Exam II 2. Fetal Monitoring fully solved graded A+ 2023/2024

Exam II 2. Fetal Monitoringwhen do you assess FHR - correct answer during labor? Prior to labor stimulants, periods of ambulation, administration of medications, initiation of anesthesia following ROM, vaginal exams, periods of ambulation, and procedures such as enemas and caths why do you assess FHR? - correct answer to recognize abnormal uterine patterns, evaluate effects of Pitocin and other meds what are the two methods of fetal monitoring? - correct answer intermittent (auscultation with fetoscope or doppler) electronic/continuous (External toco transducer with ultrasound, internal scalp electrode with IUPC) intermittent fetal monitoring - correct answer low risk, one-to-one nurse-to-pt ratio, non invasive, mom can be ambulatory disadvantages of intermittent fetal monitoring - correct answer Is a learned skill May miss detection of information with a weak signal or movement of mom and baby Difficult to identify periodic changes Difficult to detect variability No printed record other than nursing documentation AWHONN and ACOG Standards for Intermittent fetal monitoring - correct answer for high risk mom: stage I - Q30min, stage II - Q15min for low risk mom: stage I - Q15min, stage II - Q5 min advantages of EFM - correct answer Continuous information Variability can be determined Printed record as long as mom is on the monitor