Cardio

Question 1

How monitor maternal heart

Answer 1

ECG

Question 2

How monitor fetal heart in labour

Answer 2

CTG

Question 3

Is ECG worn for c section?

Answer 3

Yes

Question 4

How facilitate skin to skin with ECG

Answer 4

Can be worn on back

Question 5

How does heart displace in pregnancy

Answer 5

Forward Rotation

Question 6

Normal maternal BP

Answer 6

100-139/<89

Question 7

Normal Maternal HR

Answer 7

60-99

Question 8

Normal fetal HR

Answer 8

110-160

Question 9

Normal neonatal HR

Answer 9

100-160

Question 10

Blood composition pregnancy adaptations (3)

Answer 10

Haemodilution (physiological Anaemia)
Hypercoagulability (increased clotting)
Decreased osmotic pressure (prone oedema)

Question 11

Why not lie flat on back

Answer 11

Aorta-cava compression

Question 12

Vulnerable periods of cardiac adaptation

Answer 12

28-32 weeks- compression, haemodilution
Birth - uterine contractions, pushing effort
12-24h postpartum- placental auto transfusion and bleeding