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What is the primary goal of fetal monitoring? ✔Correct 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 ✔Correct Answer-Standard terminology
to prevent perinatal sentinel events
What was the root cause of perinatal/infant death or permanent disability? (72%) ✔Correct
Answer-Communication
What is the only true auscultation tool available? ✔Correct Answer-Fetoscope
What does the fetoscope do? ✔Correct Answer-Hears opening and closing of heart valves in
baby
What are the benefits of palpating? ✔Correct Answer-We touch the patient and we can
palpate the strength of contraction
What are the limitations of palpating? ✔Correct Answer-Each person is subjective on the
strength and sometimes can be hard to feel
What does a Doppler do? ✔Correct Answer-Only detects heart MOTION
Benefits of auscultation? ✔Correct Answer-Pt has freedom to move and it's not invasive
Limitations of auscultation? ✔Correct Answer--you can not determine variability
-takes time
-need to have competency
For auscultation documentation what needs to be documented? ✔Correct 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? ✔Correct Answer-Variability
and decelerations
In the 1st stage of labor you can do intermittent monitoring on a low risk patient how often?
✔Correct Answer-Every 30 minutes
, In the 2nd stage (pushing) how often can you intermittently monitor for low and high right
patients ✔Correct Answer-Low risk q15 min
High risk q5 min
During intermittent monitoring when do you also need to listen to FHR? ✔Correct Answer-
During interventions such as medications, SROM/AROM, cervix check, etc.
What is the normal FHR range? ✔Correct Answer-110-160 bpm
Category 1 auscultation includes ALL... ✔Correct Answer--normal FHR baseline
-regular rhythm
-presence of access
-absence of decels
Category 2 auscultation includes ANY of the following ✔Correct Answer--irregular rhythm
-presence of decels
-tachycardia
-bradycardia
US/EFM detects? ✔Correct Answer-Fetal heart movement
When does a baby need 15x15? ✔Correct Answer-At 32 weeks
Benefits of EFM/US? ✔Correct Answer--you can see what's going on with baby all the time
-we can see variability which tells about oxygenation
-gives us an objective legal record
-Non invasive
Limitations of EFM/US? ✔Correct Answer--constant readjustment
-limited patient movement
-when the monitor doubles or halves the FHR
Why would the EFM/US double or halve the FHR? ✔Correct Answer-If the FHR is less than 30
or greater than 240 or the baby has a heart arrhythmia
FSE/IFM does what? ✔Correct Answer-Directly monitors the R to R interval
"Ekg for baby"
FSE/IFM benefits? ✔Correct Answer-Very precise
Pt can have more movement
FSE/IFM limitations? ✔Correct Answer--water needs to be broken
-increased infection risk
-too much hair on baby's head can cause artifact