FETAL ORIENTATION, 7 CARDINAL MOVEMENTS,
FETAL MONITORING, VARIABILITY & VEAL CHOP
EXAMS WITH 100% ACCURATE ANSWERS RATED
A+ FOR SUCCESS
FETAL MONITORING Physiology: Normal FHR range and
thresholds for tachycardia/bradycardia?
Normal: 110-160 bpm. Tachycardia: >160 bpm. Bradycardia:
<110 bpm.
FETAL MONITORING Nursing Action: Assessment protocol for
Intermittent Fetal Monitoring?
Listen to FHR via Doppler/fetoscope before, during, and 30-60
seconds after a contraction.
FETAL MONITORING Clinical Meaning: Limitation of Continuous
External Monitoring (US + Toco)?
Tocotransducer cannot accurately measure intensity; the nurse
must palpate the uterine fundus.
FETAL MONITORING Physiology / Action: When is Continuous
Internal Monitoring (FSE + IUPC) indicated?
High-risk clients or when external traces are inaccurate. IUPC
measures exact contraction strength in mm Hg.
FETAL MONITORING Critical Safety Action: Why must you AVOID
the supine position?
, FETAL ORIENTATION, 7 CARDINAL MOVEMENTS,
FETAL MONITORING, VARIABILITY & VEAL CHOP
EXAMS WITH 100% ACCURATE ANSWERS RATED
A+ FOR SUCCESS
Uterus compresses the inferior vena cava, causing fetal hypoxia.
Position in lateral (side-lying) or Semi-Fowler's.
FETAL MONITORING Assessment: How do you read time and
data panels on the EFM grid?
Top: FHR (bpm). Bottom: Contraction activity (mm Hg). Time: 1
small box = 10 sec; 1 thick block = 1 min.
FETAL MONITORING Assessment: How to establish the Baseline
Fetal Heart Rate?
Average over a 10-minute window (evaluated between
contractions); requires 2 minutes of clear trace.
VARIABILITY & VEAL CHOP Physiology: What is FHR variability
and what does it indicate?
Irregular fluctuations in baseline FHR; indicates an intact fetal
central nervous system.
VARIABILITY & VEAL CHOP Assessment: Define the 4 levels of
EFM baseline variability.
Absent: Flatline. Minimal: <5 bpm. Moderate: 6-25 bpm (Ideal).
Marked: >25 bpm.
FETAL MONITORING, VARIABILITY & VEAL CHOP
EXAMS WITH 100% ACCURATE ANSWERS RATED
A+ FOR SUCCESS
FETAL MONITORING Physiology: Normal FHR range and
thresholds for tachycardia/bradycardia?
Normal: 110-160 bpm. Tachycardia: >160 bpm. Bradycardia:
<110 bpm.
FETAL MONITORING Nursing Action: Assessment protocol for
Intermittent Fetal Monitoring?
Listen to FHR via Doppler/fetoscope before, during, and 30-60
seconds after a contraction.
FETAL MONITORING Clinical Meaning: Limitation of Continuous
External Monitoring (US + Toco)?
Tocotransducer cannot accurately measure intensity; the nurse
must palpate the uterine fundus.
FETAL MONITORING Physiology / Action: When is Continuous
Internal Monitoring (FSE + IUPC) indicated?
High-risk clients or when external traces are inaccurate. IUPC
measures exact contraction strength in mm Hg.
FETAL MONITORING Critical Safety Action: Why must you AVOID
the supine position?
, FETAL ORIENTATION, 7 CARDINAL MOVEMENTS,
FETAL MONITORING, VARIABILITY & VEAL CHOP
EXAMS WITH 100% ACCURATE ANSWERS RATED
A+ FOR SUCCESS
Uterus compresses the inferior vena cava, causing fetal hypoxia.
Position in lateral (side-lying) or Semi-Fowler's.
FETAL MONITORING Assessment: How do you read time and
data panels on the EFM grid?
Top: FHR (bpm). Bottom: Contraction activity (mm Hg). Time: 1
small box = 10 sec; 1 thick block = 1 min.
FETAL MONITORING Assessment: How to establish the Baseline
Fetal Heart Rate?
Average over a 10-minute window (evaluated between
contractions); requires 2 minutes of clear trace.
VARIABILITY & VEAL CHOP Physiology: What is FHR variability
and what does it indicate?
Irregular fluctuations in baseline FHR; indicates an intact fetal
central nervous system.
VARIABILITY & VEAL CHOP Assessment: Define the 4 levels of
EFM baseline variability.
Absent: Flatline. Minimal: <5 bpm. Moderate: 6-25 bpm (Ideal).
Marked: >25 bpm.
