Decreased FM

Question 1

when pt complains of decreased fetal movement, think…

Answer 1

IUFD

Question 2

decreased FM are MC due to…

Answer 2

quiescent state often resolves
(q 60 min activity-quiecsent state)
OR
hypoxia

Question 3

if increased FM and inc FHT, think…

Answer 3

maternal hypoglycemia

Question 4

reassuring FM counts

Answer 4

*after 28-32w

10 distinct FM in 2 h

Question 5

workup

Answer 5

• NST

- AFI

Question 6

admit for dec FM if…

Answer 6

• oligohydramnios
• persistent nonreactive NST
• nonreassuring fetal testing

Question 7

how to count FMs

Answer 7

1. lie on L side with hand on stomach

2. count FM x 1 hr

Question 8

When to call OB triage or L&D for FM…

Answer 8

if:

1. no FM in 12 h
2. <3 move in 1 hr OR <10 in 2 hr
3. movements are 1/2 of what have been

Question 9

Count to 10 method

Answer 9

1. start counting in AM
2. record time of day feel 10th movement
3. contact provider if <10 in 12 h period OR if it takes longer each day to reach 10 moves