Exam II 2 Fetal Monitoring
Questions & Answers
when 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
disadvantages of EFM - correct answer ✔✔Requires advanced assessment and clinical judgment
skills
Has a history of controversy for interpretation and interventions Restriction of mom's activity
Expensive
May increase C/S rate, infections
Use should be based on risk assessment but also is based on obstetric staff preference and hosp
policy
AWHONN standards for EFM - correct answer ✔✔Initiation of monitoring and ongoing
evaluation only by licensed healthcare providers
Fetal heart rate monitoring includes:
Application of monitoring components
Initial assessment of mother and fetus
Intermittent auscultation
Ongoing monitoring and interpretation
Clinical interventions
RISK FACTORS to consider for EFM - correct answer ✔✔Maternal Risk Factors
Fever
Questions & Answers
when 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
disadvantages of EFM - correct answer ✔✔Requires advanced assessment and clinical judgment
skills
Has a history of controversy for interpretation and interventions Restriction of mom's activity
Expensive
May increase C/S rate, infections
Use should be based on risk assessment but also is based on obstetric staff preference and hosp
policy
AWHONN standards for EFM - correct answer ✔✔Initiation of monitoring and ongoing
evaluation only by licensed healthcare providers
Fetal heart rate monitoring includes:
Application of monitoring components
Initial assessment of mother and fetus
Intermittent auscultation
Ongoing monitoring and interpretation
Clinical interventions
RISK FACTORS to consider for EFM - correct answer ✔✔Maternal Risk Factors
Fever
