Fetal Heart Rate Monitoring – Questions With
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Terms in this set (84)
-figure out how the baby is positioned inside the
Leopold's maneuver uterus
-done around 28 weeks
The examiner feels the top of the uterus to figure
First Leopold's maneuver out what part of the baby is up there - usually it's the
baby's bottom (breech) or head.
They feel both sides of the belly to locate the baby's
second leopold back (which feels firm and smooth) versus the front
maneuver side where the arms and legs are (which feels
bumpy and irregular).
They gently grasp the area just above the pubic
bone to feel what part of the baby is lowest -
third leopold maneuver
typically the head. This helps determine if the baby
has "dropped" into the pelvis yet
checks how far down the baby's head has moved
fourth leopold maneuver into the pelvis by feeling from both sides where the
head meets the neck.
HR goes up at least 15 beats above baseline for at
accleration
least 15 seconds
deceleration dcerease in FHR at least 15 beats below baseline
-the nadir of the deceleration lines up with the acme
of the contraction
-indicated head compression and baby moving
early deceleration
lower into the pelvis
-gradual, onset of the decel to nadir is at least 30
seconds
, -from onset to nadir is less than 30 seconds
-indicates cord compression
variable deceleration -abrupt can happen anytime
-can be treated with position changes, fluid boluses
(NS), O2, and amnioinfusion
-gradual, onset to nadir is at least 30 seconds
-nadir of the deceleration is after the peak of the
contraction
late decelerations -indicates placenta insufficiency
-protective reflex mechanism in response to fetal
hypoxemia during uterine contractions
-treatment: left lateral position and O2
a visually apparent decrease in FHR from the
prolonged deceleration baseline that is ≥ 15 bpm, lasting ≥ 2 minutes, but < 10
minutes.
-more than 5 contractions in a 10 minute period
uterine tachysystole -count from beginning of one contraction to the
beginning of the next
- feel top of fundus with hands
-when not contracting = soft
contraction intensity -mild: feels like a nose
-moderate: feels like a chin
-strong: feels like a forehead
-everything good, no signs of O2 deprivation
- FHR 110-160
category I tracing
- no decelerations: late or variable
-moderate variability
-proceed with caution
category II -everything else in between
-intrauterine resuscitative measures
-labor needs to stop and get the baby out
-absent variability
category III -late or variable decelerations
-sionudal pattern
-intrauterine resuscitative measures
Solved Solutions
Save
Terms in this set (84)
-figure out how the baby is positioned inside the
Leopold's maneuver uterus
-done around 28 weeks
The examiner feels the top of the uterus to figure
First Leopold's maneuver out what part of the baby is up there - usually it's the
baby's bottom (breech) or head.
They feel both sides of the belly to locate the baby's
second leopold back (which feels firm and smooth) versus the front
maneuver side where the arms and legs are (which feels
bumpy and irregular).
They gently grasp the area just above the pubic
bone to feel what part of the baby is lowest -
third leopold maneuver
typically the head. This helps determine if the baby
has "dropped" into the pelvis yet
checks how far down the baby's head has moved
fourth leopold maneuver into the pelvis by feeling from both sides where the
head meets the neck.
HR goes up at least 15 beats above baseline for at
accleration
least 15 seconds
deceleration dcerease in FHR at least 15 beats below baseline
-the nadir of the deceleration lines up with the acme
of the contraction
-indicated head compression and baby moving
early deceleration
lower into the pelvis
-gradual, onset of the decel to nadir is at least 30
seconds
, -from onset to nadir is less than 30 seconds
-indicates cord compression
variable deceleration -abrupt can happen anytime
-can be treated with position changes, fluid boluses
(NS), O2, and amnioinfusion
-gradual, onset to nadir is at least 30 seconds
-nadir of the deceleration is after the peak of the
contraction
late decelerations -indicates placenta insufficiency
-protective reflex mechanism in response to fetal
hypoxemia during uterine contractions
-treatment: left lateral position and O2
a visually apparent decrease in FHR from the
prolonged deceleration baseline that is ≥ 15 bpm, lasting ≥ 2 minutes, but < 10
minutes.
-more than 5 contractions in a 10 minute period
uterine tachysystole -count from beginning of one contraction to the
beginning of the next
- feel top of fundus with hands
-when not contracting = soft
contraction intensity -mild: feels like a nose
-moderate: feels like a chin
-strong: feels like a forehead
-everything good, no signs of O2 deprivation
- FHR 110-160
category I tracing
- no decelerations: late or variable
-moderate variability
-proceed with caution
category II -everything else in between
-intrauterine resuscitative measures
-labor needs to stop and get the baby out
-absent variability
category III -late or variable decelerations
-sionudal pattern
-intrauterine resuscitative measures
