AND 100% CORRECT WELL DETAILED
What is the purpose of fetal monitoring? - ANSWER 1. Evaluate the effects of
intrapartum events on the fetus
2. Evaluate uterine contractions
-prevent mortality and morbidity
-measure oxygena8on to fetus in utero
-assess fetal well being
-provide permanent record
-record events that cannot be heard or measured by ausculta8on alone
What is fetal monitoring? - ANSWER continuous recording of the fetal heart rate and
maternal uterine contractions to assess fetal status and the progress of labor
External Fetal Monitoring - ANSWER the FHR is monitored with an ultrasound
transducer and the client's contractions are monitored with a toco
What is toco and where is it placed? - ANSWER -has a pressure foot and measures
pressure as fundus tightens it puts pressure on sensor and shows if there is a contraction
(frequency and duration)
-strength can be measured with internal monitoring
-placed higher up (on the fundus where contractions are stronger)
What is a ultrasound transducer and where is it placed? - ANSWER -monitors the fetal
HR
-placed lower (goes between baby's shoulder bade and back)
, -bone conduct sound
What is internal fetal monitoring and when is it used? - ANSWER Internal monitoring
provides a more accurate and consistent transmission of the fetal heart rate than external
monitoring because factors such as movement do not affect it. Internal monitoring may be
used when external monitoring of the fetal heart rate is inadequate, or closer surveillance is
needed.
-fetal scalp electrode (internal fetal heart monitor)
-IUPC (internal contraction monitor)
What is the IUPC and when is it used? - ANSWER -internal contraction monitor
-intrauterine pressure catheter
-measured in mmhg
EFM Paper - ANSWER -fetal monitor paper
-divided into 1min intervals
-6 boxes= 60 seconds, 10 sec each
-upper chamber is fetal heart rate
-lower chamber is contraction speed
What is the role of the autonomic nervous system in fetal monitoring? - ANSWER -
sympatheic = cardioaccelerator
-parasympatheic (28 weeks): cardiodeccelerator -regulates HR
Normal fetal heart rate - ANSWER 110-160 bpm
-Fetal heart rate is faster earlier in pregnancy, drops a bit closer to term
Tachycardia fetal heart rate - ANSWER rate greater than 160 bpm that persists for at
least 10 minutes
What is the purpose of fetal monitoring? - ANSWER 1. Evaluate the effects of
intrapartum events on the fetus
2. Evaluate uterine contractions
-prevent mortality and morbidity
-measure oxygena8on to fetus in utero
-assess fetal well being
-provide permanent record
-record events that cannot be heard or measured by ausculta8on alone
What is fetal monitoring? - ANSWER continuous recording of the fetal heart rate and
maternal uterine contractions to assess fetal status and the progress of labor
External Fetal Monitoring - ANSWER the FHR is monitored with an ultrasound
transducer and the client's contractions are monitored with a toco
What is toco and where is it placed? - ANSWER -has a pressure foot and measures
pressure as fundus tightens it puts pressure on sensor and shows if there is a contraction
(frequency and duration)
-strength can be measured with internal monitoring
-placed higher up (on the fundus where contractions are stronger)
What is a ultrasound transducer and where is it placed? - ANSWER -monitors the fetal
HR
-placed lower (goes between baby's shoulder bade and back)
, -bone conduct sound
What is internal fetal monitoring and when is it used? - ANSWER Internal monitoring
provides a more accurate and consistent transmission of the fetal heart rate than external
monitoring because factors such as movement do not affect it. Internal monitoring may be
used when external monitoring of the fetal heart rate is inadequate, or closer surveillance is
needed.
-fetal scalp electrode (internal fetal heart monitor)
-IUPC (internal contraction monitor)
What is the IUPC and when is it used? - ANSWER -internal contraction monitor
-intrauterine pressure catheter
-measured in mmhg
EFM Paper - ANSWER -fetal monitor paper
-divided into 1min intervals
-6 boxes= 60 seconds, 10 sec each
-upper chamber is fetal heart rate
-lower chamber is contraction speed
What is the role of the autonomic nervous system in fetal monitoring? - ANSWER -
sympatheic = cardioaccelerator
-parasympatheic (28 weeks): cardiodeccelerator -regulates HR
Normal fetal heart rate - ANSWER 110-160 bpm
-Fetal heart rate is faster earlier in pregnancy, drops a bit closer to term
Tachycardia fetal heart rate - ANSWER rate greater than 160 bpm that persists for at
least 10 minutes
