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Maternity and Women's Health Care, 12th Ed., Lowerdermilk, Perry, Cashion & Aldon, 2020

Unit 4 / Childbirth

Acceleration

Which of the following best describes when fetal heart tones increase by 15 or more beats per minute above baseline, reaching peak within 30 seconds and subsiding within 2 minutes?

Cord Compression

When the fetal heart rate slows independently of the contraction cycle, which of the following is most likely causing this deceleration?

Decelerations (and Accelerations) Overview

Early Deceleration

Which of the following best describes when the fetal heart rate gradually decreases and returns to baseline prior to uterine contractions?

Head Compression

When assessing fetal heart tones, early deceleration most likely indicates that the fetus is experiencing which of the following?

Late Deceleration

Which of the following best describes the fetal heart tone that gradually decreases rate, reaching its nadir after the peak of the uterine contraction and returning to baseline after completion of the contraction?

Okay

A fetus experiencing heart rate accelerations can be considered what?

Placental Insufficiency

During your assessment of fetal heart tones, late deceleration most likely indicates the fetus is experiencing which of the following?

Variable Deceleration

Which of the following is best described by a fetal heart rate that slows from baseline to its lowest rate in less than 30 seconds and occurs independently of the contraction cycle?

VEAL CHOP

Which of the following mnemonics is most likely utilized to remember fetal heart rate pattern changes such as decelerations and accelerations?

Cause

Considerations

Early Decelerations

Fetal Head Compression

Which of the following is most likely the etiology of early decelerations?

Fundal Pressure

What event can most likely lead to early decelerations?

Normal Pattern

Because early decelerations are not associated with fetal hypoxia or low Apgar scores, they can be considered what?

Occurs During

Placement of Internal Mode of Monitoring

Uterine Contractions

Vaginal Examination

Abnormal Pattern

Which of the following types of patterns are late decelerations considered?

Discontinue Oxytocin

What intervention is most appropriate once a mother's fetus is seen to have late decelerations?

Disruption of Oxygen Transfer to Fetus

What of the following best describes the pathophysiology of late decelerations?

Elevate Legs

Increase Rate of IV Solution

Interventions

Late Decelerations

Oxygen with Non-Rebreather (8-10 L/min)

Side-lying Position

Which of the following interventions is most appropriate once a mother's fetus is seen to have late decelerations?

Uteroplacental Insufficiency

Which of the following diseases or disorders is most likely associated with late decelerations?

Abnormal Cord Position

Change Maternal Position

What intervention should be performed if a pregnant woman's fetus is showing variable decelerations?

Mechanism

Transition Phase

During which phase of labor are variable decelerations common?

Umbilical Cord Compression

Variable decelerations are caused by what?

Variable Decelerations

18 - Fetal Assessment During Labor

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