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Intermediate Fetal Monitoring Exam: Practice Questions and Answers, Exams of Advanced Education
A comprehensive overview of the components of basic maternal and fetal well-being assessment, including maternal vital signs, physical exam, leopold maneuvers, fetal assessment, labor and membrane status. It also covers the extrinsic and intrinsic influences on fetal heart rate patterns, the systematic assessment of fetal heart rate tracings, and the different types of decelerations that may be observed. This information is crucial for healthcare professionals involved in fetal monitoring and can be used for exam preparation, study notes, or as a reference guide.
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The following are components of the basic assessment for maternal and fetal well-being: - - maternal vital signs and physical exam
- leopold maneuvers and fetal assessment
- labor and membrane status A comprehensive maternal-fetal physical assessment is necessary to assess maternal oxygenation, build the maternal-fetal data base, and optimize clinical decisions. - TRUE Extrinsic influences of fetal heart rate patterns include: - Placenta, fetal-placental circulation, umbilical cord Intrinsic influence of fetal heart rate patterns include: - Baroreceptors, chemoreceptors, hormonal responses Decreased umbilical blood flow stimulates the chemoreceptors and/or baroreceptors, increasing catecholamine production leading to an increase in blood flow to the essential organs, including: - - adrenals
- brain
- heart A systematic assessment of the fetal heart rate tracing includes: - Baseline rate, variability, periodic/episodic changes, uterine activity The only true method of contraction strength assessment when using external fetal monitors is through: - palpation Recurrent decelerations - Occur with ≥ 50% of contractions in a 20-minute period. Variable decelerations may occur: - With or without a contraction (periodic or episodic) The decelerations that may be found in a Category 1 tracing are: - early decelerations