NUR 260 FETAL EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
fetoscope
a special stethoscope for hearing the fetal heartbeat through the mother's abdomen
doppler
diagnostic instrument that sends an ultrasonic beam into the body
Tocodynamometer (toco)
A pressure transducer used to monitor uterine contractions
ultrasound transducer
A device used both to generate and to receive ultrasound, which changes electrical
energy into sound and sound into electrical energy
palpation of contractions
tensing and relaxation of fundus to measure time between contractions
EFM limitations
difficult to trace with maternal obesity,
maternal/fetal activity, certain fetal presentations,
anterior placenta
limits maternal mobility
mat monitor half or double count heart rate- esp
if fetal bradycardia and tachycardia
EFM benefits
, non-invasive
does not require ruptured membranes
provides a permanent record
Fetal Scalp Electrode (FSE)
attached to the baby's scalp to record the
electrical conduction of fetal heart
clear and movement does not affect trying to find fetal heart rate
Intrauterine Pressure Catheter (IUPC)
catheter inserted into uterine cavity to assess uterine activity and pressure by electronic
means
internal monitoring limitations
invasive
membranes must be ruptured
cervix must be dialated
small risk of infection, fetal injury, uterine perforation
limits maternal mobility
internal monitoring benefits fse
continuous monitoring even during maternal/fetal movement
internal monitoring benefits iupc
accurately assesses contractions
accurately assesses timing of fhr events
fetal heart rate components
Baseline, Variability, Accelerations, Decelerations
COMPLETE SOLUTIONS VERIFIED
fetoscope
a special stethoscope for hearing the fetal heartbeat through the mother's abdomen
doppler
diagnostic instrument that sends an ultrasonic beam into the body
Tocodynamometer (toco)
A pressure transducer used to monitor uterine contractions
ultrasound transducer
A device used both to generate and to receive ultrasound, which changes electrical
energy into sound and sound into electrical energy
palpation of contractions
tensing and relaxation of fundus to measure time between contractions
EFM limitations
difficult to trace with maternal obesity,
maternal/fetal activity, certain fetal presentations,
anterior placenta
limits maternal mobility
mat monitor half or double count heart rate- esp
if fetal bradycardia and tachycardia
EFM benefits
, non-invasive
does not require ruptured membranes
provides a permanent record
Fetal Scalp Electrode (FSE)
attached to the baby's scalp to record the
electrical conduction of fetal heart
clear and movement does not affect trying to find fetal heart rate
Intrauterine Pressure Catheter (IUPC)
catheter inserted into uterine cavity to assess uterine activity and pressure by electronic
means
internal monitoring limitations
invasive
membranes must be ruptured
cervix must be dialated
small risk of infection, fetal injury, uterine perforation
limits maternal mobility
internal monitoring benefits fse
continuous monitoring even during maternal/fetal movement
internal monitoring benefits iupc
accurately assesses contractions
accurately assesses timing of fhr events
fetal heart rate components
Baseline, Variability, Accelerations, Decelerations
