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26 Cards in this Set
- Front
- Back
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change in baseline FHR
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long term deviation in the FHR that lasts more than 15 min
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FHR controlled by..
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ANS, vagus nerve, SNS
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movement or uterine contractions do what to the FHR?
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increase
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Assess FHR when?
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before, during and after a contraction
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know baby is in distress when..
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brady 100 or less
drop of 20bpm or more from baseline |
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IUPC
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measures intensity of contraction
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to do IUPC or FSE what must happen
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ROM and at least 2 cm dilated
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during contractions baby is...
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without oxygen, rest is important during breaks!
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diagnosed brady when..
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FHR less than 110-120 for 10+ min
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severe brady
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less than 80
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decreased
moderate marked Variability |
0-5
6-25 >25- not good! up or down! |
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mom has a fever, what may happen what do we do?
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increase FHR- tachy
HYDRATE mom! |
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severe tachy
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>181
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treat FHR also by..
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cooling methods
antipyretic antibiotic |
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early (before contraction) deceleration of FHR may indicate..
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benign if alone symptom
head compression if bad! |
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late (after peak of contraction) may indicate..
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uteroplacental insufficiency
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what to do if late deceleration?>
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turn pt to left side with knee to chest
oxygen 8-10 L/min by mask |
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variable deceleration (before, after or during contraction) may indicate..
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cord compression
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what to do if variable deceleration?
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turn pt and give O2
check presenting part |
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tachy may be an early sign of... (2)
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hypoxia. GIVE OXYGEN
infection of fetus- stress from sepsis |
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meds that stop or slow preterm labor can cause what? give example of med.
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TACHY
terbutaline |
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premie causes tachy bc
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immature nervous system
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epinephrine increases FHR bc...
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mom is in stress and this increases, crosses placenta barrier
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metabolism increased by what? causes tachy
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fever!
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fever caused by what?
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epidural!
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fetus infection caused by- (2)
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prolonged ROM
stress from sepsis |
