Segments in this Video

Electronic Fetal Monitoring Overview (02:11)


Nurses should understand, recognize, and document fetal heart rate patterns, beat to beat variability, uterine activity, and fetal response to actions. The monitor tracing is a legal document and part of the patient's permanent medical record. The nurse should identify non-reassuring tracings, initiate nursing actions, and notify the physician.

Placing an Electronic Fetal Monitor (03:48)

EFM modes include external and internal. Learn how to place external transducers on the mother's abdomen. View an explanation of how to read a monitor tracing. In case of signal disruptions, the internal fetal monitor is placed directly on the presenting body part.

Using an Electronic Fetal Monitor (02:44)

View post-EFM placement nursing assessment components. Baseline fetal heart rate ranges from 110 to 160 bpm. If using a handheld Doppler, listen through a contraction and for one minute following. Learn how to assess contractions for frequency, duration, and intensity, including resting tone. The fetus is re-oxygenated during the resting phase.

Assessing Fetal Status (04:34)

Nurses must understand factors influencing a fetus's response to its environment when determining presence of non-reassuring changes. Uterine contractions and umbilical cord compression decrease blood flow. Learn how to carry out a systemic fetal assessment, including establishing a baseline. View causes of fetal tachycardia, bradycardia, and hypoxia.

Variability (01:28)

Irregular fluctuations in fetal baseline are a primary indicator of adequate fetal oxygenation. Variability is described as absent, minimal, moderate, or marked. Absent variability is non-reassuring; diminished variability can result from fetal hypoxia, acidosis, or fetal sleep. Increased variability is caused by fetal stimulation or mild hypoxemia.

Fetal Heart Rate Acceleration and Deceleration (09:07)

Baseline changes are categorized as periodic, occurring with contractions, or episodic. Episodic accelerations indicate fetal well-being; periodic accelerations are a sympathetic nervous system response to compression by contractions. Deceleration types include early, late, variable, and prolonged. Learn about interventions for each.

Credits: Electronic Fetal Monitoring: Obstetrical Nursing (00:33)

Credits: Electronic Fetal Monitoring: Obstetrical Nursing

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Electronic Fetal Monitoring: Obstetrical Nursing

Part of the Series : Obstetrical Nursing
DVD (Chaptered) Price: $299.00
DVD + 3-Year Streaming Price: $448.50
3-Year Streaming Price: $299.00



Showing how to apply the ultrasound and toco transducers to the mother's abdomen, This video differentiates between fetal heart rate and uterine activity on the monitor strip. It demonstrates how to take and record the assessment of a labor patient; discusses frequency, intensity, and duration of contractions; lists factors that interfere with fetal oxygenation during labor; and discusses when cord compression becomes a concern. It also gives parameters for normal, brachycardia, and tachycardia fetal heart rates; discusses baseline variability; and considers early and late decelerations.

Length: 25 minutes

Item#: BVL120751

ISBN: 978-1-63521-688-2

Copyright date: ©2020

Closed Captioned

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