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;
22 Cards in this Set
- Front
- Back
|
If a mom has a lot of ? it interferes with the monitor for contractions and FHR.
|
adipose tissue
|
|
|
The FECG/spiral electrode is used for ? fetal HR monitoring this also gives us a fetal EKG. We can verify fetal life by comparing HR of ?
|
internal,
mom |
|
|
What are the risks of direct/internal monitoring ?
|
infection,
trauma/damage to uterus, trauma to fetus |
|
|
Intrauterine pressure catheter measure pressure using ?
|
cm of H2O pressure
|
|
|
Does the membrane need to be ruptured to use either of the internal EFM devices ? What are the appropriate presenting parts of the fetus that may be used for direct/internal EFM ?
|
YES,
Head, no face, fontanel, or Butt, NO private parts |
|
|
C-V-B-A-D-C
|
Contraction,
Variability, Baseline, Acells, Dcells, Changes |
|
|
We need to round the increment of the FHR tracing to ? bpm during a 10 minute window excluding ?'s and ?'s
|
5bpm,
a-cells, d-cells |
|
|
Fetal Bradycardia can show us ? and Fetal Tachycardia can show us ?,?,?
|
hypoxia,
hypoxia, maternal fever, infection |
|
|
Variability on a tracing is an indicator of fetal ? Factors that influence variability include ?, ?, ?, ?, ?
|
(F-A-N-P-D)-
O2/oxygen, Fetal sleep, Abnormality of the CNS, Narcotics, Prematurity, Decreased O2 |
|
|
Variability is determined by fluctuations of amplitude on the tracing as bpm in a ? min window.
|
10
|
|
|
Degrees of amplitude classification:
? has an undetectable amplitude/flat line. ? has an amplitude between 1-5bpm. ? has an amplitude between 6-25bpm ? has an amplitude above 25bpm. |
absent,
minimal, moderate, marked |
|
|
Acells are ? signs of adequate fetal oxygenation. Acells are apparent and abrupt meaning that increases in ? from the onset of the Acell to the nadir is less than ? seconds.
|
reassuring,
FHR, 30sec |
|
|
A prolonged Acell is > ? minutes but < than ? mins if the Accell is >than 10min the this is a change in ?
|
2min, 10min,
baseline |
|
|
To tell if the fetus is having an Acell there are 2 measurements according to age: for a fetus that is >32 weeks the measurement is ≥ ? sec long and ≥ ? bpm higher than the baseline and for a fetus that is <32weeks it is ≥ ? sec long and ≥ ? bpm higher than the baseline.
|
15 x 15,
10 x 10 |
|
|
We may use ? stimulation to initiate Acells.
|
scalp stimulation
|
|
|
An Acell in the FHR peaking at 15 bpm above the base line and lasting 15 seconds suggest that the fetus is at a normal ? level and ?-? balance
|
oxygen,
acid-base |
|
|
Dcells have 3 different categories ?,?,?
|
early,
late, variables |
|
|
A ? Dcell is visually apparent, usually semetrical, gradually decreasing and returning of the FHR, associated with Uterine contraction and last from the start to the Nadir > than ? second. The nadir of the early Dcell occurs at the ? time as the peak of the UC.
|
Early,
30sec, same |
|
|
early Dcells are caused by ?
|
fetal head compression
|
|
|
Nursing intervention for Early Dcell = there is no link between early Dcell's and a decrease in fetal O2 status so the nurse will make ? intervention and continue to monitor pt.
|
NO
|
|
|
If the pt is having early Dcells be ready for ?
|
birth
|
|
|
What is the minimum the cervix must be dilated to use an Internal Electronic Fetal Monitor?
|
1-2cm
|
