Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
20 Cards in this Set
- Front
- Back
|
Why do we monitor the fetal heart rate during labor?
|
to guauge the oxygenation level of the fetus/make sure the baby is OK
|
|
|
Is birth dangerous to the fetus? Why ?
|
YES, Every contraction decrease Oxygenation around 50%
|
|
|
How would you know a fetus is in danger?
|
FHRM
|
|
|
Why would a high BP of a mom effect oxygenation of the baby?
|
The body shunts blood away from the uterus and placenta to the organs that are necessary to sustain her life.
|
|
|
Whartons jelly helps to keep the 2 arteries and 1 vein from getting completely ?
|
crushed
|
|
|
Uterine factors that influence oxygenation include long contractions, intense contractions, frequent contractions, diminshed or absent resting tone between contractions all act to decrease ? blood supply.
|
fetal
|
|
|
The parasympathetic nervous system ?'s the heart rate and the sympathetic nervous system ?'s the heart rate
|
lowers because the Parasympathetic is Peaceful,,
raises because the symapthetic is Stressful |
|
|
Two things that influence fetal heart rate are ? and ?
|
sleep,
drugs |
|
|
What are the nursing responsibilities for birth: 1- Monitor the fetal ? most of the time via the ?
2- promote adequate fetal ? 3- take corrective action ? 4- Notify MD of fetal O2 ?'s |
1.oxygenation, FHRM,
2. oxygenation, 3. PRN 4. problems |
|
|
How do moms monitor fetal O2 status at home ? What is the best way for mom to lie to check fetal movement ? Mom needs to report if less than ? movements in 30min or less than ? in 1hr or If the fetus has a ?% decrease in movement or no fetal movement, call the ?
|
Fetal movement, it is a reflection of O2 levels!
on her side in the a.m. and p.m to count kicks to establish a baseline, 4, 10, 50% Doctor |
|
|
EFM is a standard of care in a hospital setting, so we need to get an admission strip in the 1st ?-? minutes.
|
20-30
|
|
|
If the fetus is well oxygenated the FHR strip will be reassuring or withing normal limits and this is a category ?
|
one
|
|
|
Reassuring tracings have a 99% ? predictive value for fetal well-being and this usually means a normal ?
|
positive,
acid-base balance |
|
|
Exteranl/Indirect EFM is done in two different ways ? for FHR and ? for uterine contraction
|
ultrasound,
TOCO transducer |
|
|
How do we know where to put the ultrasound for FHRM ? The probe should be placed of the fetuses ?
|
use leopolds maneuvers,
back |
|
|
How do we verify whether or not the fetus is alive ?
|
count the moms HR and compare it to what is normal for mom and a fetus.
|
|
|
How do we know where to place the toco probe to get a proper reading of the uterine contraction ?
|
Palpate to find the contraction and place probe on the site.
|
|
|
There are ? lepolds maneuvers to find the fetal lie. The first maneuver determines the ? part of the fetus. The second maneuver determines which side of the uterus the fetal ? is located. The 3rd maneuver confirms the ? part is engaged. The 4th maneuver determines whether the head is ? or ?
|
4,
presenting, back, presenting, flexed or extended |
|
|
What technology can we use to find out if the babies neck is extended ?
|
ultrasound
|
|
|
After performing leopolds maneuvers where would you expect to find the best location to assess the FHR?
|
LOA- Left Oxiput Anterior
|
