FETAL HEALTH SURVEILLANCE QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
Does EFM decrease incidences of perinatal mortality or cerebral palsy? - (ANSWER)No.
Who are candidates for continuous EFM? - (ANSWER)Women with high risk pregnancies and/or
increased risk of perinatal death (i.e. suspected IUGR, preeclampsia, Type 1 diabetes), when oxytocin is
used for induction or augmentation, some fetal anomalies, breech, multiple pregnancy, or IA indicates
decelerations or a baseline below 110 or above 160
What antenatal maternal conditions increase risk for adverse fetal outcomes? - (ANSWER)hypertensive
disorders of pregnancy, pre-existing diabetes mellitus/GD, antepartum hemorrhage, other maternal
medical disease, maternal MVA/trauma, morbid obesity
What antenatal fetal conditions increase risk for adverse fetal outcomes? - (ANSWER)prematurity,
oligohydramnios, abnormal umbilical artery doppler velocimetry, IUGR, isoimmunization, multiple
pregnancy, breech presentation
What intrapartum maternal conditions increase risk for adverse fetal outcomes? - (ANSWER)vaginal
bleeding in labour, intrauterine infection/chorionamnionitis, previous c/s, prolonged membrane rupture
> 24 hours term, induced labour, augmented labour, hypertonic uterus, preterm labour, post-term
pregnancy (> 42 weeks)
What intrapartum fetal conditions increase risk for adverse fetal outcomes? - (ANSWER)meconium
staining of the amniotic fluid, abnormal FHR on auscultation
What is the normal FHR? - (ANSWER)110-160 bpm
What are the 3 fetal behavioural states? - (ANSWER)- Quiet sleep: baseline and variability decreased
- Active sleep: FHR and variability slightly increased
- Awake/Arousal: accelerations of FHR w/ movement and variability increased
What does a normal ctx pattern include? - (ANSWER)Frequency: not more than q 2 mins (max 5 ctx in 10
mins)
Duration: < 90 secs
Timing: occur regularly
, FETAL HEALTH SURVEILLANCE QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
Ctx shape: symmetrical
Resting tone: soft uterus in-between ctx for minimum 30 secs
Intensity: > 25 mmHg and < 75-80 mmHg above baseline (normal resting tone is 7-25 mmHg)
Abnormal ctx pattern - (ANSWER)Frequency: more than 5 ctx in 10 mins
Duration: > 90 secs
Timing: doubling or tripling
Ctx shape: asymmetrical
Resting tone: on palpation, uterus does not return to soft resting tone btw ctx (> 20-25 mmHg by IUPC)
or resting tone < 30 sec
When should FHR be auscultated? - (ANSWER)Before:
- initiation of labour-enhancing procedures
- administration of medications
- administration or initiation of analgesia/anesthesia
- transfer or discharge of patient
After:
- admission of patient
- AROM or SROM
- vaginal examinations
- abnormal uterine activity patterns
- any untoward event during labour
- administration or initiation of analgesia/anesthesia
What is the frequency of IA during labour & benefits/limitations? - (ANSWER)Active labour: q 15-30 mins
Active second stage: q 5 mins
Benefits: permits mobility, increased comfort, decreased c/s & interventions, 1 to 1 care, less expensive
and invasive vs EFM, easy to use, portable, compatible w/ hydrotherapy
ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
Does EFM decrease incidences of perinatal mortality or cerebral palsy? - (ANSWER)No.
Who are candidates for continuous EFM? - (ANSWER)Women with high risk pregnancies and/or
increased risk of perinatal death (i.e. suspected IUGR, preeclampsia, Type 1 diabetes), when oxytocin is
used for induction or augmentation, some fetal anomalies, breech, multiple pregnancy, or IA indicates
decelerations or a baseline below 110 or above 160
What antenatal maternal conditions increase risk for adverse fetal outcomes? - (ANSWER)hypertensive
disorders of pregnancy, pre-existing diabetes mellitus/GD, antepartum hemorrhage, other maternal
medical disease, maternal MVA/trauma, morbid obesity
What antenatal fetal conditions increase risk for adverse fetal outcomes? - (ANSWER)prematurity,
oligohydramnios, abnormal umbilical artery doppler velocimetry, IUGR, isoimmunization, multiple
pregnancy, breech presentation
What intrapartum maternal conditions increase risk for adverse fetal outcomes? - (ANSWER)vaginal
bleeding in labour, intrauterine infection/chorionamnionitis, previous c/s, prolonged membrane rupture
> 24 hours term, induced labour, augmented labour, hypertonic uterus, preterm labour, post-term
pregnancy (> 42 weeks)
What intrapartum fetal conditions increase risk for adverse fetal outcomes? - (ANSWER)meconium
staining of the amniotic fluid, abnormal FHR on auscultation
What is the normal FHR? - (ANSWER)110-160 bpm
What are the 3 fetal behavioural states? - (ANSWER)- Quiet sleep: baseline and variability decreased
- Active sleep: FHR and variability slightly increased
- Awake/Arousal: accelerations of FHR w/ movement and variability increased
What does a normal ctx pattern include? - (ANSWER)Frequency: not more than q 2 mins (max 5 ctx in 10
mins)
Duration: < 90 secs
Timing: occur regularly
, FETAL HEALTH SURVEILLANCE QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
Ctx shape: symmetrical
Resting tone: soft uterus in-between ctx for minimum 30 secs
Intensity: > 25 mmHg and < 75-80 mmHg above baseline (normal resting tone is 7-25 mmHg)
Abnormal ctx pattern - (ANSWER)Frequency: more than 5 ctx in 10 mins
Duration: > 90 secs
Timing: doubling or tripling
Ctx shape: asymmetrical
Resting tone: on palpation, uterus does not return to soft resting tone btw ctx (> 20-25 mmHg by IUPC)
or resting tone < 30 sec
When should FHR be auscultated? - (ANSWER)Before:
- initiation of labour-enhancing procedures
- administration of medications
- administration or initiation of analgesia/anesthesia
- transfer or discharge of patient
After:
- admission of patient
- AROM or SROM
- vaginal examinations
- abnormal uterine activity patterns
- any untoward event during labour
- administration or initiation of analgesia/anesthesia
What is the frequency of IA during labour & benefits/limitations? - (ANSWER)Active labour: q 15-30 mins
Active second stage: q 5 mins
Benefits: permits mobility, increased comfort, decreased c/s & interventions, 1 to 1 care, less expensive
and invasive vs EFM, easy to use, portable, compatible w/ hydrotherapy
