CHAPTER 24: Intrapartum Assessment

Intrapartum Assessment

Which portion of the fetal electrocardiogram is most reliably detected?

a. P wave

b. T wave

c. R-wave peaks

d. QRS complex

c Internal (Direct) Electronic Monitoring

Which of the following is true regarding fetal heart monitoring through a fetal scalp electrode?

a. Heart rate is determined via time between R waves.

b. The maternal heart rate is also detected, but masked.

c. In the setting of an intrauterine fetal demise, the maternal heart rate will be recorded.

d. All of the above

d Internal (Direct) Electronic Monitoring

Current fetal monitors can detect which of the following?

a. Maternal heart rate

b. Maternal pulse oximetry

c. Separate heart rates for a twin gestation

d. All of the above

d Internal (Direct) Electronic Monitoring

Which of the following statements is true regarding the fetal heart rate pattern shown below?

a. Does not require gel to obtain

b. Is not more difficult in obese women

c. Can be placed anywhere on the maternal abdomen

d. Uses ultrasound waves to detect the fetal heart rate

d External (Indirect) Electronic Monitoring

The NICHD Workshop standardized fetal heart rate interpretation in 2008. Which of the following factors makes interpreting fetal heart rate tracings difficult?

a. Paper speed at 3 cm/min

b. Interobserver agreement is low

c. Use of standardized terminology

d. Use of external monitors instead of internal monitors

b Fetal Heart Rate Patterns

Which of the following are descriptive characteristics of the fetal baseline heart rate?

a. Rate

b. Variability