Basic Fetal Heart Monitoring
baseline fetal heart rate - ANS-- fetal heart rate monitoring is used to help determine
fetal well being
- abnormal heart rate may be a sign of fetal distress
DR C BRAVADO - ANS-DR: determine risk
C: contractions rate
BRA: baseline rate
V: variability
A: acceleration
D: decelerations
O: overall assessments and written plan
DR: determine risk - ANS-- determine risk in terms of the clinical situation
-- high risk or low/no risk
- risk helps determine frequency of documentation
- high risk:
-- first stage: latent phase q 30 min, active phase q 15 min
-- second stage q 5 min
-low/no risk
-- first stage: latent phase q 60 min, active phase q 30 min
-- second stage q 15 min
C: contractions rate - ANS-- frequency
- duration
- intensity
- resting tone
- beginning of one contraction to the beginning of the next contraction, measured by the
minute 2 1/2-3 minutes
-- any more frequently is considered tachysystole (baby won't get proper perfusion)
- duration is in seconds: 60-80 seconds
- 3 phases to contraction: increment (pushes blood out), acme (peak), decrement (fills
back up with blood)
- intensity: at peak of contraction (doesn't tell us how high, must PALPATE) mild,
moderate, strong (mild is tip of nose, moderate is chin, strong is forehead)
- resting tone: in-between contraction (palpate, should be soft)
BRA: baseline rate - ANS-- bradycardia (<110 bpm)
baseline fetal heart rate - ANS-- fetal heart rate monitoring is used to help determine
fetal well being
- abnormal heart rate may be a sign of fetal distress
DR C BRAVADO - ANS-DR: determine risk
C: contractions rate
BRA: baseline rate
V: variability
A: acceleration
D: decelerations
O: overall assessments and written plan
DR: determine risk - ANS-- determine risk in terms of the clinical situation
-- high risk or low/no risk
- risk helps determine frequency of documentation
- high risk:
-- first stage: latent phase q 30 min, active phase q 15 min
-- second stage q 5 min
-low/no risk
-- first stage: latent phase q 60 min, active phase q 30 min
-- second stage q 15 min
C: contractions rate - ANS-- frequency
- duration
- intensity
- resting tone
- beginning of one contraction to the beginning of the next contraction, measured by the
minute 2 1/2-3 minutes
-- any more frequently is considered tachysystole (baby won't get proper perfusion)
- duration is in seconds: 60-80 seconds
- 3 phases to contraction: increment (pushes blood out), acme (peak), decrement (fills
back up with blood)
- intensity: at peak of contraction (doesn't tell us how high, must PALPATE) mild,
moderate, strong (mild is tip of nose, moderate is chin, strong is forehead)
- resting tone: in-between contraction (palpate, should be soft)
BRA: baseline rate - ANS-- bradycardia (<110 bpm)
