INTERMEDIATE FETAL MONITORING TEST FULLY
SOLVED TEST PAPER GRADED A+
◉ why do you assess FHR?
Answer: to recognize abnormal uterine patterns, evaluate effects of
Pitocin and other meds
◉ what are the two methods of fetal monitoring?
Answer: intermittent (auscultation with fetoscope or doppler)
electronic/continuous (External toco transducer with ultrasound,
internal scalp electrode with IUPC)
◉ intermittent fetal monitoring.
Answer: low risk, one-to-one nurse-to-pt ratio, non invasive, mom
can be ambulatory
◉ disadvantages of intermittent fetal monitoring.
Answer: Is a learned skill
May miss detection of information with a weak signal or movement
of mom and baby
Difficult to identify periodic changes
Difficult to detect variability
,No printed record other than nursing documentation
◉ AWHONN and ACOG Standards for Intermittent fetal monitoring.
Answer: for high risk mom: stage I - Q30min, stage II - Q15min
for low risk mom: stage I - Q15min, stage II - Q5 min
◉ advantages of EFM.
Answer: Continuous information
Variability can be determined
Printed record as long as mom is on the monitor
◉ disadvantages of EFM.
Answer: Requires advanced assessment and clinical judgment skills
Has a history of controversy for interpretation and interventions
Restriction of mom's activity
Expensive
May increase C/S rate, infections
Use should be based on risk assessment but also is based on
obstetric staff preference and hosp policy
◉ AWHONN standards for EFM.
, Answer: Initiation of monitoring and ongoing evaluation only by
licensed healthcare providers
Fetal heart rate monitoring includes:
Application of monitoring components
Initial assessment of mother and fetus
Intermittent auscultation
Ongoing monitoring and interpretation
Clinical interventions
◉ RISK FACTORS to consider for EFM.
Answer: Maternal Risk Factors
Fever
Infection
Preeclampsia
Any disease process
Grand multiparity
Previous C/S
Fetal Risk Factors
Decreased movement
Meconium
Post dates
IUGR
SOLVED TEST PAPER GRADED A+
◉ why do you assess FHR?
Answer: to recognize abnormal uterine patterns, evaluate effects of
Pitocin and other meds
◉ what are the two methods of fetal monitoring?
Answer: intermittent (auscultation with fetoscope or doppler)
electronic/continuous (External toco transducer with ultrasound,
internal scalp electrode with IUPC)
◉ intermittent fetal monitoring.
Answer: low risk, one-to-one nurse-to-pt ratio, non invasive, mom
can be ambulatory
◉ disadvantages of intermittent fetal monitoring.
Answer: Is a learned skill
May miss detection of information with a weak signal or movement
of mom and baby
Difficult to identify periodic changes
Difficult to detect variability
,No printed record other than nursing documentation
◉ AWHONN and ACOG Standards for Intermittent fetal monitoring.
Answer: for high risk mom: stage I - Q30min, stage II - Q15min
for low risk mom: stage I - Q15min, stage II - Q5 min
◉ advantages of EFM.
Answer: Continuous information
Variability can be determined
Printed record as long as mom is on the monitor
◉ disadvantages of EFM.
Answer: Requires advanced assessment and clinical judgment skills
Has a history of controversy for interpretation and interventions
Restriction of mom's activity
Expensive
May increase C/S rate, infections
Use should be based on risk assessment but also is based on
obstetric staff preference and hosp policy
◉ AWHONN standards for EFM.
, Answer: Initiation of monitoring and ongoing evaluation only by
licensed healthcare providers
Fetal heart rate monitoring includes:
Application of monitoring components
Initial assessment of mother and fetus
Intermittent auscultation
Ongoing monitoring and interpretation
Clinical interventions
◉ RISK FACTORS to consider for EFM.
Answer: Maternal Risk Factors
Fever
Infection
Preeclampsia
Any disease process
Grand multiparity
Previous C/S
Fetal Risk Factors
Decreased movement
Meconium
Post dates
IUGR
