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32 Cards in this Set
- Front
- Back
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Only proven difference between Intermittent Auscultation and Continuous Electronic Fetal Monitoring:
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Decreased neonatal seizures.. but NNT 661
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How often should you do Intermittent Auscultation for:
-Uncomplicated patient -Complicated patient |
Uncomplicated: every 30min during first stage, 15 in second
Complicated: ever 15m in first stage, every 5 min in second |
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What is the Acronym for ECFM INTERPRETATION?
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DR C BRAVADO
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DR C
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Determine Risk
Contractions |
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BRA
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Baseline RAte
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VADO
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Variability
Accelerations Decels Overall assessment |
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So what is DR C BRAVADO?
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Determine Risk
Contractions Baseline RAte Variability Accels Decels Overall assessment |
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What is a normal rate for CONTRACTIONS?
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5 or less in 10 min over a 30 min period
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What is an abnormal rate for Contractions?
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>5 in 10 min over a 30 min period
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What is an abnormal rate of contractions called?
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Tachysystole
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What is a normal Baseline RAte?
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110-160 bpm
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What are the 4 levels of heartrate Variability?
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Absent
Min Mod Marked |
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What is considered minimal variability?
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Amplitude range detectable but 5 or less bpm
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What is considered moderate variability?
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6-25 bmp amplitude
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What is considered marked variability?
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>25 bmp amplitude
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What is considered an acceleration for babies >32 wks?
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15 bpm greater than baseline; onset to peak in <30sec, lasting at least 15 sec; returns to normal in 2min
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What is considered an acceleration for babies <32 wks?
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10 bpm greater than baseline; onset to peak in <30sec, lasting at least 10 sec; returns to normal in 2min
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When is an acceleration considered prolonged?
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If it takes up to 10 min to return to normal
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What is a deceleration's normal duration?
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<2min
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What is it called if a decel takes more than 2min but less than 10min to return to normal?
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Prolonged deceleration
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What is it called if a deceleration lasts longer than 10min?
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Bradycardia
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What is the treatment for a Category 1 tracing?
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Follow routinely
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What is the treatment for a Category 2 tracing?
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Efforts to resolve, prompt evaluation
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What is the treatment for a Category 3 tracing and why?
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Prompt evaluation, intervention, and consider immediate delivery - this is predictive of a fetal acid-base status
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What can NOT be found on a Category I tracing?
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Can not have variable decels or late decels
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What MUST a category 1 tracing have?
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Baseline Rate 110-160
Moderate variability |
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What 2 things characterize a Category 3 tracing?
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-Sinusoidal pattern
-ABSENT variability with any: recurrent late decels recurrent variable decels bradycardia |
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What measures should be taken for both Category 2 and 3 tracings?
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Intrauterine Resuscitation Measures
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What are some Intrauterine Resuscitation Measures?
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-Lateral positioning (L/R)
-Maternal oxygen -IVF Bolus -consider amnioinfusion |
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What intervention should be taken for Tachysystole with Category 2 or 3 tracing?
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-Reduce uterine ctx - stop oxytocin
-Give tocolytic like terbutaline |
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When is the best time for Amnioinfusion?
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In cases of Recurrent Variable Decels
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What should you remember to do in preparing for amnioinfusion?
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Get informed consent
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