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N178

Fetal Heart Rate

QuestionAnswer
Types of FHR variability: undetectable undetectable
Types of FHR variability: minimal Greater than undetectable but less than 5 bpm
Types of FHR variability: moderate 6-25 bpm
Types of FHR variability: marked greater than 25 bpm
Types of FHR variability: sinusoidal BAD
How frequently to assess FHR for low risk labor First stage (0-10 cm dilation): Q30 mins. Second stage (10 cm-delivery of infant): Q15 mins.
How frequently to asses FHR in high risk labor? Stage 1: Q15 mins. Stage 2: Q5 mins.
FHR should be assessed before..... Before: starting labor enhancing procedures, ambulation, meds, giving analgesics/anesthesia.
How to obtain FHR baseline? FHR is average HR rounded to 5 bpm, measured over 2 minutes of clear tracing w/i 10 minute window. Uterus must be at rest and episodes of significant increase or decrease (greater than 25 bpm) must not occur.
FHR should be assessed after..... After: RPOM, AROM, abnormal uterine activity, eval oxytocin, expulsion of enema, cath, vag exam, ambulation, eval analgesia/anesthesia.
Created by: 1339083788
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