CNUR 303- Fetal Health Ax and
Wellbeing Revision Exam And Detailed
Answers.
Importance of fetal health surveillance - Answer * look at fetal response
-To prevent fetal compromise, fetal O2 supply must be maintained
-Have awareness that certain high risk antepartum conditions and labour can be a source of
physiological stress for the fetus
Fetal Ax - Answer Nurses role is to Ax for adequate fetal oxygenation and allow time for
interventions
-Identify possible decompensation
-Hypoxia can deteriorate to severe fetal hypoxia
Fetal Ax includes - Answer -FHR and patterns
-Watching for meconium stained amniotic fluid
-Maternal vital signs
-Uterine activity
Latent stage of labour- FHR Ax - Answer Should be assessed and interpreted hourly
Active stage of labour- FHR Ax - Answer q15-30 minutes same as passive phase of the second
stage (fully dilated but not pushing)
Kick counts - Answer *All pregnant in the 3rd trimester
-Women with risk factors should also start doing counts at 26/40
Kick counts- Goal - Answer 6 movements in 2 hours
-If less that stipulated amt, contact care provider or hospital ASAP
If kick count less that stipulated amt - Answer Complete evaluation of maternal and fetal
health status, including a NST or NPP
, *each component can score up to 2
BPP Time - Answer Takes up to 30 minutes
BPP most telling sign - Answer amniotic fluid volume
BPP and NST - Answer must be done simultaneously
BPP- NST Score - Answer score 2: 2 or more accelerations of 15 bpm lasting 15 seconds in 20-
40minutes
BPP- Fetal breathing movement - Answer One or more episodes of sustained breathing
movement for 30 seconds: Score 2
BPP- Fetal movement - Answer 3 or more discrete body or limb movements within 30
minutes- Score 2
BPP- Fetal tone - Answer One or more episodes of extension and flexion required for 2 point
award
**can include extremities, spine, hands**
BPP Amniotic fluid volume - Answer 0= pockets absent or less than 5 cm total
2= at least one pocket of fluid equal to or greater than 2cm or more than 5 cm total
Non Stress test - Answer Done via continues EFM
-Provides a 'tracing' of baby's HR
-Accelerations
-Variability
-Decelerations
-No contractions
NST helps to - Answer Help HCP plan course of action
Wellbeing Revision Exam And Detailed
Answers.
Importance of fetal health surveillance - Answer * look at fetal response
-To prevent fetal compromise, fetal O2 supply must be maintained
-Have awareness that certain high risk antepartum conditions and labour can be a source of
physiological stress for the fetus
Fetal Ax - Answer Nurses role is to Ax for adequate fetal oxygenation and allow time for
interventions
-Identify possible decompensation
-Hypoxia can deteriorate to severe fetal hypoxia
Fetal Ax includes - Answer -FHR and patterns
-Watching for meconium stained amniotic fluid
-Maternal vital signs
-Uterine activity
Latent stage of labour- FHR Ax - Answer Should be assessed and interpreted hourly
Active stage of labour- FHR Ax - Answer q15-30 minutes same as passive phase of the second
stage (fully dilated but not pushing)
Kick counts - Answer *All pregnant in the 3rd trimester
-Women with risk factors should also start doing counts at 26/40
Kick counts- Goal - Answer 6 movements in 2 hours
-If less that stipulated amt, contact care provider or hospital ASAP
If kick count less that stipulated amt - Answer Complete evaluation of maternal and fetal
health status, including a NST or NPP
, *each component can score up to 2
BPP Time - Answer Takes up to 30 minutes
BPP most telling sign - Answer amniotic fluid volume
BPP and NST - Answer must be done simultaneously
BPP- NST Score - Answer score 2: 2 or more accelerations of 15 bpm lasting 15 seconds in 20-
40minutes
BPP- Fetal breathing movement - Answer One or more episodes of sustained breathing
movement for 30 seconds: Score 2
BPP- Fetal movement - Answer 3 or more discrete body or limb movements within 30
minutes- Score 2
BPP- Fetal tone - Answer One or more episodes of extension and flexion required for 2 point
award
**can include extremities, spine, hands**
BPP Amniotic fluid volume - Answer 0= pockets absent or less than 5 cm total
2= at least one pocket of fluid equal to or greater than 2cm or more than 5 cm total
Non Stress test - Answer Done via continues EFM
-Provides a 'tracing' of baby's HR
-Accelerations
-Variability
-Decelerations
-No contractions
NST helps to - Answer Help HCP plan course of action
