C-EFM (100% solved)

What is the primary goal of fetal monitoring? correct answers To prevent fetal and maternal morbidity and mortality (prevent injury and death to mother and baby) In 2004 JCAHO Sentinel Event Alert #30 recommends correct answers Standard terminology to prevent perinatal sentinel events What was the root cause of perinatal/infant death or permanent disability? (72%) correct answers Communication What is the only true auscultation tool available? correct answers Fetoscope What does the fetoscope do? correct answers Hears opening and closing of heart valves in baby What are the benefits of palpating? correct answers We touch the patient and we can palpate the strength of contraction What are the limitations of palpating? correct answers Each person is subjective on the strength and sometimes can be hard to feel What does a Doppler do? correct answers Only detects heart MOTION Benefits of auscultation? correct answers Pt has freedom to move and it's not invasive Limitations of auscultation? correct answers -you can not determine variability -takes time -need to have competency For auscultation documentation what needs to be documented? correct answers Rate, Rhythm (regular/irregular), increases or decreases from baseline And need to listen 30 seconds before, during and after contraction What do you NOT document for auscultation documentation? correct answers Variability and decelerations In the 1st stage of labor you can do intermittent monitoring on a low risk patient how often? correct answers Every 30 minutes In the 2nd stage (pushing) how often can you intermittently monitor for low and high right patients correct answers Low risk q15 min High risk q5 min During intermittent monitoring when do you also need to listen to FHR? correct answers During interventions such as medications, SROM/AROM, cervix check, etc.