FULLY SOLVED FOR TOP PERFORMANCE
◉When is measuring fetal heart rate necessary?. Answer: 1. Signs of
fetal distress
2. Epidural analgesia
3. Labor induction
◉What is electronic fetal monitoring?. Answer: measures the fetal
heart rate and uterine contractions
2 options:
- External vs internal
-Intermittent vs continuous
◉Ultrasound transducer/Doppler. Answer: -external monitoring
-records the fetal heart rate
-gives printed record of heart rate and contractions, and makes
heart sounds audible
◉Tocodynamometer. Answer: -external monitoring
-records the frequency and duration of the contractions
,-gives printed record of heart rate and contractions, and makes
heart sounds audible
◉Fetal scalp electrode (FSE). Answer: -internal monitoring
-attached to the baby's scalp to record the electrical conduction of
the fetal heart
-requires rupture of membranes
◉Intrauterine pressure catheter (IUPC). Answer: -internal
monitoring
-requires rupture of membranes
-thin tube inserted inside the uterine cavity to measure duration,
frequency, and strength of uterine contractions
◉Internal vs external methods. Answer: -may be used
interchangeably
◉Advantages of fetal monitoring for the mother. Answer: -constant
feedback on fetal heart rate may be reassuring
-visible evidence of uterine contractions when the woman has an
epidural and cant feel them
-permanent record of fetal heart rate and uterine contractions
, ◉Disadvantages of fetal monitoring for the mother. Answer: -
restricts position and movement
-may cause unnecessary interventions
-machine becomes focus of attention
-possible need for early rupture of membrane
-possible infection
◉Advantages of fetal monitoring for the baby. Answer: -may detect
risk to baby's health during labor
◉Disadvantages of fetal monitoring for the baby. Answer: -possible
infection from internal monitoring
-possible fetal distress from artificial rupture of membranes of FSE
insertion
-possible unnecessary interventions such as assisted or surgical
delivery
◉Intermittent auscultation. Answer: -listening to the fetal heart at
regular intervals using a handheld Doppler
-alternative to continuous electronic FHR monitoring
-determined over one to two minutes at intervals of 5-30 minutes
depending on the stage of labor
-leads to fewer interventions