MARK KLIMEK AUDI O LECTURES

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MARK KLIMEK AUDI O LECTURES

LECTURE 11 FETAL HEA RT

MONITORING FETAL MON ITORING

PATTERNS DURING LABO R AND

DELIVERY.

Mark Klimek Audio Lectures

• It takes 3 things to pass the NCLEX exam
• Knowledge
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• You can’t apply what you don't know, but you have to be able to apply what you do

know.

- Go with majority: if something is 75% fatal, consider it fatal.

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Lecture 11 Fetal Heart Monitoring Fetal Monitoring Patterns During Labor and Delivery

• There are 7 fetal monitoring patterns you should know.
• Low Fetal Heart Rate (a fetal heart rate under 110)
• A fetal heart rate under 110 is BAD
• When the fetal monitor registers a fetal heart rate below 110 do LION

- L: Lay the mother on her Left side

- I: Increase IV fluids

- O: Apply oxygen

- N: Notify physician

• If Pitocin is running stop it immediately, then perform LION
• High Fetal Heart Rate (a fetal heart rate over 160)
• A fetal heart rate over 160 is no big deal, document.
• Take moms temperature. (Most likely has a fever)
• Low Baseline Variability (the baby’s heart rate remains relatively constant)
• A fetal heart rate that does not change frequently is BAD
• When the fetal heart rate does not vary do LION.

- L: Lay the mother on her Left side

- I: Increase IV fluids

- O: Apply oxygen

- N: Notify physician

• High Baseline Variability (the baby’s heart rate is constantly changing)
• When the babies heart rate is constantly changing that's good, document This study source was downloaded by 100000818022812 from CourseHero.com on 03-26-2021 19:58:39 GMT -05:00

https://www.coursehero.com/file/26890340/Lectures-11-Fetal-Heart-Monitoring-During-Labor-and-Delivery-docx/ This study resource was shared via CourseHero.com

5. Late Decelerations:

• Late deceleration refers to the baby’s heart rate decelerating (slowing

down) near or at the end of a contraction. This is BAD.

• If a fetal heart rate is showing late decelerations do LION.

- L: Lay the mother on her Left side

- I: Increase IV fluids

- O: Apply oxygen

- N: Notify physician

6. Early Decelerations:

• Early deceleration refers to the baby’s heart rate decelerating (slowing

down) before or at the beginning of a contraction.

• This is normal, document.

7. Variable Decelerations:

• Variable deceleration is when the baby’s heart rate decelerates (slows

down) and varies in duration, intensity, and uterine contractions.

• This is VERY BAD, this means prolapsed cord.
• Stick hand in mother’s vagina and push the baby’s head up.
• Position her in keen chest (hands and knees), with hand still on

baby’s head

• Rush to the operating room in this position for an emergency

cesarean section

• The fetal monitor heart rate patterns that start with “L” are bad and you do “LION”
• The fetal monitor heart rate patterns that don't start with “L” are normal

occurrences, document and continue monitoring.

• A fetal monitor heart rate that shows Variable deceleration is VERY BAD, this

means prolapsed cord.

• VEEL CHOP table for fetal heart rate monitoring.

C H OP

V (variable)Chord compression E (early deceleration) Head compression A (Acceleration) Okay (normal) L (late deceleration) Placental insufficiency Delivery of the Baby

• First you deliver the head.
• Suction the mouth and then nose. (While the body is still in the birth canal) This study source was downloaded by 100000818022812 from CourseHero.com on 03-26-2021 19:58:39 GMT -05:00

https://www.coursehero.com/file/26890340/Lectures-11-Fetal-Heart-Monitoring-During-Labor-and-Delivery-docx/ This study resource was shared via CourseHero.com