AWHONN FETAL MONITORING COURSE
110-160 - Answer- normal fetal heart rate range
infection, low o2, young - Answer- what could it mean if FHR is high
post date pregnancy - Answer- what could it mean if FHR is low
sonogram - Answer- what is the number one way to know a babies age
amnioinfusion - Answer- what do you do if theres low amniotic fluid, variable decels
kidneys, low urine output, low amniotic fluid - Answer- if baby is stressed, the baby will
divert the blood flow to the brain, heart, and adrenals. this organ won't get good blood
flow which will lead to what?
2 - Answer- what category tracing is absent variability without decels
3 - Answer- what category tracing is absent variability with decels
extrinsic - Answer- influences on fetal heart patterns that are outside the fetus
extrinsic - Answer- what type of influences are associated with maternal-fetal exchange:
-placenta
-maternal utero placental circulation
-fetal placental circulation
-placental transfer
-uterine blood flow
-umbilical cord
-amniotic fluid
intervillous space - Answer- ALL transfer takes place here
transient hypoxemia - Answer- all babies have this with uterine contraction but it's worse
with a problematic placenta
cord compression - Answer- when is the only time you give an amnioinfusion
intrinsic - Answer- influences on fetal heart rate that are inside the babies heart
ductus venosus, liver - Answer- where is the most oxygenated blood
foramen ovale - Answer- where does the blood go to avoid the lungs
moderate variability - Answer- if the baby has this, then they DO NOT have metabolic
acidosis
, infection, movement , loud noise, repositioning - Answer- what would cause a
sympathetic response (things speed up, accelerations)
variable decel, early decal, post dates, head compression - Answer- what would cause
parasympathetic response
vagus nerve - Answer- what nerve decreases bp
hypoxemia - Answer- during this, the blood flow gets shunted to the brain heart and
adrenals. can't tolerate labor
fetal reserve - Answer- the degree of hypoxemia a fetus can tolerate before true tissue
hypoxia and acidosis occur
normal baseline, moderate variability, no late or variable decels - Answer- 3 things that
indicate fetal well being
late or variable decels - Answer- signs of utero-placental insufficiency
change position - Answer- what is the first thing you should do with recurrent late decels
7.10 or higher - Answer- what should pH be
60 or lower - Answer- what should CO2 be
12 or lower - Answer- what should base excess or base deficit be
respiratory - Answer- if CO2 is greater than 60, what type of acidosis
metabolic - Answer- if base excess greater than 12, what type of acidosis
baseline fetal heart rate, 5, 10 - Answer- the approximate mean FHR rounded to
increments of ____ bpm during a ____ minute window, excluding:
-accelerations and deceleratons
-periods of marked variability
2, 10 - Answer- for baseline fetal heart rate there must be at least ___ minutes of
identifiable baseline segments in a ___ minute window or the baseline for that period is
indeterminate
110, 10 - Answer- bradycardia is a baseline of < ____ bpm for > ___ minutes
160, 10 - Answer- tachycardia is a baseline of >___ bpm for >___ minutes
contractions, high pitocin - Answer- what can cause bradycardia
110-160 - Answer- normal fetal heart rate range
infection, low o2, young - Answer- what could it mean if FHR is high
post date pregnancy - Answer- what could it mean if FHR is low
sonogram - Answer- what is the number one way to know a babies age
amnioinfusion - Answer- what do you do if theres low amniotic fluid, variable decels
kidneys, low urine output, low amniotic fluid - Answer- if baby is stressed, the baby will
divert the blood flow to the brain, heart, and adrenals. this organ won't get good blood
flow which will lead to what?
2 - Answer- what category tracing is absent variability without decels
3 - Answer- what category tracing is absent variability with decels
extrinsic - Answer- influences on fetal heart patterns that are outside the fetus
extrinsic - Answer- what type of influences are associated with maternal-fetal exchange:
-placenta
-maternal utero placental circulation
-fetal placental circulation
-placental transfer
-uterine blood flow
-umbilical cord
-amniotic fluid
intervillous space - Answer- ALL transfer takes place here
transient hypoxemia - Answer- all babies have this with uterine contraction but it's worse
with a problematic placenta
cord compression - Answer- when is the only time you give an amnioinfusion
intrinsic - Answer- influences on fetal heart rate that are inside the babies heart
ductus venosus, liver - Answer- where is the most oxygenated blood
foramen ovale - Answer- where does the blood go to avoid the lungs
moderate variability - Answer- if the baby has this, then they DO NOT have metabolic
acidosis
, infection, movement , loud noise, repositioning - Answer- what would cause a
sympathetic response (things speed up, accelerations)
variable decel, early decal, post dates, head compression - Answer- what would cause
parasympathetic response
vagus nerve - Answer- what nerve decreases bp
hypoxemia - Answer- during this, the blood flow gets shunted to the brain heart and
adrenals. can't tolerate labor
fetal reserve - Answer- the degree of hypoxemia a fetus can tolerate before true tissue
hypoxia and acidosis occur
normal baseline, moderate variability, no late or variable decels - Answer- 3 things that
indicate fetal well being
late or variable decels - Answer- signs of utero-placental insufficiency
change position - Answer- what is the first thing you should do with recurrent late decels
7.10 or higher - Answer- what should pH be
60 or lower - Answer- what should CO2 be
12 or lower - Answer- what should base excess or base deficit be
respiratory - Answer- if CO2 is greater than 60, what type of acidosis
metabolic - Answer- if base excess greater than 12, what type of acidosis
baseline fetal heart rate, 5, 10 - Answer- the approximate mean FHR rounded to
increments of ____ bpm during a ____ minute window, excluding:
-accelerations and deceleratons
-periods of marked variability
2, 10 - Answer- for baseline fetal heart rate there must be at least ___ minutes of
identifiable baseline segments in a ___ minute window or the baseline for that period is
indeterminate
110, 10 - Answer- bradycardia is a baseline of < ____ bpm for > ___ minutes
160, 10 - Answer- tachycardia is a baseline of >___ bpm for >___ minutes
contractions, high pitocin - Answer- what can cause bradycardia
