NURS 456: Fetal Monitoring Questions with
Correct Verified Solutions
-Intermittent auscultation (IA)
-Electronic fetal monitoring
•External
•Internal
what are the types of fetal monitoring?
yes, HR should go up with movement
is minimal fetal HR variabilty concerning?
•Q hourly for latent; 15- 30 mins for active 1st stage and every 15 minutes for 2nd stage
how often does Acog recommend fetal monitoring for low-risk and not on oxytocin?
•Assessing for intensity, duration, frequency
•Resting tone: soft or hard
what do you assess about a contraction?
•Good no needed intervention
•110-160
•Baseline mod variability
•Absent for late or variable
•Early-present or absent
•Accelerations-present or absent
, describe category one with fetal monitoring:
(HR, variability)
category 2
•Abnormal but no treatment needed if reactive tracing
•Many features but includes prolonged decelerations over 2 mins but less than 10
category 3
•Abnormal Needs Intervention
•Ie: no baseline variability plus one of the following—recurrent late decels, recurrent variables,
and bradycardia
noninvasive
does not require dilation or ROM
does not measure beat to beat variability
what are advantages to external monitor?
limits movement
uncomfortable
does not eval contraction strength
counting errors
what are disadvantages of external monitoring?
early identification of fetal distress to prevent hypoxia
what is the goal of external monitoring?
Correct Verified Solutions
-Intermittent auscultation (IA)
-Electronic fetal monitoring
•External
•Internal
what are the types of fetal monitoring?
yes, HR should go up with movement
is minimal fetal HR variabilty concerning?
•Q hourly for latent; 15- 30 mins for active 1st stage and every 15 minutes for 2nd stage
how often does Acog recommend fetal monitoring for low-risk and not on oxytocin?
•Assessing for intensity, duration, frequency
•Resting tone: soft or hard
what do you assess about a contraction?
•Good no needed intervention
•110-160
•Baseline mod variability
•Absent for late or variable
•Early-present or absent
•Accelerations-present or absent
, describe category one with fetal monitoring:
(HR, variability)
category 2
•Abnormal but no treatment needed if reactive tracing
•Many features but includes prolonged decelerations over 2 mins but less than 10
category 3
•Abnormal Needs Intervention
•Ie: no baseline variability plus one of the following—recurrent late decels, recurrent variables,
and bradycardia
noninvasive
does not require dilation or ROM
does not measure beat to beat variability
what are advantages to external monitor?
limits movement
uncomfortable
does not eval contraction strength
counting errors
what are disadvantages of external monitoring?
early identification of fetal distress to prevent hypoxia
what is the goal of external monitoring?
