ANSWER KEY Fetal Heart Tones Strip Interpretation.

ANSWER KEY Fetal Heart Tones Strip Interpretation Fetal Heart Tones Strip Interpretation Name ____________________________ Baseline = 145 Normal Range = Yes Variability = Moderate Accelerations present = Yes Decelerations present = NO If yes, which variety? N/A Category = I Contraction pattern = Frequency = 2.5-4 minutes, Duration 70-80 seconds Any intervention needed = NO Notes: ________________________________________________________________ Baseline ______ Normal Range ______ Variability________ Accelerations present _________ Decelerations present_________ If yes, which variety? ____________ Category ___________ Contraction pattern___________ Any intervention needed ___________________________ Notes: ________________________________________________________________ Baseline = 130 Normal Range = Yes Variability = Moderate Accelerations present = Yes Decelerations present = NO If yes, which variety? N/A Category = I Contraction pattern = Frequency = 2-2.5 minutes, Duration 50-100 seconds Any intervention needed = NO Notes: ________________________________________________________________ Baseline = 195 Normal Range = NO Variability = Moderate Accelerations present = Yes Decelerations present = Yes If yes, which variety? Variable Category = II Contraction pattern = Frequency = 3-3.5 minutes, Duration 80-140 seconds Any intervention needed = Yes Notes: Assess for maternal temp, most likely cause of fetal tachycardia. Cooling measures for mom including antipyretics. Fetal tachycardia can also be caused from stress. Think potential sepsis if ROM. Any other signs of infection? If contractions continue to be 120 seconds or longer or more than 5 in 10 minutes = uterine tachysystole, think uterine resuscitation and turn off any uterotonics. Baseline = 150 Normal Range = YES Variability = Minimal to Moderate Accelerations present = NO Decelerations present = Yes If yes, which variety? Variable Category = II Contraction pattern = Frequency = 2.5-3 minutes, Duration 80-90 seconds Any intervention needed = Possibly Notes: Assess cervical dilation and station, is the patient close to delivery? Attempt position change to relieve pressure on cord. Possible uterine resuscitation. If remote from delivery and variables happening greater than 50% of the time, consider amnioinfusion. Baseline = 125 Normal Range = YES Variability = Absent Accelerations present = NO Decelerations present = Yes If yes, which variety? Late Category = III Contraction pattern = Frequency = 3.5-4 minutes, Duration 100-120 seconds Any intervention needed = YES Notes: Action needed. Absent variability and late decelerations are consistent with fetal hypoxia and can lead to acidosis. If remote from vaginal delivery and unable to improve with uterine resuscitation measures and removing all uterotonics, prepare for cesarean