Equipment
Patterns
Interventions
Terms
Causes
100
An external monitoring device that detects movement of the fetal heart valves opening and closing through transmission of sound wave and Doppler shift.
What is Ultrasound Transducer
100
Identify the FHR Deceleration or Pattern on this strip.
What is Early Deceleration
100
The primary intervention for a fetal monitor strip suddenly showing frequent early decelerations.
What is No correction necessary. Vaginal exam may be performed to evaluate cervical progression.
100
A transitory increase in the fetal heart rate from the baseline rate; associated with sympathetic nervous system stimulation.
What is an acceleration.
100
The cause of a variable deceleration.
What is Cord Compression.
200
An external monitoring device that detects changes in uterine shape through the abdomen. Provides information about relative frequency and duration of contractions.
What is aTocodynamometer
200
Identify the FHR Deceleration or Pattern on this strip.
What is Variable Deceleration.
200
Intervention to consider when visualizing a fetal monitor strip with repetitive variable decels despite position change and fluid bolus.
What is an Amnioinfusion.
200
Oscillatory changes in the FHR baseline. This is the best indicator of fetal oxygen reserve.
What is Variability.
200
The cause of early decelerations.
What is fetal head compression.
300
Auditory and visual assessment device with data generated by electronic technology. Generated data includes a digital and graphic display of FHR and uterine data. A permanent record is generated on paper.
What is an Electronic Fetal Monitor
300
Identify the FHR Deceleration or Pattern on this strip.
What is Late Deceleration.
300
The primary intervention to improve a fetal monitor strip showing repetitive variable decelerations.
What is change maternal position to L or R lateral.
300
Antepartum assessment of fetal well-being.
What is a Non-stress Test.
300
The cause of late decelerations.
What is Uteroplacental insufficiency.
400
An internal monitoring device applied directly to the fetal presenting part which receives signals from the electro- cardiac impulses of the fetal heart. Used to directly determine the FHR and variability based on changes in the R to R intervals in successive QRS complexes.
What is a Spiral Electrode (or Fetal Scalp Electrode).
400
Identify the FHR Deceleration or Pattern on this strip.
What is Prolonged Deceleration.
400
List 5 interventions that should always be initiated when visualizing repetitive late decelerations with a patient on Pitocin.
What is maternal position change to L or R lateral, D/C pitocin, 500 ml IV fluid bolus of NS or LR, O2 at 10 L by NRB, Notify Physician
400
The total pressure in mm Hg for all uterine contractions within a 10-minute time frame using an IUPC.
What is Montevideo units
400
The primary pathophysiology associated with a true undulating (sinusoidal) pattern.
DOUBLE JEOPARDY!
What is Fetal Anemia.
500
A catheter used to directly measure intrauterine pressure during and between uterine contractions. The catheter may be fluid-filled, sensor tipped or transducer tipped.
What is an Intrauterine Pressure Catheter.
500
Identify the FHR Deceleration or Pattern on this strip.
What is Undulating Pattern (or Sinusoidal).
500
The fetal heart rate baseline in 180 bpm. What 3 other assessments data would you want to know to evaluate the cause and seriousness of this situation.
What are Maternal VS, Assess Maternal Hydration and FHR Variability.
500
The lowest FHR value in a decelerations or the depth of a deceleration.
What is the nadir.
500
What are the 2 most common causes of prolonged decelerations?
What is Cord Compression and Maternal Hypotension.
(Accept Tachysystole as well).