-Fetal Doppler: transmits small, high frequency sound waves that are reflected off of the fetal heart - measures heart rate -Normal fetal heart rate = 110-160 BPM Electronic Fetal Monitoring RN 45 Nonstress Test (Maternal Newborn) Quiz, Evolve Fetal Heart Rate: Assessment via Inter, Barbara T Nagle, Hannah Ariel, Henry Hitner, Michele B. Kaufman, Yael Peimani-Lalehzarzadeh, Modulo 21: Impacto De La Ciencia Y La Tecnolo. The American College of Obstetricians and Gynecologists (ACOG) states that with specific intervals, intermittent auscultation of the FHR is equivalent to continuous EFM in detecting fetal compromise.4 ACOG has recommended a 1:1 nurse-patient ratio if intermittent auscultation is used as the primary technique of FHR surveillance.4 The recommended intermittent auscultation protocol calls for auscultation every 30 minutes for low-risk patients in the active phase of labor and every 15 minutes in the second stage of labor.4 Continuous EFM is indicated when abnormalities occur with intermittent auscultation and for use in high-risk patients. The descent and return are gradual and smooth. Describe the variability. A normal baseline rate ranges from 110 to 160 bpm. Contraction Stress Test (CST) Since variable and inconsistent interpretation of fetal heart rate tracings may affect management, a systematic approach to interpreting the patterns is important. This alone is not predictive of fetal acidosis unless accompanied by decreased variability and/or absent spontaneous or stimulated accelerations.2,5. Interventions to increase fetal activity fail, Reactive NST: Relevant ACOG Resources. Collections are larger groups of tracings, 5 tracings are randomly. One hour later, the nurse notices that the FHR baseline is 145 bpm with minimal variability. Table 4 lists recommended emergency interventions for nonreassuring patterns.4,14 These interventions should also be considered for ominous patterns while preparations for immediate delivery are initiated. This web game uses NICHD terminology to identify tracing elements and categorize EFM tracings. External monitoring is performed using a hand-held Doppler ultrasound probe to auscultate and count the FHR during a uterine contraction and for 30 seconds thereafter to identify fetal response. 2. If delivery is imminent, even severe decelerations are less significant than in the earlier stages of labor. The NCC EFM Tracing Game is part of the free online EFM toolkit at NCC-EFM.org. selected each time a collection is played. A student nurse is placing a tocotransducer on a woman for electronic fetal monitoring.
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