Exam II 2. Fetal Monitoring Questions with Answers 2025

Exam II 2. Fetal Monitoring Questions
with Answers 2025
WhenadoayouaassessaFHRa-acorrectaanswers-duringalabora
Prioratoalaborastimulants,aperiodsaofaambulation,aadministrationaofamedications,ainitiationaof
aanesthesia

Followingarom,avaginalaexams,aperiodsaofaambulation,aandaproceduresasuchaasaenemasaa
ndacaths
WhyadoayouaassessaFHR?A-acorrectaanswers-
toarecognizeaabnormalauterineapatterns,aevaluateaeffectsaofapitocinaandaotherameds
Whataareatheatwoamethodsaofafetalamonitoring?A-acorrectaanswers-
intermittenta(auscultationawithafetoscopeaoradoppler)
Electronic/continuousa(externalatocoatransducerawithaultrasound,ainternalascalpaelectrodea
withaiupc)
Intermittentafetalamonitoringa-acorrectaanswers-lowarisk,Aone-to-oneanurse-to-
ptaratio,anonainvasive,amomacanabeaambulatory
Disadvantagesaofaintermittentafetalamonitoringa-acorrectaanswers-isaaalearnedaskill
Mayamissadetectionaofainformationawithaaaweakasignalaoramovementaofamomaandababy
Difficultatoaidentifyaperiodicachanges
Difficultatoadetectavariability
Noaprintedarecordaotherathananursingadocumentation
Awhonnaandaacogastandardsaforaintermittentafetalamonitoringa-acorrectaanswers-
forahighariskamom:astageaia-AQ30min,astageaiia-AQ15min
Foralowariskamom:astageaia-AQ15min,astageaiia-AQ5Amin
Advantagesaofaefma-acorrectaanswers-continuousainformation
Variabilityacanabeadetermined
Printedarecordaasalongaasamomaisaonatheamonitor
Disadvantagesaofaefma-acorrectaanswers-
requiresaadvancedaassessmentaandaclinicalajudgmentaskills
Hasaaahistoryaofacontroversyaforainterpretationaandainterventionsarestrictionaofamom'saactivi
ty
Expensive
Mayaincreaseac/sarate,Ainfections
Useashouldabeabasedaonariskaassessmentabutaalsoaisabasedaonaobstetricastaffapreferenceaa
ndahospapolicy
Awhonnastandardsaforaefma-acorrectaanswers-
initiationaofamonitoringaandaongoingaevaluationaonlyabyalicensedahealthcareaproviders
Fetalaheartarateamonitoringaincludes:
Applicationaofamonitoringacomponents
Initialaassessmentaofamotheraandafetus
Intermittentaauscultation
Ongoingamonitoringaandainterpretation

, Clinicalainterventions
Riskafactorsatoaconsideraforaefma-acorrectaanswers-maternalariskafactors
Fever
Infection
Preeclampsia
Anyadiseaseaprocess
Grandamultiparity
Previousac/S
Fetalariskafactors
Decreasedamovement
Meconium
Postadates
IUGR
Abnormalapresentation
Multiples
Uterineariskafactors
Dysfunctionalalabor
Failureatoaprogress
Useaofapitocin
Uterineaanomalies
Complications
Prolongedarom
Prematurealabor
Prematurearom
Pretermalabor
Previa/abruption
Regionalaanesthesia
Lowao2ainabloodatoaasphixiaa-acorrectaanswers-
hypoxemiaatoahypoxiaatoaacidemiaatoaacidosisatoaasphyxia
Baselineafhranormalaisawhat?Ahowadoayouaassessathis?A-acorrectaanswers-110-160abpma
Toaassess:ameanafhrainaaa10aminaandaroundedatoaincrementaofa5ai.e.A125,A130,A135Aetc.
Mustahaveaataleasta2amin.aofaidentifiableabaselineasegment
FHR:atachycardiaa-acorrectaanswers-fhtaovera160afora10aminaoramore
Consideredaanaominousasignaifaaccompaniedabyaotherapoorapatterns
FHR:abradycardiaa-acorrectaanswers-fhtaundera110afora10aminaoramore
Mayabeaominousaorabenign
Fhratachyamayabeacausedabya-acorrectaanswers-
fever,Ainfection,Adehydration,abetasympathomimeticadrugsa(terbutaline,Aritodrine,Aatropine
),aprolongedastimulation,aearlyafetalahypoxia,agetaridaofaco2aoralacticaacid,achronicahypoxemi
a,Aprematurity,afetalaanemia
Txaforafetalatachya-acorrectaanswers-lookaforacauseaandatreat
Enhanceauterineabloodaflow
Decreaseauterineaactivity
Giveao2,Afluids
Notifyatheamd
Ominousasignaifaoccursawithalateadecels,asevereavariables,Adecreased/absentavariabiltiy