A
B
C
D
100
Identify this
CTG machine
100
Can a woman still mobilise / change position whilst using the fetal heart rate monitor?
YES!
But it may be restricted and limit her options for water birth
100
What is a normal fetal heart rate baseline?
110-160bpm
100
The paper speed of CTG monitoring should be set at how many cm per minute?
1cm / per minute
200
What do the letters CTG mean
Cardio Toco Graph
200
What is the normal expected variability?
5-25bpm
200
What information do you need to put on the CTG to ensure accurate record keeping?
Patient name
D.O.B
Hospital number
Maternal Pulse
200
How often should you ask a second clinician to review your CTG, and be a "fresh pair of eyes"?
Every 1 hour
300
What do the letters D R mean
(DRCBRAVADO)
Define Risk
300
What do the letters VA mean
(DRCBRAVADO)
VAriability
300
What does the letter BRa stand for?
(DRCBRAVADO)
Baseline Rate
300
What do the letters C and D mean in
DRCBRAVADO
Contractions
Decelerations
400
Name two types of equipment you may use to auscultate / monitor the fetal heart rate?
Pinard stethoscope
Doppler
CTG machine
400
Name 2 types of fetal heart rate decelerations
Variable
Early
Late
Prolonged
400
Name three antenatal risk factors that would require a woman to need CTG monitoring in labour
Previous CS / hypertensive disorder / prolonged rupture of membranes / vaginal bleeding / chorioamnionitis / sepsis / diabetes
400
How many years should you keep CTG for?
25 years
500
Which FHR pattern is shown?
Sinosuoidal
500
Name the 3 categories of CTG interpretation
Normal
Suspicious
Pathological
500
Fetal heart rate monitoring is a tool to provide guidance on fetal condition
It is not a standalone diagnostic tool
TRUE OR FALSE?
TRUE
500
What initial steps / actions might you take if your CTG is not normal?
Name 2 of them
Change maternal position
Give IV fluids (if sepsis or hypotensive)
Vaginal exam
Stop oxytocin (tocolytic drug may be needed)
Doctors review