Fetal Monitoring And Assessment

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1. An abrupt (onset to nadir less than 30 sec), visually apparent decrease in the FHR below the baseline.
The decrease in FHR is 15 beats per minute or more, with a duration of 15 seconds or more but less than 2 minutes.

Explanation

Variable deceleration is the correct answer because it matches the given description. Variable deceleration refers to an abrupt decrease in the fetal heart rate (FHR) that is visually apparent and lasts for 15 seconds or more but less than 2 minutes. The decrease in FHR is 15 beats per minute or more. This pattern is called variable deceleration because it varies in shape, duration, and timing in relation to contractions. It can be caused by umbilical cord compression, which leads to temporary disruption of blood flow to the fetus.

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About This Quiz
Nursing Quizzes & Trivia

This quiz focuses on the key principles and practices of fetal monitoring used to assess the health and well-being of the fetus during pregnancy and labor. It covers interpreting fetal heart rate patterns, understanding different types of monitoring techniques, and recognizing signs of fetal distress.

The quiz also highlights nursing... see moreresponsibilities in ensuring accurate monitoring, timely interventions, and effective communication with the healthcare team. Designed for healthcare professionals involved in maternal and fetal care, it reinforces essential knowledge and skills needed to support positive pregnancy outcomes. Test your understanding of fetal monitoring to enhance your ability to provide safe, informed care throughout pregnancy and delivery.
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2. Related to baseline variability, _________ defines amplitude range greater than 25 beats per min.

Explanation

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3. Related to baseline variability, ___________ defines amplitude range 6-25 beats per min.

Explanation

Moderate baseline variability refers to the amplitude range of 6-25 beats per minute. This means that the fetal heart rate is showing moderate fluctuations within this range, indicating a healthy and normal variability. It is important to monitor baseline variability as it provides valuable information about the well-being of the fetus.

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4.  Related to baseline variability, ____________ defines amplitude range detectable but 5 beats per minute or fewer.

Explanation

The term "minimal" in the context of baseline variability refers to the smallest amplitude range that can be detected, specifically when the difference between beats is 5 beats per minute or fewer. This means that any changes in the baseline variability that fall within this minimal range may not be significant or clinically relevant.

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5. Related to baseline variability, __________ defines amplitude range undetectable.

Explanation

Baseline variability refers to the fluctuations or changes in the baseline of a signal. In this context, "absent" means that there is no variability or fluctuation in the baseline. Therefore, if the baseline variability is absent, it means that there is no detectable range of amplitudes in the baseline.

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6. The baseline must be for a minimum of 2 minutes in any 10 minute segment.

Explanation

The statement is true because it states that the baseline must be for a minimum of 2 minutes in any 10-minute segment. This means that when measuring a baseline, there must be at least 2 minutes of data collected within a 10-minute timeframe. This requirement ensures that the baseline is representative of the individual's normal physiological state over a sufficient duration of time.

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7. In association with a uterine contraction, a visually apparent, gradual (onset to nadir 30 sec or more) decrease in FHR with return to baseline.
Nadir of the deceleration occurs at the same time as the peak of the contraction.

Explanation

Early deceleration is the correct answer because it is characterized by a visually apparent, gradual decrease in fetal heart rate (FHR) that coincides with the peak of a uterine contraction. The nadir of the deceleration, or the lowest point of the FHR decrease, occurs at the same time as the peak of the contraction. This pattern is considered normal and is caused by head compression during contractions. It is not associated with fetal distress and does not require intervention.

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8. In association with a uterine contraction, a visually apparent, gradual (onset to nadir 30 sec or more) decrease in FHR with return to baseline.
Onset, nadir, and recovery of the deceleration occur after the beginning, peak, and end of the contraction, respectively.

Explanation

Late deceleration refers to a decrease in fetal heart rate that occurs after the onset, peak, and end of a uterine contraction. It is visually apparent and has a gradual onset to nadir, lasting for 30 seconds or more. The FHR then returns to its baseline after the contraction ends. This pattern is indicative of decreased blood flow to the fetus during contractions, which can be a sign of fetal distress.

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9. Visually apparent decrease in the FHR below the baseline.
Deceleration is 15 beats per minute or more, lasting 2 minutes or more but less than 10 minutes from onset to return to baseline.

Explanation

The correct answer is "Prolonged deceleration" because it meets the criteria of a visually apparent decrease in the fetal heart rate (FHR) below the baseline, with a deceleration of 15 beats per minute or more. Additionally, it lasts for 2 minutes or more but less than 10 minutes from onset to return to baseline. This pattern is indicative of a prolonged deceleration in the FHR.

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10. Acceleration lasts 2 minutes or more but less than 10 minutes.
If an acceleration lasts 10 minutes or longer, it is a baseline change. 

Explanation

The term "prolonged acceleration" refers to an acceleration that lasts for a significant duration of time. According to the given information, an acceleration that lasts for 2 minutes or more but less than 10 minutes falls into this category. It is important to note that if an acceleration lasts for 10 minutes or longer, it is considered a baseline change instead. Therefore, the correct answer in this case is "Prolonged acceleration."

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11.
  • At _____weeks of gestation and beyond, an acceleration has an acme of 15 beats per minute or more above baseline, with a duration of 15 seconds or more but less than 2 minutes.

Explanation

An acceleration in fetal heart rate is considered significant if it has an acme of 15 beats per minute or more above baseline, and lasts for 15 seconds or more but less than 2 minutes. The question asks for the gestational age at which this criteria is met, and the correct answer is 32 weeks. This suggests that at 32 weeks of gestation and beyond, an acceleration meeting this criteria can be observed in the fetal heart rate.

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12.
  • Before ________ weeks of gestation, an acceleration has an acme of 10 beats per minute or more above baseline, with a duration of 10 seconds or more but less than 2 minutes.

Explanation

An acceleration during a fetal monitoring is defined as an increase in the fetal heart rate above the baseline. According to the given information, an acceleration is considered significant if it has an acme of 10 beats per minute or more above baseline, with a duration of 10 seconds or more but less than 2 minutes. Therefore, the correct answer is "What is 32 weeks" because at 32 weeks of gestation, an acceleration meeting these criteria would be considered significant.

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13. Variabiliy is a characterstic of ANY portion of the EFM tracing.

Explanation

Variability is not a characteristic of ANY portion of the EFM tracing. This means that there may be portions of the EFM tracing where variability is not present.

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An abrupt (onset to nadir less than 30 sec), visually apparent...
Related to baseline variability, _________ defines amplitude range...
Related to baseline variability, ___________ defines amplitude range...
 Related to baseline variability, ____________ defines amplitude...
Related to baseline variability, __________ defines amplitude range...
The baseline must be for a minimum of 2 minutes in any 10 minute...
In association with a uterine contraction, a visually apparent,...
In association with a uterine contraction, a visually apparent,...
Visually apparent decrease in the FHR below the baseline. Deceleration...
Acceleration lasts 2 minutes or more but less than 10 minutes. If an...
At _____weeks of gestation and beyond, an acceleration has an acme of...
Before ________ weeks of gestation, an acceleration has an acme...
Variabiliy is a characterstic of ANY portion of the EFM tracing.
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