR are normal, though may indicate the need for oxygen.
- Late decelerations result from placental insufficiency.
Nursing Interventions by Deceleration Type
-
Cord Compression:
- Perform amnioinfusion
- Administer oxygen
- Change maternal position to relieve pressure
-
Head Compression:
- No specific interventions required
-
Accelerations:
- Generally no interventions needed; oxygen may be considered
-
Late Decelerations:
- Administer oxygen
- Discontinue oxytocin if in use
- Increase intravenous fluids
- Change maternal position to improve blood flow
FHR Pattern Categories
- Category I: Strongly predictive of normal fetal acid-base status, indicating good fetal well-being.
- Category II: Non-predictive of abnormal fetal acid-base status, often seen in transitional states.
- Category III: Predictive of abnormal fetal acid-base status, requiring immediate clinical intervention to prevent fetal distress.
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Description
Test your understanding of the VEAL CHOP acronym related to fetal heart rate decelerations. This quiz covers the causes of variable, early, late decelerations, and how to respond to these situations effectively through nursing interventions. Perfect for nursing students and healthcare professionals.
