Terminology/Definitions
Contraction Patterns
FHR Changes
Interventions
Physiology
100

True/False:  Category 1 FHR tracing and a reactive NST are the same thing. 

What is False;

Categories are for describe tracing.  NST is a test to assess current fetal well being , and require accelerations for reactivity. 

100

What is the external device used to record tension changes in the abdomen resulting from uterine contractions.

What is a TOCO

100

Identify the periodic changes seen on this monitor strip.  

What are recurrent Variable decelerations. 

100

Your monitor tracing shows fetal tachycardia.  What should be your initial nursing intervention/assessment.

What is check maternal temperature.

100

What is the physiological cause of late decelerations

What is uteroplacental insufficiency. ( Think VEAL-CHOP)

200

Abrupt increase in FHR that goes 15 bpm above baseline and lasts at least 15 secs in a baby that is greater than 32 weeks gestation. 

What is an acceleration

200

Greater than 5 contractions in 10 minutes, averaged over a 30 minute window.

What is tachysystole

200

The presence of these 2 FHR characteristics suggest an intact CNS, well oxygenated baby and absence of metabolic academia. 

What are:  Moderate variability and FHR accelerations. 

200

You place your ante-partum patient on EFM. This is your tracing. What do you do?

Reposition patient on side, Start 02- 10L via mask, IV bolus of NS or LR, Call MD immediately, prepare for transfer to L&D

Recurrent Late Decelerations- Category II

200
What can cause decreased variability?

What is Narcotics, Cocaine, steroids- Betamethasone , Magnesium sulfate, fetal sleep pattern, Infections, Maternal fever, placental insufficiency

300

What is the baseline FHR 

 what is: Unable to determine due to marked variability

300

Decelerations that occur with more than 50% of uterine contractions in a 20 minute window. 

What are recurrent decelerations.

300

What category is the FHR tracing.  

What is a category III tracing.  

Sinusoidal pattern

300

Is oxygen indicated for this tracing.  

What is No.  there is variability.  Try other interventions first. 

300

True or False: The NST can be extended 20 minutes when the initial 20 minutes is non-reactive

What is True

400

A decel that lasts > or = to 2 mins but less that 10 mins

what is a prolonged decel

400

What 4 things are assessed when doing a contraction  assessment.  

What are: Frequency, intensity, duration and resting tone/time

400

Identify the FHR change in this picture.  

What is a prolonged deceleration

400

These interventions would be indicated for a Category III tracing. 

What is reposition, O2, IVfluids, notify provider, prepare for imminent delivery.

400

34 week patient presents to triage post MVA.  What is the underlying physiology for this tracing  

What is a placental abruption.

500

Name the components of a category III FHR tracing. 

What is:FHR tracing with one of the following

Absent variability with Recurrent lates, 

Absent variability with Recurrent Variabiles

Absent variability with Bradycardia or

Sinusoidal


500

True/False:  

Montevideo Units (MVUs) should be documented when using both external monitor and IUPC. 

What is False. 

MVUs should only be documented when using an IUPC. 

500

List some troubleshooting techniques for the times that the fetal monitor tracing and audible do not match.

What is: palpate maternal pulse, verify correct monitor placements, check cords, US or doptone (for arrhythmias), place FSE (although can trace maternal in fetal demise) 

500

Here is your patients current tracing. What do you chart in the medical Record.


Baseline- 125

Variability- Moderate

Acceleration- present

Decelerations- Absent

Category 1

Contractions- 6mins apart, 70-80 seconds, Intensity and resting tone- Can only be on palpation

500

What is this fetal tracing? Category? what is the cause of it?


Sinusoidal, Category III, fetal anemia

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