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MARK KLIMEK LECTURE NOTES
Lecture 11- Fetal Monitoring Patters (7)
1) Low fetal heart rate – under 110- when you see it you do LION, stop pit if running 2) High fetal heart rate- over 160 – document and take moms temperature because mom can have a fever 3) Low baseline variability- bad- fetal heart rate stays the same and does not change- stays in the middle- LION 4) High baseline variability- heart rate is constantly changing-if your vital change that’s good before you’re born- don’t like to see stabile vital signs 5) Late decelerations- near the end of a contraction- heart rate slows down near the end of the contraction – LION 6) Early decelerations- babies decelerates before contraction or at the beginning of the contraction- normal, just document it 7) Variable decelerations- VERY BAD- prolapsed cord- push, position *Variable is the most unique, VERY BAD- treat with push and then position
- are good
- are bad- begin with the letter L and LION begins with L
What are they and what they mean: VEAL CHOP
V ariable- cord compression C E arily decelerations- head compression H A cceleration-Ok- O L ate deceleration- Placental insufficiency P
****Ace of Spades- answers that win all the time:
Check fetal heart rate- no matter what happens in OB always check fetal heart rate
DELIVERY OF THE BABY- 2
nd stage 1) Deliver the head-cephallic 2) Suction mouth and the nose (alphabetical) 3) Check for a nuchal cord- around the neck 4) Deliver the shoulders and the body 1 / 2
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5) Baby must have an ID band on before it leaves the delivery area
- / 2
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