_______ to alleviate cord compressin - ANS-amnio infusion
_________ elements cause umbilical wire compromise which compromises ___ _______,
causing _______ - ANS-extrinsic factors reason umb wire complications, which compromises o2
transport, leading to hypoxemia
4 components of BPP plus NST - ANS-fetal movement, fetal tone, fetal breathing, Amniotic fluid
vol(AFI)
A base deficit of ____________ is of challenge, any base excess of much less than _____
suggests the need for? - ANS-A base deficit of greater than -6 is of subject, a base excess of
much less than -6 indicates need for fluids
Absence of accels after stimulation - ANS-Cat 2
Absent variability plus the subsequent is which class?
1.Recurrent lates or variables
2. Bradycardia
three. Sinusoidal - ANS-cat three
Absent variability w/o recur decels is Category __ - ANS-Cat 2
amniotic fluid vol is an instantaneous reflection of - ANS-fetal urine production in the course of
times of strain
Asphyxia - ANS-Asphyxia is a Combo of hypoxia, acidemia, and metabolic acidosis
check FHR before whilst within the OR? - ANS-abd prep, bc it will then be sterile
earlier than doing a vibroacustic stim (VAS) eastablish what first - ANS-baseline, and handiest
use VAS if normal, never use if extraordinary or prolonged decel
blood go with the flow to the kidneys decreases inside the presence of _______&________ for
that reason reducing the fluid extent - ANS-hypoxemia and acidemia
BPP - ANS-Biophysical profile
BPP - ANS-do with NST over 30 min
Bradycardia <110 is Category __ - ANS-Cat 2
, Category I - ANS-BL of 110-160, moderate var, no lates or variable decels, early decels or
accelerations may pr may not be present.
Decreased AFI increases ______ __________ - ANS-cord compression
decreased amniotic fluid is a - ANS-variable that can be reflective of more chronic fetal
problems
ectopic beats have ________ ____ after the contractions - ANS-compensatory pauses
fetal arrythmias affect fetal _____ by reducing fetal ______ - ANS-fetal arrythmias affect fetal
oxygenation by reducing fetal perfusion
Fetal oxygenation is dependent on the _____ _____ to the uterus and the placenta via the
___________ ______. It is also dependent on the? - ANS-Blood flow via umbilical vein, integrity
of the placenta
Four fetal responses to decreased oxygen delivery? - ANS-Decreased fetal movement,
decreased reactivity and decreased variability, ph goes down producing acidemia
goal of VAS vibroacustic stim - ANS-2 or more FHR accels in 20 min following the VAS
how can i tell if a baby is well oxygenated? - ANS-mod variabilty and accels
How can oxygen delivery be interrupted? - ANS-Maternal anemia, maternal decreases in
cardiac output, patient bleeding
How do i decrease maternal oxygen consumption? - ANS-Breathing techniques, pain
management, repositioning
how do i distinguish between artifact and arrythmias? - ANS-assess the shape and regularity of
the spikes
how do i do a VAS vibroacustic stim - ANS-establish baseline, apply for 3 sec
How do i maximize oxygenation? - ANS-Position change, o2, maternal hydration, breathing
techniques, correct or treat underlying disease
How do i maximize umbilical circulation? - ANS-Position change and amnioinfusion
How do i maximize uterine blood flow? - ANS-Position change,hydration, decrease uterine
ctx(meds), reduce fear and anxiety