(5.5) - Fetal Monitoring - Simple Nursing Questions with 100% Actual correct answers | verified | latest update | Graded A+ | Already Passed | Complete Solution

(5.5) - Fetal Monitoring - Simple Nursing
Mother's belly is palpated for what before putting on Fetal Heart Rate sensor? - ANS--
Point of Maximal Impulse (PMI)

(best place to place EFM)

Placement of Fetal Heart Rate Sensor - cephalic vs breech: - ANS-Cephalic:
- placed on lower abdomen

Breech:
- placed on upper abdomen

(PMI is between the baby's shoulders)

Second Sensor of Fetal Monitor: - ANS-Contraction Monitor Sensor

- placed high up on abdomen - monitors contractions

Fetal Scalp Electrode (FSE) - - ANS-- internal fetal monitor

- for high risk pregnancies
- electrode on baby's scalp
- not effected by fluid

- ONLY after amniotic fluid is *ruptured* & *2 cm dilated*

(infection risk!)

Normal FHR - - ANS-110-160 bpm

Variability on FHR monitor - - ANS-- how jiggly/wiggly the line is

- means: happy baby

- *the more wiggly, the more happy*

*Absent* Variability - - ANS-RED LIGHT!

, - NOT jiggly = NOT good
- Risk: complications/death

- C Section!

*Minimal* Variability - - ANS-YELLOW LIGHT

- looks "sleepy & sad"
- flatter line

- baby = sleeping or in trouble

*Moderate* Variability - - ANS-GREEN LIGHT

- NORMAL & desired

*Marked* Variability - - ANS-- jagged jiggles

- *stressed* baby
- typically during labor

Accelerations - - ANS-- temporary ↑ FHR = ok

- means *good oxygenation* for baby

("happy little mountains")

Decelerations - - ANS-- dips from baseline

3 types:
- Early Decels

Early Decels: - ANS-*Good* (Early = Excellent)

- shallow, bowl shaped
- *mirror* mother's contractions

Indicates:
- *head compression* = okay