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1550: Fetus Intrapartum; ch14
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What is the normal amount for Amniotic fluid?
400 mL - 1500 mL: normal
What is the
primary
objective
w/ Continuous and Uterine Monitoring?
How is fetal hypoxia validated by?
Fetal Oxygenation
&
preventing
fetal injury.
Detect FHR changes early.
Feta hypoxia is validated in a FHR change.
When
is an Internal Fetal Monitor recommended?
*Need a trained nurse to apply electrode to fetal head.
Women & fetuses at HIGH RISK.
What is the
criteria
for Internal Monitoring
(4 criteria)
1. Rupture of membranes.
2. Dilation of 2 cm.
3. Fetal presenting @ station to allow placement.
4. Skilled HC professional.
What does it mean to have a "
reassuring pattern
"?
For example, what would you want to see on a monitor strip?
Good variability & accelerations of the FHR w/ movement.
What is a
Deceleration
in FHR monitoring?
Which part of the nervous system is stimulated?
A
fall in FHR
caused by the stimulation of the
PNS
.
Describe
an
Early deceleration
.
*Requires no intervention.
What is unique about "early" decels?
Symmetrical
Gradual decrease in FHR in which
nadir
(lowest point)
occurs @ the peak
of contraction.
*FHR mirrors contractions.
Describe
a
Late deceleration
.
What
causes Late decel?
What category
are they usually if they are recurring or intermittent?
Symmetrical
Decrease in FHR after peak of contraction.
The FHR does not return to baseline levels well AFTER the peak of the contraction.
Associated w/
placental insufficiency
(fetal hypoxia)
Category II & III.
Describe
a
Variable deceleration
.
*Most common decel pattern found in laboring women.
What is usually the cause?
Abrupt decrease in FHR below baseline and have an unpredictable shape.
No consistency relationship to contractions.
Cause: cord compression
Describe
a Category I:
Acid-base status: predictive?
Nursing intervention(s)
Reassuring/Non-reassuring
Everything is NORMAL
Describe
a Category II:
Acid-base status: predictive?
Nursing intervention(s)
Reassuring or Non-reassuring
A/B: not predictive of abormal fetal A/B @ that time.
Intervention(s):
requires evaluation
by provider & nurse &
continuous monitoring
.
Reassuring or Non: neither;
cannot be determined
.
Describe
Category III:
A/B: predictive?
Nursing Intervention(s)
Reassuring or Non; at risk for?
A/B: predictive of abnormal fetal A/B.
Interventions:
Position change
O2 by face mask; 8-10 L/min
Fluid bolus (for epidural)
Non-reassuring
:
@ risk for
fetal hypoxia
or
acidosis
; requires prompt evaluation & interventions.
Translate the acronym for VEAL CHOP regarding decelerations and acceleration.
V (variability) = C (cord compression)
E (early) = H (head compression
due
to vaginal cervix & should not be harmful)
A (accel) = O (OK or O2)
L (late) = P (placental insufficiency)
Author
xiongav
ID
298203
Card Set
1550: Fetus Intrapartum; ch14
Description
Fetus intrapartum: Categories
Updated
2016-03-10T01:34:12Z
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