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