Fetal Assessment During Labor Nursing Care During Labor and Birth study guide graded A+ easy revision

Fetal Assessment During Labor Nursing Care During Labor and Birth study guide graded A+ easy revision EFM - Electronic Fetal Monitoring Fetal Monitoring - -Introduced clinically in the early 1970's -Primary mode of intrapartal fetal assessment -Not all facilities for deliveries have EFM. Not used in home deliveries or in some birth centers. These use IA (Intermittent auscultation with a doppler or fetoscope). -All mom's and babies in the hospital typically need fetal monitoring In clinical practice the patterns of the Fetal Heart Rate (FHR) are described as - -reassuring: progressing normally with no intervention needed - non-reassuring: abnormal and in need of intervention IA (Intermittent Auscultation) - Listening to fetal heart sounds at periodic intervals to assess FHR IA can be performed with: - -Leff scope -DeLee-Hillis fetoscope -Ultrasound device Electronic Fetal Monitoring: External monitoring - -non-invasive -Fetal Heart Rate (FHR): ultrasound transducer -Uterine Contractions (UC's): tocotransducer -Can be used for woman are not termed Where is the Ultrasound transducer placed? - at the shoulder where is the Tocotransducer placed? - -at the top of the uterus to feel for contractions External monitoring disadvantages - -requires updating and repostioning as mother or baby changes position -As labor continues and baby moves down, the EFM will have to moved down Ultrasound transducer - -High frequency sound waves reflect mechanical action of the fetal heart. -Non-invasive, does not require rupture of membranes or cervical dilation and can be used during the antepartum and intrapartum periods for fetal monitoring. -As infant moves or labor progresses monitor must be adjusted. Tocotransducer - -monitors frequency and duration of contractions by means of a pressure sensing device applied to the maternal abdomen. -Can be used during both antepartum and intrapartum period. trying to get it fit properly and has to be able to fit on mom's belly and is secured Is anything special required for its applicatio