Fetal Heart Monitoring : Questions & Step-by-
Step Answers
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Terms in this set (53)
-the goal is to determine if the intrauterine
environment will continue to support the fetus
-to interpret and continuously assess fetal
oxygenation
Electronic fetal heart -determine UPI (uteroplacental insufficiency)
monitoring (EFM)
-is the baby safer in than out?
-EFM is used for fetal assessment based on the fact
that fetal HR reflects fetal oxygenation
-used for all pregnant women in labor in the US
-equipment used to do fetal
heart monitoring
Tocodynamometer
-monitors FHR, fetal
movement, and contractions
, -observable fetal responses to hypoxia or asphyxia
are the clinical basis for antepartal testing with EFM
-redistribution of blood flow to vital organs
Antepartum assess using
-during sustained hypoxemia, compensatory
EFM
responses can no longer be maintained
-looking at blood flow to placenta and baby
-NST, contraction stress test
-chronic hypertension
what can decrease blood -smoking/nicotine
flow to the placenta and
baby? -pregnancy induced HTN
-diabetes
-assess and interpret EFM
Role of the nurse with
-intervene based on interpretations
EFM
-communicate with healthcare providers
-intermittent auscultation (using a doppler)
Monitoring techniques
-electronic fetal monitoring (external and internal)
-FHR at top
Electronic fetal
monitoring paper -contractions at bottom
, -non invasive
-one strap is on top of the
fundus and monitors fetal
movement
-the other strap is lower than
External fetal monitoring the umbilicus where the babys
heart beat would be if in
correct position, monitors FHR
-monitors fetal HR, we want to
see accelerations during
movement, we dont want to
see decelerations
-below the umbilicus
Where should you be
able to hear the FHR? -if it is higher that indicates that the baby is
breeched
-intrauterine pressure catheter
-better at monitoring
contractions than an external
fetal monitor
-scalp electrode is applied
directly to/screwed into the
presenting part of the fetus to
Internal fetal monitoring detect FHR
-membranes must be ruptured
-only done when there is a
problem tracing the FHR
-can be used if mom is obese
and has too much fat on her
stomach
Step Answers
Save
Terms in this set (53)
-the goal is to determine if the intrauterine
environment will continue to support the fetus
-to interpret and continuously assess fetal
oxygenation
Electronic fetal heart -determine UPI (uteroplacental insufficiency)
monitoring (EFM)
-is the baby safer in than out?
-EFM is used for fetal assessment based on the fact
that fetal HR reflects fetal oxygenation
-used for all pregnant women in labor in the US
-equipment used to do fetal
heart monitoring
Tocodynamometer
-monitors FHR, fetal
movement, and contractions
, -observable fetal responses to hypoxia or asphyxia
are the clinical basis for antepartal testing with EFM
-redistribution of blood flow to vital organs
Antepartum assess using
-during sustained hypoxemia, compensatory
EFM
responses can no longer be maintained
-looking at blood flow to placenta and baby
-NST, contraction stress test
-chronic hypertension
what can decrease blood -smoking/nicotine
flow to the placenta and
baby? -pregnancy induced HTN
-diabetes
-assess and interpret EFM
Role of the nurse with
-intervene based on interpretations
EFM
-communicate with healthcare providers
-intermittent auscultation (using a doppler)
Monitoring techniques
-electronic fetal monitoring (external and internal)
-FHR at top
Electronic fetal
monitoring paper -contractions at bottom
, -non invasive
-one strap is on top of the
fundus and monitors fetal
movement
-the other strap is lower than
External fetal monitoring the umbilicus where the babys
heart beat would be if in
correct position, monitors FHR
-monitors fetal HR, we want to
see accelerations during
movement, we dont want to
see decelerations
-below the umbilicus
Where should you be
able to hear the FHR? -if it is higher that indicates that the baby is
breeched
-intrauterine pressure catheter
-better at monitoring
contractions than an external
fetal monitor
-scalp electrode is applied
directly to/screwed into the
presenting part of the fetus to
Internal fetal monitoring detect FHR
-membranes must be ruptured
-only done when there is a
problem tracing the FHR
-can be used if mom is obese
and has too much fat on her
stomach
