Chapter 17: Intrapartum Fetal Surveillance

Question 1

Adequate fetal oxygenation requires normal blood ______ and _________ to the placenta.

Answer 1

flow, volume

Question 2

Adequate fetal oxygenation requires adequate exchange of ___________ and _______________ in the placenta

Answer 2

oxygen, carbon dioxide

Question 3

Adequate fetal oxygenation requires normal oxygen ____________ in the blood

Answer 3

saturation

Question 4

Adequate fetal oxygenation requires a(n) ______________________________________________ between the placenta and fetus through vessels in the umbilical cord

Answer 4

open circulatory path

Question 5

Adequate fetal oxygenation requires normal fetal ____________ and ________________________ functions

Answer 5

circulatory, oxygen carrying

Question 6

Gelatinous substance in the umbilical cord that helps cushion it

Answer 6

Wharton’s jelly

Question 7

Actual decrease in maternal blood volume is caused by this

Answer 7

hemorrhage

Question 8

Relative decrease in maternal blood volume is caused by this

Answer 8

altered distribution

Question 9

Epidural block anesthesia and resulting hypotension is an example of (actual, relative) reduction in blood volume

Answer 9

relative

Question 10

Term for contractions that are too long, are too frequent, or have an inadequate relaxation period

Answer 10

tachysystole

Question 11

Contractions that are too long are more than _______________

Answer 11

90-120 seconds

Question 12

Contractions that are too frequent are closer than every ___________

Answer 12

2 minutes

Question 13

Contractions with an inadequate relaxation period are less than _____________

Answer 13

30 seconds

Question 14

Term for separation of the placenta before birth

Answer 14

abruptio placentae

Question 15

Term for necrosis of varying amounts of placental tissue

Answer 15

infarcts

Question 16

Term for umbilical cord around the fetal neck

Answer 16

nuchal cord

Question 17

Low fetal _____________, ___________, or __________ may cause fetal tissues to be hypoxic despite adequate oxygenation and exchange.

Answer 17

blood volume, hypotension, anemia

Question 18

This fetal monitoring method allows increased mobility of the mother

Answer 18

Auscultation of FHR

Question 19

This fetal monitoring method allows the mother to use water-based pain management

Answer 19

Auscultation of FHR

Question 20

This fetal monitoring method provides a more natural atmosphere

Answer 20

Auscultation of FHR

Question 21

This fetal monitoring method can only assess FHR and uterine activity for a small part of labor

Answer 21

Auscultation of FHR

Question 22

This fetal monitoring method might have distracting interruptions

Answer 22

Auscultation of FHR

Question 23

This fetal monitoring method may be uncomfortable due to pressure of the instrument

Answer 23

Auscultation of FHR

Question 24

This fetal monitoring method is staff intensive and may require a nurse-to-staff ratio greater than 1:1

Answer 24

Auscultation of FHR

Question 25

This fetal monitoring method is not recommended in high-risk conditions that require continuous fetal monitorin

Answer 25

Auscultation of FHR

Question 26

This fetal monitoring method supplies more data than the other method

Answer 26

Electronic Fetal Monitoring (EFM)

Question 27

This fetal monitoring method provides a permanent record

Answer 27

Electronic Fetal Monitoring (EFM)

Question 28

This fetal monitoring method can show gradual trends in FHR and uterine activity

Answer 28

Electronic Fetal Monitoring (EFM)

Question 29

This fetal monitoring method can be used continuously

Answer 29

Electronic Fetal Monitoring (EFM)

Question 30

This fetal monitoring method allows the mother to listen to the sound of the fetal heartbeat, which can be comforting

Answer 30

Electronic Fetal Monitoring (EFM)

Question 31

This fetal monitoring method can help anticipate beginning and end of contractions

Answer 31

Electronic Fetal Monitoring (EFM)

Question 32

This fetal monitoring method allows one nurse to care for two patients during the first stage of labor

Answer 32

Electronic Fetal Monitoring (EFM)

Question 33

This fetal monitoring method limits the mother's mobility

Answer 33

Electronic Fetal Monitoring (EFM)

Question 34

This fetal monitoring method may require constant readjustments from position changes or active fetus

Answer 34

Electronic Fetal Monitoring (EFM)

Question 35

This fetal monitoring method requires readjustments as the fetus moves downward

Answer 35

Electronic Fetal Monitoring (EFM)

Question 36

This fetal monitoring method's belts/stockinette can be uncomfortable

Answer 36

Electronic Fetal Monitoring (EFM)

Question 37

This fetal monitoring method is difficult to obtain good data with a thick abdominal pad

Answer 37

Electronic Fetal Monitoring (EFM)

Question 38

______________ in FHR is the number one sign of fetal wellbeing.

Answer 38

Variability

Question 39

This internal fetal monitoring method detects electrical signals from the fetal heart and involves a wire attached to fetal skin (often the head)

Answer 39

fetal scalp electrode (FSE)

Question 40

This type of internal fetal monitoring senses intrauterine pressure and increases in intraabdominal pressure

Answer 40

Intrauterine Pressure Catheter (IUPC)

Question 41

One type of IUPC has an additional lumen to infuse sterile solution (NS) into the uterus, which is used for this

Answer 41

amnioinfusion

Question 42

FHR is termed bradycardia or tachycardia when it has been out of range for at least __________. If this occurs, check _____________.

Answer 42

10 minutes, temperature

Question 43

To obtain an FHR baseline, obtain a clear tracing for ___________ while the uterus is at _______.

Answer 43

2 minutes, rest

Question 44

This type of deceleration starts early in the contraction but returns to baseline at the end of the contraction

Answer 44

early

Question 45

Early decelerations indicate this

Answer 45

head compression

Question 46

Interventions required for early decelerations

Answer 46

none

Question 47

This type of deceleration starts late in the contraction or towards the end of a contraction and continues after the contraction ends

Answer 47

late

Question 48

Late decelerations indicate this

Answer 48

placental insufficiency

Question 49

Late decelerations are expected with _______ BP and __________ patients

Answer 49

high, postterm

Question 50

Interventions done for late decelerations

Answer 50

Change position (left side) Stop Pitocin (oxytocin) Increase rate of or bolus nonadditive fluids Administer O2 Notify HCP

Question 51

Type of deceleration that can occur anywhere

Answer 51

variable

Question 52

Interventions for variable decelerations

Answer 52

Change position (left side) Stop Pitocin (oxytocin) Increase rate of or bolus nonadditive fluids Administer O2 Notify HCP Amnioinfusion

Question 53

Term for infusion of sterile isotonic solution into the uterus, which can be used to increase the fluid around the fetus and cushion the cord and reduce likelihood of C section

Answer 53

amnioinfusion