NSG-3500 EXAM 2 Galen College of Nursing-Louisville | UPDATED
Questions with 100% Verified Answers
Question:
Fetal Heart Rate (FHR)
Answer:
110-160
Question:
Variation of fetal heart
Answer:
Absent (no fluctuations/flat),minimal (5 bpm variation),
moderate (6-25 bpm variation), marked (>25 bpm variation)
you want to see moderate
Question:
A sedated baby could show
Answer:
minimal variability
Question:
marked variability in FHR
Answer:
>25 bpm indication of distress
Question:
Accelerations in FHR
Answer:
Transient increase in FHR (15x15) for term and 10x 10
minimum for PT 32 weeks and lower should be about 10x10
32 weeks and higher should be about 15x15
Question:
What happens if there are no accelerations
, Answer:
Distressed baby
Question:
Decelerations in FHR
Answer:
Periodic decrease in FHR could be an indication of a problem
Question:
VEAL CHOP
Answer:
V- Variable C- Cord Comphression E- Early Decels H- Head
Compression A- Accelerations O - OK L-Late Decels P -
Placenta
Question:
Periodic decelerations
Answer:
Decelerations of fetal heart rate associated with uterine
contractions.
Question:
episodic decelerations
Answer:
drops in the FHR not associated with uterine contractions
Question:
causes for accelerations
Answer:
- spontaneous fetal movement
- during a vaginal exam
- electrode application
- fetal reaction to external sounds
,- fetal scalp stimulation
- breech presentation
- occiputposterior position
- uterine contractions
- fundal pressure
- abdominal palpation
Question:
accelerations are
Answer:
normal and signifies fetal well being
Question:
Types of decelerations
Answer:
early, late, variable
Question:
Early decelerations
Answer:
everything lines up perfectly head is being compressed on. the
baby is in the canal and is ready to come out PREPARE FOR
DELIVERY
Question:
Late decelerations
Answer:
at peak of contraction, baby's heart rate start to drop. Shifted
to the right of the contraction. Placental insufficiency. Not
giving the baby oxygen baby's "oxygen supply" starts running
out if continual late decels occur
, Question:
Variable decelerations
Answer:
Sharp decline and incline cord compression baby can press on
their own cord prolapsed cord through the cervix (emergency
situation) do not take hand out until baby comes out because
if you let go, the cord will compress again you can add fluid
to the amniotic sac
Question:
Prolonged deceleration
Answer:
A visually apparent decrease (may be either gradual or
abrupt) in FHR of at least 15 beats/min below the baseline
and lasting more than 2 minutes but less than 10 minutes
Question:
Sinusoidal FHR pattern
Answer:
A specific fetal heart rate pattern that is described as a
smooth, sine-wave like undulating pattern with a cycle
frequency of 3-5bpm that continues for at least 20min or
more. PNS &SNS not communicating #1 cause =Fetal anemia
and loosing blood *can also be meds- Butorphanol minutes to
act very rare
Question:
For decelerations, you can decrease
Answer:
oxytocin
Question:
poof for late and variable decels
Questions with 100% Verified Answers
Question:
Fetal Heart Rate (FHR)
Answer:
110-160
Question:
Variation of fetal heart
Answer:
Absent (no fluctuations/flat),minimal (5 bpm variation),
moderate (6-25 bpm variation), marked (>25 bpm variation)
you want to see moderate
Question:
A sedated baby could show
Answer:
minimal variability
Question:
marked variability in FHR
Answer:
>25 bpm indication of distress
Question:
Accelerations in FHR
Answer:
Transient increase in FHR (15x15) for term and 10x 10
minimum for PT 32 weeks and lower should be about 10x10
32 weeks and higher should be about 15x15
Question:
What happens if there are no accelerations
, Answer:
Distressed baby
Question:
Decelerations in FHR
Answer:
Periodic decrease in FHR could be an indication of a problem
Question:
VEAL CHOP
Answer:
V- Variable C- Cord Comphression E- Early Decels H- Head
Compression A- Accelerations O - OK L-Late Decels P -
Placenta
Question:
Periodic decelerations
Answer:
Decelerations of fetal heart rate associated with uterine
contractions.
Question:
episodic decelerations
Answer:
drops in the FHR not associated with uterine contractions
Question:
causes for accelerations
Answer:
- spontaneous fetal movement
- during a vaginal exam
- electrode application
- fetal reaction to external sounds
,- fetal scalp stimulation
- breech presentation
- occiputposterior position
- uterine contractions
- fundal pressure
- abdominal palpation
Question:
accelerations are
Answer:
normal and signifies fetal well being
Question:
Types of decelerations
Answer:
early, late, variable
Question:
Early decelerations
Answer:
everything lines up perfectly head is being compressed on. the
baby is in the canal and is ready to come out PREPARE FOR
DELIVERY
Question:
Late decelerations
Answer:
at peak of contraction, baby's heart rate start to drop. Shifted
to the right of the contraction. Placental insufficiency. Not
giving the baby oxygen baby's "oxygen supply" starts running
out if continual late decels occur
, Question:
Variable decelerations
Answer:
Sharp decline and incline cord compression baby can press on
their own cord prolapsed cord through the cervix (emergency
situation) do not take hand out until baby comes out because
if you let go, the cord will compress again you can add fluid
to the amniotic sac
Question:
Prolonged deceleration
Answer:
A visually apparent decrease (may be either gradual or
abrupt) in FHR of at least 15 beats/min below the baseline
and lasting more than 2 minutes but less than 10 minutes
Question:
Sinusoidal FHR pattern
Answer:
A specific fetal heart rate pattern that is described as a
smooth, sine-wave like undulating pattern with a cycle
frequency of 3-5bpm that continues for at least 20min or
more. PNS &SNS not communicating #1 cause =Fetal anemia
and loosing blood *can also be meds- Butorphanol minutes to
act very rare
Question:
For decelerations, you can decrease
Answer:
oxytocin
Question:
poof for late and variable decels
