Lesson 11-Intrapartum Fetal Surveillance--TEST 2 exam study guide rated 5 stars

Lesson 11-Intrapartum Fetal Surveillance--TEST 2 exam study guide rated 5 stars - Objectives 1. . Identify key physiologic principles underlying fetal heart rate and uterine activity assessment in the intrapartum period. 2. Discuss advantages and limitations of each method of intrapartum fetal surveillance: auscultation and electronic fetal monitoring. 3. Explain instrumentation types used for auscultation and electronic fetal monitoring. 4. Review principles of fetal heart rate and uterine activity interpretation using a standardized approach. 5. Identify specific components of the three fetal heart rate categories. 6. Describe clinical interventions performed for normal, indeterminate and abnormal fetal heart rate patterns. 7. Use the nursing process to plan care for a woman undergoing intrapartum fetal assessment. To make sure that the fetus is well oxygenated in labor. - Why do we monitor FHR during labor? reliable - EFMs can have many false negatives, so there are times that it can't be ______________, but for the most time, you know that the baby is ok - A good strip is a good indication that the baby will be ok. Not always though Babies were being born with cerebral palsey. EFM was created to try and predict with some level of certainty if the baby was suffering from acute injuries that could progress cerebral palsey. - Reason for EFM being created? -Not really -But it was useful to have evidence that baby was ok. EFM tells whether the baby should be delivered now or stay in utero - Did it work? 18 - In most states, hospitals must keep EFM of all babies and documentation until the child is ____ years, so that mothers don't come back with sue cases AWHONN - _____________-class that most nurses must take. Includes: intermittent FH monitoring classes; not a certification NCC - __________: Actual certification; like taking the NCLEX; all questions are on FH monitoring. Certified in FH monitoring; certification done every 3 years - Nurses cannot read FH monitoring strips if they do not take AWHONN and NCC Physicians don't need to. Only the 3hr class about it. Hence, there's discrepencies b/w doctor and nurses 1. Sufficient maternal blood flow and volume to the placenta and the fetus 2.Normal maternal oxygen saturation