The following are components of the basic
assessment for maternal and fetal well-being: -
--maternal vital signs and physical exam Variable decelerations may occur: - -With
-leopold maneuvers and fetal assessment or without a contraction (periodic or episodic)
-labor and membrane status
The decelerations that may be found in a
A comprehensive maternal-fetal physical Category 1 tracing are: - -early
assessment is necessary to assess maternal decelerations
oxygenation, build the maternal-fetal data base,
and optimize clinical decisions. - -TRUE
Extrinsic influences of fetal heart rate patterns
include: - -Placenta, fetal-placental
circulation, umbilical cord
Intrinsic influence of fetal heart rate patterns
include: - -Baroreceptors, chemoreceptors,
hormonal responses
Decreased umbilical blood flow stimulates the
chemoreceptors and/or baroreceptors, increasing
catecholamine production leading to an increase
in blood flow to the essential organs, including: -
--adrenals
-brain
-heart
A systematic assessment of the fetal heart rate
tracing includes: - -Baseline rate,
variability, periodic/episodic changes, uterine
activity
The only true method of contraction strength
assessment when using external fetal monitors is
through: - -palpation
Recurrent decelerations - -Occur with ≥
50% of contractions in a 20-minute period.
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