NUR 241 Test 1 Fetal Monitoring exam questions and answers.

NUR 241 Test 1: Fetal
Monitoring exam questions and
answers
GPA
Gravida (pregnancies)
Para (expulsion from uterus >20wks)
Abortion (expulsion from uterus <20wks)
P+A+ current pregnancy=G
GTPAL
Gravida (pregnancies)
Term (pregnancies 37+ weeks)
Preterm (pregnancies 20-36weeks)
Abortions (expulsion from uterus <20wks)
Living
estimating due date
LMP date -3months +7days fd
fetal heart rate
120-160 bpm
Influences on fetal heart rate
Placenta/umbilical cord
-Abruption
-Nuchal cord
-Placental aging
Amniotic fluid
-Oligohydramnios

, -Polyhydramnios
Uterine
-Tachysystole
-Prolonged contractions
-Tetanic -Contrations/Hypertonus
-Decreased intervals
Maternal
-Cardiopulmonary (Hypertension, Hypotension, Vasoconstriction,
Substance use)
Fetal
-Position
-Fetal cardiac defect
Fetal Heart Rate Monitoring
Indicates fetal well-being
Abnormal variations in rate or variability indicate fetal distress
Patterns that should cause concern are:
-Patterns that take a long time to return to baseline/normal after a
contraction
-Rate that slows late in the contraction and stays slow after
contraction is over
-Tachycardia or Bradycardia
-Absent, minimal or marked variability
Leopold's Maneuvers
Palpation to determine presentation and position of the fetus and
aid in location of fetal heart sounds.
Head=hard, round, movable object
Buttocks=soft and irregular shape
Back=smooth, hard surface felt on one side of the abdomen
Irregular knobs and lumps on opposite side of abdomen may be
hands, feet, elbows, and knees
Intermittent FHR monitoring