intrapartum FHR monitoring management and decision model, meows assessment, cord gases Flashcards Preview

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Flashcards in intrapartum FHR monitoring management and decision model, meows assessment, cord gases Deck (7)
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1

If the FHR Category is a II or III you will need to assess the ABCD decision model
A: assess _______ pathway and other causes
B: Begin _________ measures if indicated
C: _______ obstacles to rapid delivery
D: determine ________ to delivery time

If the FHR Category is a II or III you will need to assess the ABCD decision model
A: assess OXYGEN pathway and other causes
B: Begin CORRECTIVE measures if indicated
C: CLEAR obstacles to rapid delivery
D: determine DECISION to delivery time

2

For Category I tracings we use a routine surveillance of labor fhr and cxt this is every ____ min in first stage and every ____ in the second stage.

we use heightened surveillance if it is a category II meaning every ____ min in active phase and every __ in second stage of labor

in a Category III situation we want to __________ delivery!!!!

For Category I tracings we use a routine surveillance of labor fhr and cxt this is every 30 MIN in first stage and every 15 MIN in the second stage.

we use HEIGHTENED SURVEILLANCE if it is a category II and vaginal delivery is likely prior to metabolic academia and potential injury. Heightened surveillance is every 15 MIN in active phase and every 5 MIN in second stage of labor

in a Category III situation we want to EXPEDITE delivery!!!!

3

EXTRINSIC factors are those that are _______ of the fetus include but are not limited to:
Maternal lungs
vasculature
maternal heart
uterus
placenta
cord
INTRINSIC factors leading to fetal heart rate changes include things occurring within the _______

EXTRINSIC factors are those that are OUTSIDE of the fetus and include but are not limited to:
Maternal lungs
maternal vasculature
maternal heart
uterus
placenta
cord
INTRINSIC factors leading to fetal heart rate changes include things occurring within the FETUS

4

The MEOWS assessment tool that relates to vital signs there are yellow triggers and red triggers, the yellow triggers are bad and the red triggers are worse. (They indicate the need for immediate follow up and management essentially)

temps yellow 95-_____ f
temps red or less than ____ or greater than ______
systolic bp's yellow 150-_____ or 90-____
systolic bps red less than _____ or greater than ____
diastolic bp's yellow _____-100
diastolic bps red greater than ______
heart rate yellow 100-_____ or 40-____
heart rate red: less than ____ or greater than____
oxygen sat red less than ____
respirations yellow 21-____
respirations red less than ___ or more than___

Temps yellow 95-96.8 f
temps red or less than 95 or greater than 100.4
systolic bp's yellow 150-160or 90-100
systolic bps red less than 90or greater than 160
diastolic bp's yellow 90-100
diastolic bps red greater than 100
heart rate yellow 100-120 or 40-50
heart rate red: less than 40 or greater than 120
oxygen sat red less than 95%
respiration's yellow 21-30
respiration's red less than 10 or more than 30

5

acidemia are increased __________ ions in the blood
acidosis is increased ___________ ions in the tissue
_________ metabolism creates more ATP (usable energy than anaerobic metabolism
Anaerobic metabolism has the bi product of __________ acid making the blood acidic. over time this can lead to acidemia.

__________ occurs when there is a complete cessation of placental gas exchange it is characterized by severe metabolic and respiratory acidosis

cidemia are increased __________ ions in the blood
acidosis is increased ___________ ions in the tissue
_________ metabolism creates more ATP (usable energy than anaerobic metabolism
Anaerobic metabolism has the bi product of __________ acid making the blood acidic. over time this can lead to acidemia.

__________ occurs when there is a complete cessation of placental gas exchange it is characterized by severe metabolic and respiratory acidosis

6

______ is considered a base which helps to buffer the extra acid in the blood.
its normal ranges are ____-_____

H Co3 is considered a base which helps to buffer the extra acid in the blood.
its normal ranges are 18-22

7

for detailed explanation of acid base balance pages of appendix provided by lori

for detailed explanation of acid base balance pages of appendix provided by lori