Notes in 16 Intrapartum Surveillance

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Status	Last Update	Fields
Published	07/30/2024	Primary goal of fetal heart monitoring {{c1::Identify hypoxemic or academic fetuses}}
Published	07/30/2024	VR1. Uterine contraction 2. Blood supply to fetus {{c1::B}}
Published	07/30/2024	Preferred maternal position for fetal heart monitoring {{c1::Lateral recumbent}}
Published	07/30/2024	Why is supine maternal position not preferred for fetal heart monitoring?{{c1::Causes aortic compression leading to decreased uterine blood flow}}
Published	07/30/2024	Contractions are best detected at the {{c1::fundus::Uterus region}}
Published	07/30/2024	Before Dopploer probe, what instrument must be used to asses fetal heart ?{{c1::Auscultating FIRST using the stethoscope}}
Published	07/30/2024	Leopold maneuver that can be used to locate placement of Doppler probe for fetal eart{{c1::LM2 - if the fetal back is on the right, then the heart sou…
Published	07/30/2024	Responsible for measuring the strength and frequency of contraction{{c1::External Pocket Transducer/➤Tocodynamometer}}
Published	07/30/2024	Printing rate of the tracing paper may run at the rate of {{c1::1}} centimeter per minute or {{c2::3}} centimeters per minute
Published	07/30/2024	At UST, printing rate of the tracing paper is at {{c1::3}} centimeters per minute
Published	07/30/2024	Tracing Paper Interpretation 1 centimeter is equivalent to {{c1::2::Number}} SMALL boxes
Published	07/30/2024	Tracing Paper Interpretation 1 SMALL box equal to {{c1::10}} seconds
Published	07/30/2024	Tracing Paper Interpretation 1 BIG box is equal to {{c1::1}} minute and is indicated by 2 dark red lines
Published	07/30/2024	Tracing Paper Interpretation {{c2::1}} BIG box = {{c1::6}} SMALL boxes
Published	07/30/2024	Tracing Paper Interpretation {{c3::3}} centimeters = {{c2::1}} BIG box = {{c1::1}} minute = {{c4::6}} SMALL boxes
Published	07/30/2024	Intrapartum FHR monitoring consists of 3 components{{c1::DefinitionInterpretationManagement}}
Published	07/30/2024	5 parameters measured in electronic fetal monitoring {{c1::Baseline fetal heart rateBaseline variabilityPresence of accelerationsPeriodic or epis…
Published	07/30/2024	Two basic patterns to look for in fetal herat rate{{c1::Baseline (FHR & variability)Periodic fetal heart rate (ACC or DEC)}}
Published	07/30/2024	VR. 1. Fetal maturation 2. Heart rate{{c1::B}}
Published	07/30/2024	Baseline must be taken for a minimum of {{c1::2}} minutes in any 10-minute segment → Minimum interpretable duration
Published	07/30/2024	Normal Basline BPM{{c1::110-160 bpm}}
Published	07/30/2024	Bradycardia {{c1::< 110}} bpm for at least {{c2::3}} minutes
Published	07/30/2024	Bradycardia severity in bpmModerate: {{c2::80-100 bpm}}Severe: {{c1::< 80 bpm}}
Published	07/30/2024	Tachycardia severity in bpmModerate: {{c1::161-180 bpm}}Severe: {{c1::> 180 bpm}}
Published	07/30/2024	Non hypoxic causes of fetal tachycardia {{c1::Maternal feverHyperthyroidismBeta-mimetics}}
Published	07/30/2024	Hypoxic causes of feta tachycardia {{c1::Maternal/fetal anemia Chorioamnionitis}}
Published	07/30/2024	Most common explanation for fetal tachycardia{{c1::Maternal fever from chorioamnionitis}}
Published	07/30/2024	Key feature to distinguish fetal compromise in association with tachycardia{{c1::Concomitant heart rate decelerations}}
Published	07/30/2024	Causes of fetal bradycardia in non-hypoxic state{{c1::Administration of epidural anesthesiaRapid descent of the baby}}
Published	07/30/2024	Causes of fetal bradycardia in hypoxic state{{c1::Maternal seizure}}
Published	07/30/2024	Duration required to classify FHR is bradycardia or tachycardia {{c1::10 mins}}
Published	07/30/2024	T or FChanges in the normal baseline are common in labor and DO NOT predict morbidity{{c1::True}}
Published	07/30/2024	Wandering baseline indication {{c1::Neurologically abnormal fetusPreterminal event}}
Published	07/30/2024	VR1. Gestational age2. FHR variability{{c1::A}}
Published	07/30/2024	Normal variability: oscillations that change from {{c1::6 to 25::range}} bpm
Published	07/30/2024	Defined as irregular fluctuations in the baseline amplitude and frequency{{c1::Baseline variability}}
Published	07/30/2024	What is the classification of baseline variability?{{c1::Moderate Variability}}
Published	07/30/2024	Baseline variability classification bpm count Minimal: {{c1::< 5 bpm}}Moderate: {{c2::6-25 bpm}}Marked: {{c3::> 25 bpm}}
Published	07/30/2024	What is the baseline variability classification?Peak = 135 bpmTrough = 125 bpm{{c1::Moderate}}
Published	07/30/2024	Enumerate Non-hypoxic causes of decreased variability{{c1::CNS depressants (narcotics)Fetal-sleep cycle (30 min ave duration)Corticosteroids (Betameth…
Published	07/30/2024	Single most reliable sign of FETAL COMPROMISE{{c1::Reduced Baseline Heart Rate variability}}
Published	07/30/2024	Most common non-hypoxic causes of decreased variability{{c1::Betamethasone}}
Published	07/30/2024	Most often type of variability pattern in second stage of labro {{c1::Marked variability / Saltatory pattern}}
Published	07/30/2024	Cause of saltatory pattern of fetal heart rate variability {{c1::Acute hypoxia or compression of umbilical cord}}
Published	07/30/2024	Determine fetal heart variability Peak = 180 bpmTrough = 100 bpm{{c1::Marked Variability/Saltatory pattern}}
Published	07/30/2024	If you see this heart rate variability pattern , you need to deliver the fetus {{c1::Sinusoidal pattern}}
Published	07/30/2024	Sinusoidal pattern presents with wave-like undulating pattern in FHR with a cycle frequency of 3-5 per min, which persists for {{c1::≥ 20}} minutes
Published	07/30/2024	Conditions associated with sinusoidal pattern of heart rate variability {{c1::Fetal intracranial hemorrhageSevere fetal asphyxiaSevere feta…
Published	07/30/2024	What causes pseudosinusoidal pattern of heart rate?{{c1::Transient episodes of fetal hypoxia caused by umbilical cord compression}}
Published	07/30/2024	Periodic FHR acceleration from onset to peak {{c1::< 30}} secs
Published	07/30/2024	Prolonged acceleration is one lasting ≥ {{c1::2}} minutes but <{{c2::10}} minutes
Published	07/30/2024	Criteria for acceleration at greater than or equal to 32 weeksAcceleration peak: {{c2::≥ 15 bpm}}Lower cut off: {{c1::≥ 15 seconds}}Higher c…
Published	07/30/2024	Criteria for acceleration for less than 32 weeksAcceleration peak: {{c2::≥ 10 bpm}}Lower cut off: {{c1::≥ 10 seconds}}Higher cut off: {…
Published	07/30/2024	Periodic fetal heart rate change occurs temporarily due to {{c1::uterine contractions}}
Published	07/30/2024	Defenition of fetal heart deceleration At 32 weeks of gestation and beyond, deceleration is a decrease of {{c1::15}} beats per minute or more abo…
Published	07/30/2024	A GRADUAL FHR decrease is defined as:From onset to the FHR nadir, MUST BE {{c1::≥ 30}} seconds
Published	07/30/2024	The nadir of the deceleration occurs at the same time as the peak of {{c1::contraction}}
Published	07/30/2024	Early deceleration: Equivalence of Nadir of heart rate deceleration with contaction timing {{c1::Peak }}
Published	07/30/2024	QC. Early deceleration 1. Head compression 2. Placental insufficiency {{c1::A}}
Published	07/30/2024	QC. Late deceleration 1. Head compression 2. Placental insufficiency {{c1::B}}
Published	07/30/2024	QC. More unfavorable condition1. Early Deceleration 2. Late Decelration{{c1::B}}
Published	07/30/2024	Counterpart in terms of timing of late deceleration onset with uterine contraction {{c1::Peak of uterine contraction}}
Published	07/30/2024	T or FIn late decelrations, the onset, nadir, and recovery of the deceleration occur AFTER the ending of contraction {{c1::False}}
Published	07/30/2024	Pathology associated with variable deceleration fetal heart rate{{c1::Cord Compression}}
Published	07/30/2024	Abrupt FHR decrease from onset of deceleration to nadir must be {{c1::< 30}} seconds
Published	07/30/2024	Variable Deceleration Decrease in FHR {{c1::> 15}} bpm for {{c2::> 15}} seconds
Published	07/30/2024	Variable deceleration total duration {{c1::< 2}} minutes
Published	07/30/2024	Characteristic nadir pattern for FHR with variable deceleration {{c1::Pointed or sharp nadir “W pattern”}}
Published	07/30/2024	Prolonged deceleration is seen as a decrease form baseline {{c2::>15}} bpm within {{c1::2-10}} mins
Published	07/30/2024	Category 1 Fetal Heart Interpretation Baseline Rate: {{c1::110 - 160 bpm::bpm}}Baseline FHR: {{c1::variability Moderate::Variability type}}Accele…
Published	07/30/2024	Category 3 Fetal Heart Interpretation Baseline Rate: {{c1::> 160 bpm::bpm}}Baseline FHR: {{c1::Absent::Variability type}}Late Deceleration: {{…
Published	07/30/2024	T or FCategory II FHR Classification is not predictive of abnormal fetal acid-base status{{c1::True}}
Published	07/30/2024	{{c1::Resuscitations}} must be done if the patient is categorized as category II
Published	07/30/2024	Give {{c1::tocolytic}} agents if the patient is still in tachysystole
Published	07/30/2024	Goals of intrauterine resuscitation{{c1::Improve fetal oxygenationDiminish uterine activity Relive umbilical cord compression}}
Published	07/30/2024	Category II FHR ParametersBaseline Rate{{c1::BradycardiaTachycardia}}Baseline FHR variability{{c2::Minimal baseline variabilityAbsent baseline variabi…
Published	07/30/2024	Ideal maternal position in an event of tachysystole{{c1::Lateral recumbent position}}
Published	07/30/2024	How many contractrions per 10 mins in events of tachysystole?{{c1::>5 contractions in 10 mins}}
Published	07/30/2024	Resuscitative measure for Category II with FHR that present recurrent late deceleration {{c1::Lateral decubitus positioningIntravenous fluid bolu…
Published	07/30/2024	Effect of Narcotics on ff. FHR patternsVariability: {{c2::DEC}}FHR: {{c2::None}}Sinusoidal Heart rate: {{c1::None}}Accelerations: {{c1::DEC}}
Published	07/30/2024	Effect of Butorphanol on ff. FHR patternsVariability: {{c2::DEC}}FHR: {{c2::None}}Sinusoidal Heart rate: {{c1::Transient}}Accelerations: {{c1::None}}
Published	07/30/2024	Effect of Cocaine on ff. FHR patternsVariability: {{c2::DEC}}FHR: {{c2::None}}Sinusoidal Heart rate: {{c1::None}}Accelerations: {{c1::None}}
Published	07/30/2024	Effect of Corticosteroids on ff. FHR patternsVariability: {{c2::DEC}}FHR: {{c2::None}}Sinusoidal Heart rate: {{c1::None}}Accelerations: {{c1::None}}
Published	07/30/2024	Effect of Magnesium Sulfate on ff. FHR patternsVariability: {{c2::DEC}}FHR: {{c2::DEC}}Sinusoidal Heart rate: {{c1::None}}Accelerations: {{c1::DEC}}
Published	07/30/2024	Effect of Terbutaline on ff. FHR patternsVariability: {{c2::None}}FHR: {{c2::INC}}Sinusoidal Heart rate: {{c1::None}}Accelerations: {{c1::None}}
Published	07/30/2024	VR1. Atropine 2. Fetal heart rate{{c1::A}}
Published	07/30/2024	Step done after confirmation of fetal acidemia during fetal scalp blood sampling {{c1::Deliver (Emergency CS is warranted)}}
Published	07/30/2024	If the pH reading on fetal scalp blood sampling is 7.20 - 7.25, what next step should be done?{{c1::Repeat pH testing within 30 mins}}
Published	07/30/2024	How is scalp stimulation done?{{c1::Scratching the head of the baby}}
Published	07/30/2024	QC. Pinching of the scalp1. Allis scalp stimulation 2. Digital scalp stimulation {{c1::A}}
Published	07/30/2024	QC. Gentle stroking of scalp1. Allis scalp stimulation 2. Digital scalp stimulation {{c1::B}}
Published	07/30/2024	Recommended as a substitute for fetal scalp blood sampling{{c1::Vibroacoustic stimulation}}
Published	07/30/2024	Normal response of FHR to Vibroacoustic stimulation {{c1::>15}} bpm for {{c1::>15}} seconds
Published	07/30/2024	Fetal ECG feature with progressive fetal hypoxia {{c1::Biphasic ST-segment waveform}}
Published	07/30/2024	Fetal ECG feature with hypoxia{{c1::Increased T-wave amplitude}}
Published	07/30/2024	Abnormal Doppler waveforms may signify pathological {{c1::umbilical-placental vessel resistance}}
Status	Last Update	Fields