Primal Clothing Miller Kopp, Articles N

Am 7. Unengaged presenting part (although this obstacle may be overcome with the use of a controlled amniotomy or the application of fundal or suprapubic pressure) Previous. Once deceleration starts, it takes about 20 to 30 seconds to reach its lowest point. ATI Maternal Newborn & Peds Maternal Newborn A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid replacement. REVIEW ATI NURSING ACTIONS COMPLICATIONS pg 150-151 25 Changes in FHR patterns are categorized as episodic or periodic changes. >Intact fetal CNS response to fetal movement VEAL CHOP MINE is a mnemonic used during intrapartum (labor) fetal heart rate monitoring. >Fetal trauma if fetal monitoring electrode or IUPC are inserted into the vagina improperly >Uterine contraction >Discontinue oxytocin if being infused None, Slowing of FHR after contraction has started with return of FHR to baseline well after contraction has ended. moderate variability. Reap Program Pensacola, What are some disadvantages of Continuous internal fetal monitoring? You have a . >Active labor Take up to 20% OFF all BoardVitals question banks during our Memorial Day Sale! to identify signs of fetal compromises, such as fetal hypoxia. >Movement of the client requires frequent repositioning of transducers >Palpate the uterine fundus to assess uterine activity It truly is a beautiful process from conception to birth and thereafter. JP Brothers Medical. Invasive EMF is done by applying a spiral pointed scalp electrode to the fetal scalp after rupturing the membranes. Common contraindications include the presence of non-reassuring fetal status, in fetal prematurity where the lungs are not fully developed, cephalopelvic disproportion, cervical cancer, active genital herpes infection, unfavorable fetal position, placenta previa, vasa previa, and any other obstetric emergencies that could require surgical TEAS Tuesday: Answers to your most frequently asked ATI TEAS, Version 7 questions May 25, 2022 / by Kari Porter Tips for Coping with Stress During Nursing School It also entails having the necessary knowledge, training, and experience in dealing with a complicated pregnancy and childbirth situation because these patients' circumstances will provide safe and effective care. Hand-held Doppler ultrasound probe. >Normal; reassuring FHR 110-160 BPM with increases and decreases from baseline It is most commonly measured via electronic fetal monitor. Nursing interventions? Your health provider will check your baby's heart rate either continuously with an electronic fetal monitor, or periodically (this is called intermittent auscultation). Home / Non categorizzato / nursing considerations for internal fetal monitoring ati. Each uterine contraction is comprised of 3 parts, What are they? [1]. Due to large amounts of blood lost, the heart tries to pump faster in order to compensate for blood loss. All rights reserved. Identify ways to apply key safety elements to your unit policies, procedures, and practices related to electronic fetal monitoring. Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever) Psychology (David G. Myers; C. Nathan DeWall) Fetal heart monitoring ATI TEMPLETE University Bay State College Course Fundamentals of Nursing (NUR 101) Uploaded by Jessica Willard Academic year2021/2022 Helpful? The average fetal heart rate is between 110 and 160 beats per minute. >Maternal hypoglycemia >Absence of FHR variability >Encourage frequent repositioning of the client. nursing considerations for internal fetal monitoring ati; lassi kefalonia shops nursing considerations for internal fetal monitoring ati . -Oxytocin infusion (augmentation or induction of labor) Dec 11, 2017. It can also be done before labor and delivery, as part of routine screening at the very end. From then on, unless there is a problem, listening for 30 seconds and multiplying the value by two is sufficient. Fetal heart rate monitoring is a process that lets your doctor see how fast your baby's heart is beating. What to look for when you are monitoring FHR intermittently: The Benefits of intermittent fetal heart rate monitoring include:Advertisementsif(typeof ez_ad_units != 'undefined'){ez_ad_units.push([[300,250],'nurseship_com-banner-1','ezslot_12',640,'0','0'])};__ez_fad_position('div-gpt-ad-nurseship_com-banner-1-0'); The limitations of intermittent fetal heart rate monitoring include: As the name states, it is continuously monitoring fetal behavior using an electronic device during labor. and nursing literature have explored these com-munication barriers, especially between nurses and physicians. Aspiring nurses can learn about the different types of nurses, education requirements, and nurse salary statistics.Nursing students can access care plan examples, nursing school study tips, NCLEX review lectures and quizzes, nursing skills, and more. They are identified visually on a fetal monitor tracing by when they occur in the contraction cycle either the onset or at the end . What Does No Greek Mean Sexually, Continuous internal fetal monitoring can be used in conjunction with an intrauterine pressure catheter (UIPC), which is a solid or fluid-filled transducer placed inside the client's uterine cavity to monitor the frequency, duration, and intensity of contractions. Believed to be an abnormal FHR pattern, late decelerations indicate a reduction in heart rate, usually after a uterine contraction. External monitoring is subject to loss of signal related to maternal positioning, fetal positioning, maternal body fat. Additionally, types of labor induction (cervical ripening, amniotomy, and oxytocin) and nursing care for all. Maternity Nursing and Newborn Nursing Test Bank. >At peak action of anesthesia The diaphragm of the ultrasound transducer is moved to either side of the abdomen to obtain a stronger sound. Long-term variability is the waviness or rhythmic fluctuations. It also entails having the necessary knowledge, training, and experience in dealing with a complicated pregnancy and childbirth situation because these patients' circumstances will provide safe and effective care. Alaska Commercial Fishing Boats For Sale, Start with an evaluation, and a personalized study plan . What are some considerations for preparation of the client for intermittent fetal monitoring and uterine contraction palpitations? >Fetal bradycardia and so much more . >insert the IV catheter if one is not in place and administer maintenance IV fluids Absent baseline FHR variability and any of the following Presumptive Signs of Pregnancy Changes that are experienced by the woman that make her think that she may be pregnant. This can happen at any gestational age, even full term. If the client is lying supine, place a wedge under one of the client's hips to tilt her uterus. If your institution currently is a subscriber to Lippincott Advisor for Education and you are having difficulty. This could cause painful contractions, and lead to uterine rupture and hemorrhage. >Maternal or fetal infection This maneuver assists in identifying the descent of the presenting part into the pelvis, Leopold Maneuvers: Outline the fetal head. If you're pregnant, your doctor will want to make sure your baby is healthy and growing. Patients with feeding tubes are at risk for such complications as aspiration, tube malpositioning or dislodgment, refeeding syndrome, medication-related complications, fluid imbalance, insertion-site infection, and agitation. >Prolapsed cord Patient may then ambulate for 30 minutes and then monitor FHR and UA x's 30 minutes if no evidence of non-reassuring FHR or tachysystole. Electronic fetal monitoring that is, constantly monitoring a baby's heartbeat is often used during labor to make sure babies don't lack of oxygen during labor and suffer resulting brain damage. The presence of short-term variability is classified either as present or absent. Placenta Previa causes bleeding. It can vary by 5 to 25 beats per minute. >Recurrent late decelerations with moderate baseline variability Additionally, types of labor induction (cervical ripening, amniotomy, and oxytocin) and nursing care for all. Finally, MINE is for the nursing interventions required as per assessment findings. Intermittent auscultation of the FHR is a low-technology method that can be performed during labor using a hand-held Doppler ultrasound device, an ultrasound stethoscope, or fetoscope to assess FHR. The population was women in labor with uneventful singleton pregnancies at term. Two basic mechanisms of US interaction with biological systems have been identified: thermal and non-thermal. porterville unified school district human resources; Nursing considerations. The decrease in FHR is 15bpm or more. Because of historical and social factors, nurses and physicians have internalized a hierarchical structure for communication and de-cision making in which the physician is "in charge" (Hall, 2005; Leonard, Graham, & Bonacum, 2004; internal fetal monitoring, including the appropriate use for each. -Active labor What is Pitocin and how is it used? . Ensure that the patient is not taking concomitant ACEi or ARB therapy. An intrauterine pressure catheter (IUPC) is a device placed inside a pregnant woman's uterus to monitor uterine contractions during labor. The breech should feel irregular and soft. Purpose: Your healthcare provider may do fetal heart monitoring during late pregnancy and labor. Electronic fetal heart monitoring is not a substitute for appropriate professional nursing care and support of women in labor. . Fetal heart monitoring is a method used to check the well being of the fetus by finding the fetal heart rate and rhythm. Placenta Previa is the development of placenta in the lower uterine segment partially or completely covering the internal cervical os. Create three research questions that would be appropriate for a historical analysis essay, keeping in mind the characteristics of a critical r, Carbon Cycle Simulation and Exploration Virtual Gizmos - 3208158, 1.1 Functions and Continuity full solutions. Visually you can see the presence or absence of short-term variability. In this section of the NCLEX-RN examination, you will be expected to demonstrate your knowledge and skills of antepartal, intrapartal, postpartum, and newborn care in order to: Assess client's psychosocial response to pregnancy (e.g., support systems, perception of pregnancy, coping mechanisms) Your health provider will check your baby's heart rate either continuously with an electronic fetal monitor, or periodically (this is called intermittent auscultation). Assess FHR for 60 seconds before and immediately following a uterine contraction. Start flow charts to record maternal BP and other vital signs, I&O ratio, weight, strength, duration, and frequency of contractions, as well as fetal heart tone and rate, before instituting treatment. At least 2 minutes of baseline segments in a 10 minute window should be present. JCAHOs DO NOT USE abbreviations list (updated 2021), List of NANDA Nursing Diagnosis for Cardiovascular Diseases (Part 1), 19 NANDA Nursing Diagnosis for Fracture |Nursing Priorities & Management, 25 NANDA Nursing Diagnosis for Breast Cancer, 5 Stages of Bone Healing Process |Fracture classification |5 Ps, 9 NANDA nursing diagnosis for Cellulitis |Management |Patho |Pt education, 20 NANDA nursing diagnosis for Chronic Kidney Disease (CKD), Assessing mother for any underlying contributing causes, To identify and address underlying causes, Provide reassurance that interventions are to effect pattern change, Helps to reduce mental stress and anxiety, to identify signs of fetal compromises, such as fetal hypoxia, to implement interventions as soon as possible to ensure the safe delivery of the baby, Uterine contraction reduces uteroplacental circulation, Uterine contraction affects intrauterine pressure, Head compression affects the function of the vital brain centers. As a result, thermal and mechanical indexes have been . We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. >Placement of transducers can be performed by the nurse By 1992, EFM was used in nearly 75% of labors . The VEAL chop method for nursing stands for variable deceleration, early deceleration, accelerations, and late decelerations. It also checks the duration of the contractions of your uterus. Follow our Facebook Page for the NCLEX-Style Question of the Week as well as relevant posts and live events to help you on your road to becoming a . The average pressure is usually 50 to 85 mm Hg. TEAS Tuesday: Answers to your most frequently asked ATI TEAS, Version 7 questions May 25, 2022 / by Kari Porter Tips for Coping with Stress During Nursing School REVIEW ATI NURSING ACTIONS COMPLICATIONS pg 150-151 25 Changes in FHR patterns are categorized as episodic or periodic changes. During labor, a woman's uterus contracts to dilate, or open, the cervix and push the fetus into the birth canal. In a cephalic presentation, the FHR is best heard in the lower quadrant of the mothers abdomen. >Administer oxygen by mask 1t 8 to 10 L/min via nonrebreather face mask ATI guidelines for intermittent auscultation or continuous electronic fetal monitoring During Latent phase: Every 30 to 60 minutes During Active phase: Every 15 to 30 minutes During Second Stage: Every 5 to 15 minutes How often should the FHR be monitored with intermittent auscultation during the active phase? early intervention speech therapy activities teletherapy Danh mc If roughness is present in the baseline, short-term variability is present. Use code: MD22 at checkout. AccelerationAccelerating fetus heart. 6. A master's-prepared Nurse Educator will serve as your personal tutor to guide you through online NCLEX preparation. View Assessment of Fetal Well Being LC (6)1.pptx from NURSING M01 at Moorpark College. Your doctor will use fetal heart monitoring to check on the status of the baby during labor and delivery. Sinusoidal pattern Accelerations are common and are associated typically with any direct or indirect fetal movement. External Fetal Monitoring (EFM) is the most commonly used method, which also assesses uterine activity.-Discontinue oxytocin if being administered -Assist mother to a side-lying position -Administer oxygen via facemask 8 - 10 L -Give bolus of isotonic IV fluids -Notify . 1:43 pm junio 7, 2022. west point dropouts. Objective: To compare fetal heart rate (FHR) signals acquired simultaneously by an external ultrasound probe and a scalp electrode during the second stage of labor. Benefits of electronic fetal monitoring include: CLICK HERE for a sample nursing care plan for Preeclampsia. >Accelerations: Present or absent Additional nursing interventions same as the late deceleration interventions. Adequate FHR between 110 - 160 bpm with moderate variability -Verify the time and date on the monitor are accurate. Picmonic. >Presenting part must have descended to place electrode Periodic baseline changes are temporary, recurrent changes made in response to a stimulus such as a contraction. Contraction Stress Test (CST) By Nursing Lecture. elddis compact motorhome; . Two types of monitoring can be done: external . The plan has resulted in the installation of more than 30,000 systems statewide since its inception in 1996. Category I: Normal- associated with fetal well-being; accelerations, Category II: Indeterminate- ambiguous data- describes patterns or elements of reassuring characteristics but also data that may be nonreassuring; not an emergency but important to continue monitoring, Category III: abnormal- nonreassuring- favorable signs are absent, Category II= NOT GOOD= nursing intervention required. scioto county mugshots busted newspaper. It is an important clinical indicator that is predictive of fetal acid-base balance and cerebral tissue perfusion. >Umbilical cord compression AWHONN's Guidelines for Professional Registered Nurse Staffing for Perinatal Units (. During the assessment, you'll observe the fetal heart rate, rhythm, and intensity. >Fetal congenital heart block The training materials and tool for this bundle offer key safety elements for the use of EFM. What Is Popular Culture John Storey Summary, >Uteroplacental insufficiency causing inadequate fetal oxygenation >Maternal diabetes mellitus. Use code: MD22 at checkout. If there is need to change the monitor, disconnect the cable from the monitor. ASSESSMENT OF FETAL WELL-BEING ATI: Maternal Newborn Nursing Chapters 6 & 13 PRENATAL SCREENING Why do we Can measure the frequency, duration, and intensity of UCs, The average rate during a 10 minute segment that excludes periodic or episodic changes, periods of marked variability and segments of baseline that differ by more than 25 beats/minute, Absent - straight line Let the circuit sweep through frequencies of 100Hz100 \mathrm{~Hz}100Hz to 1MHz1 \mathrm{~MHz}1MHz. -Empty your bladder before we begin. Internal fetal monitoring involves inserting an electrode through the dilated cervix and attaching the electrode to . As labor progresses, the FHR location will change accordingly as the fetus descends lower into the mothers pelvis for the birthing process. Interventions of the nurse with intermittent fetal monitoring and uterine contraction palpitations? Labor is the process by which the pregnant body prepares for the delivery of the fetus. Fetal movements/kick counts to ascertain fetal well being- count and record fetal movement- One method: Mothers should count fetal activity two or three times a day for 2 hr after meals or bedtime. Placenta previa is the complete or partial covering of the internal os of the cervix with the placenta. >Oxytocin infusion Signs of fetal distress. Here, in this article, well discuss fetal heart rate monitoring, mnemonic VEAL CHOP MINE and its nursing interventions. Clinical implications: The fetal monitoring safety nurse may be an innovative potential solution to minimize risk of adverse events during labor that are related to accurate assessment of electronic fetal monitoring data and timely and appropriate interventions. -Palpate mother's abdomen to asses the uterus and determine the location of the fetus's back to ensure proper placement of transducer. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. Nursing Care Plan for Placental Abruption 2. -Abnormal uterine contractions In some parts of the world, continuous fetal monitoring is used only for women with high-risk pregnancies, but increasingly . Nursing Interventions (pre, intra, post) Potential Complications. Overview Purpose: determine fetal well being by measuring FHR, fetal response to contractions. decelerations). A slow heart rate, or bradycardia, may indicate the baby is not getting enough oxygen delivery to the brain. Any contraindications to vaginal delivery. The population was women in labor with uneventful singleton pregnancies at term. The catheter measures the pressure within the amniotic space during contractions and allows physicians to evaluate the strength, frequency . Read theprivacy policyandterms and conditions. Methods: This was a prospective observational study in a labor ward of a tertiary care university hospital. c. apply pressure to the fetal scalp with a glove finger using a circular motion. Fetal tachycardiais defined as a baseline fetal heartrate more than160bpm and lasts longer than 10 minutes. -If you need to walk or use the bathroom, we >Based on findings obtained using Leopold maneuvers, auscultate the fHR using listening device The components and scoring of the Bishop Score. We and our partners use cookies to Store and/or access information on a device. Amniotomy may be contraindicated in the following situations: Known or suspected vasa previa. Electronic fetal monitoring (EFM) is a commonly used practice on labor and delivery (L&D) units and is a focus of this customizable bundle within the AHRQ Safety . Benefits of using external fetal heart monitoring is that it is non invasive and does not pose risk for infection.. also provides continuous tracing of fetal heart tracing and enables the nurse to detect signs of fetal distress. The patient, the mother, and the fetus will be free from infection prevention of complications or fetal infection. Current recommendations for fetal monitoring include a three-tier fetal heart rate interpretation system. It gives an indirect indication of the oxygen status of the fetus. >Fundal pressure Posted on June 11, 2015. Juni 2022 . >Placenta previa Indicate reactive nonstress test, FHR less than 110/min for 10 minutes or more. >Membranes must be ruptured It can also be done before labor and delivery, as part of routine screening at the very end. These contents are not intended to be used as a substitute for professional medical advice or practice guidelines. Pitocin may be used alone or with other medications. Salpingectomy After Effects, This can be done either using invasive or non-invasive devices. 2002 ford falcon au series 3 specs. 1 This test is performed to evaluate the baby's heart rate as well as the variability of heartbeats at the time of labor. Intrauterine pressure transducer is introduced into the uterine cavity. Fetal distress is diagnosed based on fetal heart rate monitoring. I think it is so neat that technology has advanced in such a way that we can monitor mother's . Fetal heart rate monitoring measures the heart rate and rhythm of your baby (fetus). -Non-reassuring FHR patterns (bradycardia, minimal/absent variability, late/variable, -If you need to walk or use the bathroom, we. Disadvantages of internal fetal monitoring . It can vary by 5 to 25 beats per minute. c. apply pressure to the fetal scalp with a glove finger using a circular motion. >Continuous assessment of FHR patterns response to uterine contractions during the labor process. >Recurrent late decelerations Study L&D/Fourth Stage of Labor/Nursing Interventions flashcards from April Groves's class online, or in . Auscultate the FHR post-Leopold Maneuvers to assess the fetal tolerance to the procedure Increase in fetal heart rate to over 160 bpm, Decrease in fetal heart rate to less than 110 bpm, Fetal heart rate takes a long time to come back to its normal rate after the contraction passes off, can detect baseline fetal heart rate, rhythm, and changes from baseline, mobility for the mother in the first stage of labor, freedom of movements since she is not attached to a stationary electronic fetal monitoring device, Inability to detect variability and types of decelerations, Any transient significant abnormality in between observations are likely to be overlooked, Sometimes difficult to count the fetal heart rate during uterine contractions or in case of obesity or hydramnios, Accurate monitoring of uterine contractions, Significant improvement of perinatal mortality, Significant reduction in intrapartum fetal death rate, Interpretation is affected by intra- and interobserver error, Due to errors of interpretation, the cesarean section rate may be increased, Instruments are expensive and trained personnel are required to interpret a trace, Occiput posterior or transverse presentations, Anomalies such as fetal heart conduction defect, Certain medications such as pethidine, antihypertensives (eg: methyldopa, propranolol), MgSO4, Drugs given to the mother such as, (i) -sympathomimetic agents used to. -Discontinue oxytocin if being administered. . What are some causes/complications of Early decelerations of FHR? STUDENT NAME _____________________________________ Non-stress test evaluates FHR by electronic fetal monitor (EFM) in response to fetal movement (FM) as early as 27 weeks Mother should eat 2 hours before and may be given snacks during to enhance . Baseline fetal heart rate can be interpret as reassuring,non-reassuringorominous signs. Reflect possible impaired placental exchange; Absence of accelerations after fetal stimulation, Increase placental perfusion- turn mother to left side, administer oxygen, infuse Lactated Ringers, Tocolytic drug, such as terbutaline, may need to be administered to lessen uterine activity, Prepare for c-section if fetal compromise is suggested, Update and educate the mother and partner, Communicate nonreassuring signs with the healthcare provider. These should subside within 2 minutes. At the end of the video, Meris provides a quiz to help you test your knowledge of the key facts . Contractions are firm (100mmHg with a intrauterine pressure catheter) occur every 1 to 2 min. Placenta Previa is the development of placenta in the lower uterine segment partially or completely covering the internal cervical os. How often should the FHR be monitored with intermittent auscultation during the second stage? Fetal Monitoring During Labor- Maternal (OB) Nursing A review for nursing students studying fetal monitoring during labor. Electronic fetal monitoring (EFM), also called cardiotocography (CTG), is when the baby's heart rate is monitored with an ultrasound machine while the mother's contractions are monitored with a pressure sensor (Alfirevic et al. Identify descent of presenting part into pelvis Determine the part that is presenting over the true pelvis inlet by gently grasping the lower segment of the uterus between the thumb and fingers. >Early decelerations: Present or absent It helps the physician in selecting the optimal time for delivery of the high-risk fetus. The following are 3 different methods of fetal monitoring: Now that we know how to monitor the fetal heart rate, lets look into what this information will clue us into. If the cephalic prominence is on the same side as the back, the head is extended with a face presentation. >Maternal complications (gestational diabetes mellitus, gestational hypertension, kidney disease) The most common abnormality in fetal heart rate are fetal bradycardia and fetal tachycardia. >Cultural considerations, emotional, educational and comfort needs of the mother and the family incorporated into the care plan. Palpation of contractions at the fundus for frequency, intensity, duration, and resting tone is used to evaluate fetal well-being. is to "reposition the client in to Left Lateral Position". -Administer oxygen via facemask 8 - 10 L Nursing intervention? -Intrauterine growth restriction Additionally, Meris reviews types of labor induction (cervical ripening, amniotomy, and oxytocin) and nursing care for all. The electrode wires are then attached to a leg plate that is placed on the client's thigh and then attached to the fetal monitor. >umbilical cord prolapse b. notify the physician so that a fetal scalp blood sample can be obtained. Maternity - L&D, part 7: External Cephalic Version, Bishop Score, Labor Induction/Augmentation. Keywords Electronic fetal monitoring, Nursing instructions, Maternity nurses 1. Both of these sensors are linked to a recording machine, which shows a print-out or computer screen of the . The FHR returns to normal only after the contraction has ended completely. During fetal development, AFP levels in serum and amniotic fluid rise; because this problem crosses the placenta, it appears in maternal serum. Internal fetal monitoring involves the placement of an electrode directly onto the scalp of the baby while it is still in the womb. In this video the procedure, complications, and nursing care for an external cephalic version. >Baseline fetal heart rate of 110 to 160/min Nursing Interventions. simplify Topics you are currently struggling With. >Variable decelerations. Memorial Day Sale. Describe appropriate nursing interventions to address nonreassuring fetal heart rate patterns. Document the finding from the maneuvers, What are some indications for intermittent auscultation and uterine contraction palpation, >Determine active labor Believed to be an abnormal FHR pattern, late decelerations indicate a reduction in heart rate, usually after a uterine contraction. Since the fetus is inside the mothers uterus, physical assessment is not a viable option. 1 This test is performed to evaluate the baby's heart rate as well as the variability of heartbeats at the time of labor. Your doctor may choose to perform fetal monitoring during pregnancy or labor if any of the following occurs: You have anemia. At the end of the video, Meris provides a quiz to help you test your knowledge of the key facts . >Maternal infection, chorioamnionitis mikayla nogueira tiktok net worth. Objective: To compare fetal heart rate (FHR) signals acquired simultaneously by an external ultrasound probe and a scalp electrode during the second stage of labor. New nurses can access job resources such as interview tips, nursing job resumes, and job search tools. Use PSpice to input the circuit of the given figure. Internal fetal monitoring involves the placement of an electrode directly onto the scalp of the baby while it is still in the womb. The Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) is a 501(c)3 nonprofit membership organization. >Fetal cardiac dysrhythmias It is manifested by regular contractions and thinning and opening of the cervix to name a few. To identify these problems, thoroughly assess the patient before tube feeding begins and monitor closely during feedings . . Secondly, the word CHOP represents the cause for these pattern variations. Acceleration is defined as a momentary increase in fetal heart rate above the baseline. I hope this was helpful for the nursing students out there currently studying for their Maternal (OB) Nursing rotation. with a duration of 95-100 sec. >Administer a tocolytic medication as prescribed Moderate - 6-25 bpm Episodic or periodic decelerations By 1992, EFM was used in nearly 75% of labors One of the coolest things about the labor process is the monitoring of fetal heart tones. Objective: To compare fetal heart rate (FHR) signals acquired simultaneously by an external ultrasound probe and a scalp electrode during the second stage of labor.