Clinical Interpretation Flashcards

What is considered to be the normal range of fetal heart rates?

Answer: 110-160 bpm

Explanation: The normal fetal heart ranges between 110 and 160 bpm.

Which of the following interventions would be appropriate for this tracing?

Answer: Position change, followed by amnioinfusion if no improvement

Explanation: Cord compression may be alleviated by position change or amnioinfusion.

How would you describe the contractions noted on this fetal tracing?

Answer: Tachysystole

Explanation: Tachysystole describes contractions that occur with 5 or more in 10 minutes. The term hyperstimulation is no longer used.

Assuming the patient has an IUPC, please calculate the MVUs for this tracing.

Answer: 245

Explanation: The MVUs for this tracing would be 245.

What is the baseline rate?

Answer: 170

Explanation: The baseline rate doesn't include areas of marked variability or accelerations or decelerations.

Are there accelerations present?

Answer: Yes

Explanation: There are accelerations present in addition to the marked variability.

Are there decelerations present?

Answer: None

Explanation: Decelerations are not present.

Are contractions present?

Answer: Regular

Explanation: Regular contractions are present.

What category is this tracing?

Answer: Category 2

Explanation: It is Category 2 tracing. Category 2 tracing in Electronic Fetal Monitoring (EFM) represents an indeterminate or non-reassuring fetal heart rate pattern.

Is this FHT reassuring?

Answer: It is overall reassuring, but not reactive.

Explanation: The FHT is overall reassuring, but not reactive.

What is the likely cause of this fetal tracing?

Answer: Fetal anemia

Explanation: This is a sinusoidal pattern associated with severe fetal anemia.