making babies exam 3(question & answers)2023

making babies exam 3types of care providers for labor and delivery - correct answer Doula Labor nurse Lay Midwife or Certified Professional Midwife (CPM) Certified Nurse Midwife (CNM) Family Practitioner Obstetrician/Gynecologist (OB/GYN) Perinatologist, Maternal-fetal medicine doctor why measure fetal heart rate? - correct answer bc changes may indicate change in oxygen levels of a fetus or excessive bleeding affecting the fetus the goal is to reduce neonatal death and avoid neurologic/brain injury electronic fetal monitoring - correct answer measures fetal heart rate and uterine contractions types: internal vs. external intermittent vs. continuous external fetal monitoring - correct answer -ultrasound transducer or doppler: records the fetal heart rate -tocodynamometer: records the frequency and duration of the contractions internal fetal monitoring - correct answer -fetal scalp electrode: attached to the baby's scalp to record the electrical conduction of fetal hear - intrauterine pressure catheter (IUPC): a thin tube inserted inside the uterine cavity to measure duration, frequency and strength of uterine contractions advantages of electronic fetal monitoring - correct answer -constant feedback on fetal heart rate may be reassuring -visible evidence of uterine contractions when woman has an epidural -permanent record of fetal heart rate and uterine contractions disadvantages of electronic fetal monitoring - correct answer -restricts position and movement -FHR variations may cause unnecessary interventions -machine becomes focus of attention -possible need for early ROM -possible infection advantages of EFM for the baby - correct answer may detect risks to baby's health during labor disadvantages of EFM for the baby - correct answer -potential infection -possible fetal distress from artificial repture of membranes of FSE insertion -possible unnecessary interventions: assisted or surgical delivery a homebirth attended by a certified professional midwife: - correct answer are trained to manage emergencies such as resuscitation or postpartum hemorrhage episiotomy - correct answer a surgical cut between the vagina and rectum that assists in the delivery of a baby what is the role of pitocin during labor - correct answer it causes stronger and more frequent contractions to help dilate the cervix midwives that are present at home births or birth centers: - correct answer - act conservatively in protecting mom and baby and will bring mother to hospital if necessary -have access to some emergency equipment and oxygen -are trained in resusitating babies disadvantage to an epidural - correct answer -the mother may not push effectively because the epidural may make her numb to the pressure of the baby in the birth canal