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.
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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