Fetal Monitoring | Set 2 Questions and Answers with 100% Correct Answers | Latest Version

Fetal Monitoring | Set 2 Questions and Answers with 100%
Correct Answers | Latest Version

Question 1.
Fetoscope

Correct Answer: . *Listens to fetal heart* externally, better than stethoscope


Question 2.
1.) Wand that sends *Ultra sound to fetus* 2.) *Detects Fetal HR*, and you can also hear
Heart Beat

Correct Answer: Doppler


Question 3.
Electronic Fetal Monitor (EFM): I

Correct Answer: 1.) *Tocotransducer (external)*-monitors *uterine contractions*
& abdominal pressure. *Placed on the fundus*, tells us pressure of contractions.
2.) *Ultrasound Transducer (external)*-monitors *Fetal HR* and MOVEMENT
>Best place to put is *BEHIND BABY'S BACK* >Placement is from
*umbilicus->lateral to right->drop below waist* >*LEOPOLD'S
MANUEVER*-palpate belly to determine position of fetus (we don't do)


Question 4.
Electronic Fetal Monitor (EFM): II

Correct Answer: 3.) *Intrauterine pressure catheter (IUPC) (internal)*-Assesses
*uterine contractions accurately* in mmHg, *goes around baby's head*. Mom
needs to be ruptured for this. 4.) *Fetal Scalp Electrode (FSE) (internal)*-Assess
*FH*, and is screwed into baby's head but *NOT on FONTANELS or SUTURES, but
on "HARD BONY PLATE"*. Must be *2-4cm dilated and ruptured*.


Question 5.
1.) Normal Range: 110-160 (acceptable Fetal & Newborn HR) 2.) Periodic Pattern
changes-are Accelerations & Decelerations from the baseline 3.) Variability-overall
changes in baseline, most important part of fetal monitoring 4.) Baseline rate-mean
average of FHR between UCs

Correct Answer: Fetal Heart Rate (FHR)


Question 6.
1.) *Accelerations*-increase in baseline rate by *15 bpm lasting 15 seconds (15x15)*.
Happens when baby moves, get excited,

Correct Answer: FHR Changes

, Question 7.
1.) Abnormal Uterine Contraction likely an external monitor, *but if internal want to bring
these contractions down during tachycardia* 2.) *Uterus will rupture if there is no "resting
tone"*

Correct Answer: Fetal Tachycardia


Question 8.
1.) If there are *uterine contractions but no accelerations, this will be a dead baby*

Correct Answer: Fetal Bradycardia


Question 9.
Normal Decelerations

Correct Answer: . Occurs after peak contraction and can happen anytime
between 0-30 seconds


Question 10.
1.)* Caused By HEAD COMPRESSIONS*, because uterus presses on baby's head. >*Normal
closer to delivery*, but *early on she either ruptured or not enough fluid* cushioning baby
2.) *Nadir occurs SIMULTANEOUSLY WITH PEAK CONTRACTION and last greater or equal to
30 seconds* from baseline (onset) to Nadir.

Correct Answer: Early Decelerations


Question 11.
1.) Caused by *Uteroplacental insufficiency (O2 not getting to baby)* 2.) Late deceleration
*begins after the peak contraction and last greater or equal to 30 seconds* (from onset to
nadir)

Correct Answer: Late Decelerations


Question 12.
1.) Caused by *CORD COMPRESSION and can HAPPEN ANYTIME, timing is not relevant and
last <30 seconds from baseline to nadir* ALWAYS. May not be enough amniotic fluid in
uterus. If happens early can amnio-infuse her with more fluid. 2.) Can occur *EVEN
WITHOUT CONTRACTION* 3.) Can have an *EARLY, LATE, VARIABLE contraction all at once
when membrane ruptures*, uterus squeezing baby out 2.) Shaped like a *U, V, or W* on
the monitor

Correct Answer: Variable Decelerations


Question 13.
Interventions for Decelerations

Correct Answer: 1.) Early-*Don't do anything*, just continue to monitor 2.) Late
& Variable-*Lay mom on her left side*, because *perfusion would drop laying her
on back*