Study Guide Week 3 Content.docx - The Study Guide for Week 3's content is now posted Please also review the FHR Categories(I II and III from the last

Study Guide Week 3 Content.docx - The Study Guide for Week...

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The Study Guide for Week 3's content is now posted. Please also review the FHR Categories (I, II and III) from the last few slides at the end of Week 2's Powerpoint Slides. GBS was also introduced in Week 1, but please take a look at the content in the book, since it is explained in Chapter 8. There will NOT be any questions from Chapter 13 (Transition to Parenthood) on the quiz. Quiz for Week 4 Study Guide 3-Tier FHR Interpretation System CATEGORY I CATEGORY II CATEGORY III FHR tracings are normal . They are strongly predictive of normal fetal acid-base balance. They may be followed in a routine manner, and no action is required . FHR tracings are indeterminate. They are not predictive of abnormal fetal acid-base status, yet there is not adequate evidence to classify them as category I or III. They require evaluation and continued surveillance and reevaluation in the context of the clinical circumstances. FHR tracings are abnormal . They are predictive of abnormal fetal acid-base status and require prompt evaluation . Depending on the clinical situation, intrauterine resuscitation should be initiated. *POOF FHR tracings include all of the following Baseline rate 110–160 bpm Baseline variability moderate Late or variable deceleration absent; early decelerations absent or present FHR tracings all NOT category I or III. Bradycardia not accompanied by absent variability Tachycardia Minimal or absent baseline variability NO recurrent decelerations Marked baseline variability Absence of induced accelerations Recurrent or prolonged decelerations with minimal or moderate variability FHR tracings that are Absent variability with any of the following: o Recurrent late decelerations o Recurrent variable decelerations o Bradycardia o Sinusoidal pattern intrauterine resuscitation . *POOF Position: left lateral Oxytocin: STOP Oxygen: 8-10 L of O 2 Fluids: IV Fluids Intrauterine Fetal Resuscitation *Stop Pitocin Reposition to left lateral, Trendelenberg if needed Oxygen via mask at 8-10 L/min Increase IV fluids SQ terbutaline (0.25 mg) if uterus not relaxing Vaginal exam for possible cause: prolapse, fetal descent, rupture, abruption Amnioinfusion for variable decels Notify MD/midwife
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Labor Signs/Symptoms of Labor o True Labor vs False Labor True labor contractions occur at regular intervals and increase in frequency, duration, and intensity. True labor contractions bring about changes in cervical effacement and dilation. False labor is irregular contractions with little or no cervical changes. False labor irregular contractions with little or no cervical changes Benign and irregular contractions Often disappear with ambulation and sleep.
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