NURSI 1230 Fetal Heart Monitoring Sheet

**Normal Fetal heart rate ranges from 110-160 bpm


FETAL MONITOR CAUSES INTERVENTIONS

VARIABLE Cord compression ➢ Reposition mom
DECELERATION Cord prolapse ➢ Stop oxytocin
➢ Assess for prolapse
-W/U shaped decelerations; cord
no direct correlation to ➢ Notify HCP
uterine contraction ➢ Administer O2
➢ Prepare for
amnioinfusion–to
prevent cord
compression and feta
distress
➢ Administer fluids
(LR) to dilute
meconium during
labor
➢ Monitor for
effectiveness of
interventions
➢ If variable decel
continues, mom must
give birth

EARLY DECELERATION Fetal Head compression No interventions needed but
during descent through birth continue to monitor FHR and
-heart rate drops at it canal maternal vital signs
mirrors the peak of each
contraction
Uterine contraction

ACCELERATION Movement from the activity This is okay!
of fetus
-acceleration and moderate No interventions needed
variability is a reassuring
sign Uterine contraction Continue to monitor FHR and
maternal vital signs