WITH COMPLETE QUESTION AND
CORRECT ANSWERS RATED A+
What are the abnormal presentations for a fetus? Correct Answer
face, brow, breech, and shoulder
How do we find fetal heart tones? Correct Answer through
leopold's maneuvers
1 - palpate fundus
2 - find fetal back (top left of fetus)
3 - palpate inlet for hard or squishy
4 - palpate head for position
Where can we find the fetal heart tones based on position?
Correct Answer use the umbilicus of mother
bottom right = occiput
above left = breech
How do we note the position of the fetus? Correct Answer R/L
fetal heart tones
position - occiput, mentum, sacrum, scapula
,anterior or posterior
What are the different stations? Correct Answer 0 = ischial spine
+ = below
- = above
How do we interpret FHR? Correct Answer Top of paper = FHR
bottom of paper = uterine contractions
dark lines = 1 minute
little box = 10 seconds
What are the different types of variability? Correct Answer absent
= undetectable
minimal = less than 5 BPM
moderate 6-25 BPM (expected)
marked = more than 25 BPM
How to determine baseline of FHR? Correct Answer take the
median of peak and trough levels
What are the different FHR patterns? Correct Answer reassuring -
FHR (110-160), moderate, accelerations of 15 BPM of 15s
, non-reassuring - absent, minimal, or marked, FHR brady or tachy,
variable, late or prolonged decelerations
When do we do intrauterine resuscitation? Correct Answer for
late, variable, or prolonged decelerations
What does VEAL CHOP stand for? Correct Answer Variable =
Cord compressions
Early = Head compressions
Accelerations = Okay
Late = Placental insufficiency
What are the interventions for Variable decelerations? Correct
Answer side-lying or knee-chest/all fours
increase IV fluids
stop oxytocin
O2 8-10l
vaginal exam
amnioinfusion
What are the interventions for early decelerations? Correct
Answer monitor and check labor
is expected when baby is coming out