Variable deceleration
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Caused by cord compression
-Interventions: position change, amnioinfusion
-Abrupt onset: <30 seconds from onset to nadir dropping
≥15 bpm lasting 15 secs to <2min
-Transient rise in PCO2 & fall in PO2
,Arrest of labor
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>6cm dilated w/ ROM & one of the following w no cx change:
-4 hrs of adequate contractions (>200 MVUs)
-6 hrs of inadequate contractions
External FHR monitor
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-Non invasive, records baseline, variability, & patterns
-Provides permanent record
-Can be intermittent or continuous
-May restrict maternal movement
-Signal may be affected by maternal position, obesity, fetal position &
movement, poly
-Troubleshooting: reposition EFM or mom, apply gel, confirm fetal position
-Most commonly mistaken for mom w breech (near aorta)
Non stress test (NST)
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, Can be done >26 wks
-Reactive: 2 accels in 20 mins (can prolong to 40min) with moderate
variability
-Acoustic stim: ≤3, 1 min apart lasting 3 sec each (not used for oligo or <32
wks), elicits startle reflex
-Valid for 24 hrs
Quality improvement
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Actions that lead to measurable improvement outcomes in pt care areas
-Standard of care: how qualified providers should act to prevent injury or
harm
-EBP: best available practices based on research, guidelines, & expertise
-Validity: accuracy
-Reliability: consistency
Artifact
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Interference in recording or transmission, seen as vertical lines along
tracing
-Causes: vaginal exam, fetal movement, connection issue, hair or caput w
ISE
-R/o arrhythmia (can see & hear skips, has baseline, isolated spikes), try
another method of monitoring, verify w fetoscope
Content on exam
Give this one a try later!
Caused by cord compression
-Interventions: position change, amnioinfusion
-Abrupt onset: <30 seconds from onset to nadir dropping
≥15 bpm lasting 15 secs to <2min
-Transient rise in PCO2 & fall in PO2
,Arrest of labor
Give this one a try later!
>6cm dilated w/ ROM & one of the following w no cx change:
-4 hrs of adequate contractions (>200 MVUs)
-6 hrs of inadequate contractions
External FHR monitor
Give this one a try later!
-Non invasive, records baseline, variability, & patterns
-Provides permanent record
-Can be intermittent or continuous
-May restrict maternal movement
-Signal may be affected by maternal position, obesity, fetal position &
movement, poly
-Troubleshooting: reposition EFM or mom, apply gel, confirm fetal position
-Most commonly mistaken for mom w breech (near aorta)
Non stress test (NST)
Give this one a try later!
, Can be done >26 wks
-Reactive: 2 accels in 20 mins (can prolong to 40min) with moderate
variability
-Acoustic stim: ≤3, 1 min apart lasting 3 sec each (not used for oligo or <32
wks), elicits startle reflex
-Valid for 24 hrs
Quality improvement
Give this one a try later!
Actions that lead to measurable improvement outcomes in pt care areas
-Standard of care: how qualified providers should act to prevent injury or
harm
-EBP: best available practices based on research, guidelines, & expertise
-Validity: accuracy
-Reliability: consistency
Artifact
Give this one a try later!
Interference in recording or transmission, seen as vertical lines along
tracing
-Causes: vaginal exam, fetal movement, connection issue, hair or caput w
ISE
-R/o arrhythmia (can see & hear skips, has baseline, isolated spikes), try
another method of monitoring, verify w fetoscope
Content on exam
