Geniallyland Breakout

EFM CIRCUS!!!!!

laborLAND

Can you escape the EFM circus?

start

LaborLAND

Awards achieved:

Start

DUNK TANK

In order to escape the EFM circus, you will need to answer all of the questions! To dunk the clown and make him wetter than a chux pad after your patient with poly's water breaks, make sure you know your NICHD definitions!

1/5

The _____ is defined as the mean FHR rounded to increments of 5 bpm during a 10 minute window and excludes acceleration and decelerations, and periods of marked variability. There must be 2 minutes identifiable within a 10 minute period, or it is considered indeterminate.

Baseline variability

Fetal acitivity

Baseline FHR

Next

1/5

Great!Let's dive a little deeper, or at least hopefully get this clown to dive at all!

2/5

The 2 minutes of identifiable baseline segment _________.

are not necessarily continguos.

need to occur together.

should be below 110.

2/5

Exactly! Let's continue!

Next

3/5

If you cannot determine a baseline in a 10 minute window, what can be done?

Immediately panic.

Have the most nursiest nurse on the unit tell you the baseline

Refer to the previous 10 minutes.

3/5

Awesome job- no panic needed, just look at the previous 10 minutes. Also- always a good idea to have your charge nurse look at a tracing with you if you are unsure!

Next

4/5

Which baseline indicates fetal bradycardia?

A baseline less than or equal to 110.

A baseline less than 110.

A baseline greater than or equal to 110.

4/5

YOU ARE THE SMARTIEST PANTS NURSE THERE IS!

Next

5/5

Ok smarty pants- but which baseline indicates fetal tachycardia?

A baseline > 160

A baseline between 110-160

A baseline > 165

5/5

There's no clowning you... haha get it. Sorry I know this is very dorky.

Prize!

Try again!

Wow- you won this prize, just what you wanted an off brand Nemo fish. Better go on and see if you get anything better.

Next challenge!

laborLAND

Awards achieved:

Are you sure?

You will need to redo theprevious tests to return to where you are now

Stay

Exit

MIRROR MAZE

This probaly means your educator put REALLY tricky questions here, but luckily we know you are super smart

Start

1/5

Which of these represents a late deceleration? The baseline of both tracings is 130.

2/5

True or False: In order for tracing to be considered a category 1, there needs to be 15x15 accelerations.

3/5

Yes or N0- Lates, variables, and prolonged decelerations ALWAYS represent interruption in the oxygen pathway.

4/5

Which of the following represents a variable deceleration? The baseline in both tracings is 150bpm.

5/5

If the fetal heart rate tracing shows moderate variability, fetal metabolic acidemia can be reliably ruled out at the time of observation.

Wow super cool that I could not fool you... here is a prize that is only slightly nightmare inducing.

Next challenge!

HAHAHA I have fooled you, and now you must repeat this part of the dorky escape room.

laborLAND

Awards achieved AKA prizes you won but might want to return :

HORSE RACE

Okay- for this one you have to answer fast----- otherwise your time runs out and you have to start over!

Start

00:03

1/5

What is the onset to nadir for late deceleration?

YOU

Gradual- greater than 30 seconds

Abrupt- less than 30 seconds

Gradual- greater than or equal to 30 seconds

Try again!

00:10

1/5

Dang- either too slow or wrong, or I guess technically it could be both.....

Try again!

2/5

For a deceleration to be considered late, where does the nadir occur?

YOU

After the peak of the contraction

After the start of the contraction

At the peak or after the peak of the contraction

Try again!

00:10

2/5

Oops, it's not correct

Try again!

3/5

What is the depth criteria for a late deceleration?

YOU

30 bpm below the baseline

There is not one

15 bpm below the baseline

Try again!

00:10

3/5

NO NO NO NO NO

Try again!

4/5

Which other type of deceleration does not have a depth criteria?

YOU

Prolonged

Early

Variable

Try again!

00:10

4/5

Sorry but you have to go back...

Try again!

5/5

How long does a prolonged deceleration last?

YOU

Greater than 2 minutes, but less than 10 minutes

Less than 2 minutes

Greater than 3 minutes, but less than 10 minutes

Try again!

00:10

5/5

You were sooooo close- you can do it!

Try again!

Cool a unicorn with souless eyes.....

Next challenge!

laborLAND

Stuffed animals you might burn after your shift:

THE HOUSEOF TERROR

Move the light halo tofind the correct answer.Try to get out without getting scared!

Enter

1/5

What is the correct definition of recurrent decelerations?

Decelerations that occur with greater than or equal to 50% of contractions in any 20 minute window

Decelerations that repeat every contraction

Decelerations that repeat for 20 minutes

Drag the halo of light!

2/5

How is absent variability defined?

Amplitude range <3 bpm

Amplitude range <5 bpm

Amplitude range undetectable at baseline

3/5

Which of the following correctly represents the oxygen pathway, beginning with environment?

maternal heart, maternal lungs, vasculature, placenta, uterus, fetus

Maternal lungs, maternal heart, maternal vasculature, uterus, placenta, umbilical cord, fetus

uterus, placenta, cord, fetus

4/5

Where should variability be determined?

Variability is a component of the baseline

Variability can be determined anywhere on the tracing

While variability includes accelerations, decelerations are excluded.

5/5

In order for the fetus to utilize aerobic metabolism it must have what?

Lactic acid and stored glycogen

Carbon dioxide and Heat

Oxygen and glucose

You have won your fourth stuffed animal

Congratulations!

Try again!

CONGRATULATIONS!

You escaped! Use the code 5678 to pass your Health Stream quiz!