Exam II 2. Fetal Monitoring
6 additives of a deceleration - ANS-Onset - point where decel leaves baseline
Descent - time from onset ot nadir: slow is while it's 30 sec or extra and abrupt is while its less
than 30
Nadir - lowest point of deceleration
Depth - degree in beats at the nadir
Recovery - time from nadir to retunr to baseline
Duration - overall length of time from onset to go back to BL
blessings of EFM - ANS-Continuous statistics
Variability may be determined
Printed record so long as mother is at the display
are arrhythmias smooth to diagnose? - ANS-no, they commonly ought to use invasive/advanced
monitoring
are variables a hassle? - ANS-now not commonly considered a hassle until the deceleration is
less than 70 bpm, remaining more than 60 sec, or has a sluggish go back to baseline
ordinary variable decelerations - ANS-The presence of any of those forms of variable
decelerations could be very suggestive of fetal hypoxia, mainly when variability is reduced.
AWHONN and ACOG Standards for Intermittent fetal monitoring - ANS-for high risk mom: level I
- Q30min, stage II - Q15min
for low danger mom: degree I - Q15min, stage II - Q5 min
AWHONN standards for EFM - ANS-Initiation of monitoring and ongoing evaluation most
effective through licensed healthcare carriers
Fetal heart rate tracking consists of:
Application of tracking components
Initial evaluation of mom and fetus
Intermittent auscultation
Ongoing tracking and interpretation
Clinical interventions
baseline FHR regular is what? How do you determine this? - ANS-one hundred ten-a hundred
and sixty bpm
To Assess: Mean FHR in a 10 min and rounded to increment of 5 i.E. 125, 130, one hundred
thirty five and many others.
Must have at the least 2 min. Of identifiable baseline section
, baseline variability - ANS-visible after 32 seeks, important parameter of fetal well being,
push-pull interplay of sympathetic and parasympathetic device, visible as the grass like
fluctuations on baseline, evaluation is visually made and genuinely indicates an intact mind
stem, ok modern-day O2 in the brain
category I FHT - ANS-Normal: baseline of a hundred and ten-160, variability is mild, periodic
styles (accelerations with fetal actions, early decelerations can be present, lates or variables
absent
strongly predictive of regular fetal acid-base reputation, preserve with "routine" assessments
Category II FHT - ANS-Tracing is indeterminate
Not predictive of acid-base popularity
But cannot be reassured
Requires further assessment, persevered surveillance
Consider the associated clinical circumstances of mom
class III FHT - ANS-Absent baseline FHR variability with any of the subsequent:
Recurrent overdue decelerations
Recurrent variables delcelerations
Bradycardia
Sinusoidal pattern
Predictive of extraordinary fetal acid-base reputation
prompts intervention
causes of fetal bradycardia - ANS-Hypotension
Regional anesthesia and anesthesia
Accidental tracking of maternal pulse
Prolonged head compression (vagal)
Prolonged umbilical wire occlusion
Fetal dysrhythmia
Hypoxemia or late fetal asphyxia
characteristics of a class II FHT - ANS-brady with variability, tachy, minimal or marked variability,
absence of accelerations, recurrent variables with variability, extended decels
type of variability - ANS-Absent = No fluctuations gift
Minimal = zero-5 bpm
Moderate = 6-25 bpm
Marked = >25 bpm
contraction pressure test (OCT) - ANS-seeking out good enough placental perfusion
three contx in 10 min
twine blood evaluation want assist on slide 86 - ANS-
6 additives of a deceleration - ANS-Onset - point where decel leaves baseline
Descent - time from onset ot nadir: slow is while it's 30 sec or extra and abrupt is while its less
than 30
Nadir - lowest point of deceleration
Depth - degree in beats at the nadir
Recovery - time from nadir to retunr to baseline
Duration - overall length of time from onset to go back to BL
blessings of EFM - ANS-Continuous statistics
Variability may be determined
Printed record so long as mother is at the display
are arrhythmias smooth to diagnose? - ANS-no, they commonly ought to use invasive/advanced
monitoring
are variables a hassle? - ANS-now not commonly considered a hassle until the deceleration is
less than 70 bpm, remaining more than 60 sec, or has a sluggish go back to baseline
ordinary variable decelerations - ANS-The presence of any of those forms of variable
decelerations could be very suggestive of fetal hypoxia, mainly when variability is reduced.
AWHONN and ACOG Standards for Intermittent fetal monitoring - ANS-for high risk mom: level I
- Q30min, stage II - Q15min
for low danger mom: degree I - Q15min, stage II - Q5 min
AWHONN standards for EFM - ANS-Initiation of monitoring and ongoing evaluation most
effective through licensed healthcare carriers
Fetal heart rate tracking consists of:
Application of tracking components
Initial evaluation of mom and fetus
Intermittent auscultation
Ongoing tracking and interpretation
Clinical interventions
baseline FHR regular is what? How do you determine this? - ANS-one hundred ten-a hundred
and sixty bpm
To Assess: Mean FHR in a 10 min and rounded to increment of 5 i.E. 125, 130, one hundred
thirty five and many others.
Must have at the least 2 min. Of identifiable baseline section
, baseline variability - ANS-visible after 32 seeks, important parameter of fetal well being,
push-pull interplay of sympathetic and parasympathetic device, visible as the grass like
fluctuations on baseline, evaluation is visually made and genuinely indicates an intact mind
stem, ok modern-day O2 in the brain
category I FHT - ANS-Normal: baseline of a hundred and ten-160, variability is mild, periodic
styles (accelerations with fetal actions, early decelerations can be present, lates or variables
absent
strongly predictive of regular fetal acid-base reputation, preserve with "routine" assessments
Category II FHT - ANS-Tracing is indeterminate
Not predictive of acid-base popularity
But cannot be reassured
Requires further assessment, persevered surveillance
Consider the associated clinical circumstances of mom
class III FHT - ANS-Absent baseline FHR variability with any of the subsequent:
Recurrent overdue decelerations
Recurrent variables delcelerations
Bradycardia
Sinusoidal pattern
Predictive of extraordinary fetal acid-base reputation
prompts intervention
causes of fetal bradycardia - ANS-Hypotension
Regional anesthesia and anesthesia
Accidental tracking of maternal pulse
Prolonged head compression (vagal)
Prolonged umbilical wire occlusion
Fetal dysrhythmia
Hypoxemia or late fetal asphyxia
characteristics of a class II FHT - ANS-brady with variability, tachy, minimal or marked variability,
absence of accelerations, recurrent variables with variability, extended decels
type of variability - ANS-Absent = No fluctuations gift
Minimal = zero-5 bpm
Moderate = 6-25 bpm
Marked = >25 bpm
contraction pressure test (OCT) - ANS-seeking out good enough placental perfusion
three contx in 10 min
twine blood evaluation want assist on slide 86 - ANS-
