NUR 221 EXAM 2
Study online at https://quizlet.com/_9kbqga
amplitude range undetected
Absent FHR variability
1-5 bpm
Minimal FHR variability
6-25 bpm what we want
Moderate FHR variability
>25 bpm
Marked FHR variability
Purpose: to determine presentation and
position of fetus and aid in knowing
where to position FHR monitor
Method: explain procedure to pt, have
woman empty bladder, wash hands,
stand beside, facing woman's head
What is Leopolds maneuver? 4 maneuvers
110-160 bpm
What is normal FHR?
newborn is the same
bradycardia FHR and causes
, NUR 221 EXAM 2
Study online at https://quizlet.com/_9kbqga
<110 bpm
due to perfusion issues, body is in dis-
tress
>160 bpm
Tachycardia FHR and causes if mom is tachy too could be due to infec-
tion
greater than 5 contractions in 10 minutes
and there is fetal tachycardia or late de-
celerations
What is tachysystole?
When is the only time the baby is being
at rest (between contractions)
perfused while in labor?
peak of one contraction to the peak of the
next contraction (or beginning to begin-
ning)
Frequency of contractions are measured
from the...
start to finish of one contraction
Duration of contractions are measured
from the...
strength of contraction at its peak (mild,
moderate, strong)
Intensity of contractions
How can you tell the intensity of a con-
traction by feeling?
, NUR 221 EXAM 2
Study online at https://quizlet.com/_9kbqga
cheek= resting
nose= mild
chin= moderate
forehead= strong
For uterine activity palpate uterus for
contraction
Apply over fundus- make sure there is
What is TOCO? contact
GOES ON TOP
tells frequency and duration of contrac-
tions
an apparent, abrupt increase in the FHR
above baseline.
-Greater than or equal to 32 weeks ges-
tation
-The increase from onset to peak in <30
seconds
-The peak must be at least 15 bpm and
last at least 15 seconds
Accelerations in FHR
-If <32 weeks gestation at least 10 bpm
for 10 seconds
This is a normal good finding... Just doc-
ument and continue to monitor.
have a shape that is symmetrical, with a
gradual decrease and return of FHR to
baseline in association with a contraction
-Means Head compression-normal labor
Early Decelerations - Fetal Heart Rate process
**gradual decrease
**mirror image of contraction
JUST OBSERVE-prepare for delivery,
document normal labor
Study online at https://quizlet.com/_9kbqga
amplitude range undetected
Absent FHR variability
1-5 bpm
Minimal FHR variability
6-25 bpm what we want
Moderate FHR variability
>25 bpm
Marked FHR variability
Purpose: to determine presentation and
position of fetus and aid in knowing
where to position FHR monitor
Method: explain procedure to pt, have
woman empty bladder, wash hands,
stand beside, facing woman's head
What is Leopolds maneuver? 4 maneuvers
110-160 bpm
What is normal FHR?
newborn is the same
bradycardia FHR and causes
, NUR 221 EXAM 2
Study online at https://quizlet.com/_9kbqga
<110 bpm
due to perfusion issues, body is in dis-
tress
>160 bpm
Tachycardia FHR and causes if mom is tachy too could be due to infec-
tion
greater than 5 contractions in 10 minutes
and there is fetal tachycardia or late de-
celerations
What is tachysystole?
When is the only time the baby is being
at rest (between contractions)
perfused while in labor?
peak of one contraction to the peak of the
next contraction (or beginning to begin-
ning)
Frequency of contractions are measured
from the...
start to finish of one contraction
Duration of contractions are measured
from the...
strength of contraction at its peak (mild,
moderate, strong)
Intensity of contractions
How can you tell the intensity of a con-
traction by feeling?
, NUR 221 EXAM 2
Study online at https://quizlet.com/_9kbqga
cheek= resting
nose= mild
chin= moderate
forehead= strong
For uterine activity palpate uterus for
contraction
Apply over fundus- make sure there is
What is TOCO? contact
GOES ON TOP
tells frequency and duration of contrac-
tions
an apparent, abrupt increase in the FHR
above baseline.
-Greater than or equal to 32 weeks ges-
tation
-The increase from onset to peak in <30
seconds
-The peak must be at least 15 bpm and
last at least 15 seconds
Accelerations in FHR
-If <32 weeks gestation at least 10 bpm
for 10 seconds
This is a normal good finding... Just doc-
ument and continue to monitor.
have a shape that is symmetrical, with a
gradual decrease and return of FHR to
baseline in association with a contraction
-Means Head compression-normal labor
Early Decelerations - Fetal Heart Rate process
**gradual decrease
**mirror image of contraction
JUST OBSERVE-prepare for delivery,
document normal labor
