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8 Cards in this Set
- Front
- Back
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The purpose of intrapartum fetal assessment is to identify fetal __ and to identify the fetus who may be having __ stress beyond the ability to compensate for it.
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well-being - hypoxic
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The two approaches to intrapartum fetal assessment are intermittent __ with palpation of uterine __ and __ __ monitoring. Each type has advantages and limitations. Electronic fetal monitoring has not been shown to be superior to auscultation with palpation, but more staff may be needed to achieve safe, intermittent auscultation with palpation.
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auscultation - activity - electronic fetal
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Fetal oxygenation depends on a normal flow of oxygenated __ __ into the placenta, normal exchange within the __, patent __ __ vessels, and normal fetal __ and __-carrying function.
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maternal blood - placenta - umbilical cord - circulatory - oxygen
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Stimulation of the __ nervous system increases the FHR and strengthens the heart __. Stimulation of the __ nervous system slows the heart rate and maintains short-term variability. The __ nervous system matures later than the __, beginning at about __-__ weeks of gestation.
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sympathetic - contraction - parasympathetic - parasympathetic - sympathetic - 28-30
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An advantage of the fetoscope over Doppler ultrasound devices is that the fetoscope assesses __ __ __ sounds and therefore can be used to reliably identify fetal cardiac __. Doppler devices sense cardiac __ and convert the __ into __ that represents the cardiac activity.
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actual fetal heart - dysrhythmias - motion - motion - sound
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External electronic fetal monitoring is (less/more) __ accurate for fetal heartrate and uterine activity patterns than internal monitoring, but it is noninvasive.
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less
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Greater __ is the main advantage of internal electronic fetal monitoring devices.
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accuracy
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Nursing responsibilities related to intrapartum fetal monitoring include promoting fetal __, identifying and reporting __ findings, supporting __, communicating with the physician or nurse-midwife, and documenting all care.
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oxygenation - nonreassuring - parents
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