What is the primary goal of fetal monitoring? - ANSWER To prevent fetal and maternal
morbidity and mortality (prevent injury and death to mother and baby)
In 2004 JCAHO Sentinel Event Alert #30 recommends - ANSWER Standard terminology to
prevent perinatal sentinel events
What was the root cause of perinatal/infant death or permanent disability? (72%) - AN-
SWER Communication
What is the only true auscultation tool available? - ANSWER Fetoscope
What does the fetoscope do? - ANSWER Hears opening and closing of heart valves in
baby
What are the benefits of palpating? - ANSWER We touch the patient and we can palpate
the strength of contraction
What are the limitations of palpating? - ANSWER Each person is subjective on the
strength and sometimes can be hard to feel
What does a Doppler do? - ANSWER Only detects heart MOTION
Benefits of auscultation? - ANSWER Pt has freedom to move and it's not invasive
Limitations of auscultation? - ANSWER -you can not determine variability
1
, -takes time
-need to have competency
For auscultation documentation what needs to be documented? - ANSWER Rate, Rhythm
(regular/irregular), increases or decreases from baseline
And need to listen 30 seconds before, during and after contraction
What do you NOT document for auscultation documentation? - ANSWER Variability and
decelerations
In the 1st stage of labor you can do intermittent monitoring on a low risk patient how often?
- ANSWER Every 30 minutes
In the 2nd stage (pushing) how often can you intermittently monitor for low and high right
patients - ANSWER Low risk q15 min
High risk q5 min
During intermittent monitoring when do you also need to listen to FHR? - ANSWER Dur-
ing interventions such as medications, SROM/AROM, cervix check, etc.
What is the normal FHR range? - ANSWER 110-160 bpm
Category 1 auscultation includes ALL... - ANSWER -normal FHR baseline
-regular rhythm
-presence of access
-absence of decels
Category 2 auscultation includes ANY of the following - ANSWER -irregular rhythm
-presence of decels
2
morbidity and mortality (prevent injury and death to mother and baby)
In 2004 JCAHO Sentinel Event Alert #30 recommends - ANSWER Standard terminology to
prevent perinatal sentinel events
What was the root cause of perinatal/infant death or permanent disability? (72%) - AN-
SWER Communication
What is the only true auscultation tool available? - ANSWER Fetoscope
What does the fetoscope do? - ANSWER Hears opening and closing of heart valves in
baby
What are the benefits of palpating? - ANSWER We touch the patient and we can palpate
the strength of contraction
What are the limitations of palpating? - ANSWER Each person is subjective on the
strength and sometimes can be hard to feel
What does a Doppler do? - ANSWER Only detects heart MOTION
Benefits of auscultation? - ANSWER Pt has freedom to move and it's not invasive
Limitations of auscultation? - ANSWER -you can not determine variability
1
, -takes time
-need to have competency
For auscultation documentation what needs to be documented? - ANSWER Rate, Rhythm
(regular/irregular), increases or decreases from baseline
And need to listen 30 seconds before, during and after contraction
What do you NOT document for auscultation documentation? - ANSWER Variability and
decelerations
In the 1st stage of labor you can do intermittent monitoring on a low risk patient how often?
- ANSWER Every 30 minutes
In the 2nd stage (pushing) how often can you intermittently monitor for low and high right
patients - ANSWER Low risk q15 min
High risk q5 min
During intermittent monitoring when do you also need to listen to FHR? - ANSWER Dur-
ing interventions such as medications, SROM/AROM, cervix check, etc.
What is the normal FHR range? - ANSWER 110-160 bpm
Category 1 auscultation includes ALL... - ANSWER -normal FHR baseline
-regular rhythm
-presence of access
-absence of decels
Category 2 auscultation includes ANY of the following - ANSWER -irregular rhythm
-presence of decels
2
