Fetal Heart monitoring

Question 1

Acceleration in Fetal Heart Rate

Answer 1

An increase in the fetal heart rate above baseline that is at least 15 beats above baseline for at least 15 seconds
“15 x 15”

Question 2

Early Deceleration:
how does it relate to the contraction?
what does it indicate?

Answer 2

mirror image of contraction

Early deceleration indicates fetal head compression. May indicate cephalopelvic disproportion-

Question 3

what is the treatment for cephalopelvic disproportion

Answer 3

the treatment for a head that is too big to fit through the pelvis is a c-section

Question 4

Late Deceleration
when does it occur relating to the contraction?
what does it indicate?

Answer 4

Late deceleration occurs late during the contraction, almost at the peak

Late deceleration indicates a uteroplacental insufficiency

Question 5

Treatment for late deceleration in fetal heart rate

Answer 5

Re-position mom to her left side
Hydration and oxygen
decrease pitocin to decrease the frequency of contractions
C-section if pattern persists

Question 6

Variable deceleration
what do they look like and when do they occur?
what does it indicate?

Answer 6

V shaped and occurs anywhere in during the contraction

Variable decelerations indicate cord compression