Fetal monitoring ( Chapter 14)
they can be internal or external
there are three sections
base line heart rate is 110-160 is normal
its normal to have ups and down normal
what is a good and bad heart rate
“V” variable ----C=cord
“E”early decels-----"H”= Head
“A” accel ----"O”= oxygen
“L” late deceleration -----"P”= lack of oxygen, baby is not tolerating labor
Acceleration= increased HR > 15X 15
Variability= beat to beat changes
Deccleration= decreased HR 15 x15
Variable= “V” shaped/rapid depor.
Early decels= in conjunction with contractions mirror the contractions
Late deceleration= after contraction
If a babies HR goes p and stays up its due to drugs or temperature
How to measure a contraction beginning to beginning of each contraction, frequency always
measured in minutes. Duration is measured in seconds
Category 2
Lay the mother on the left side to remove pressure from the vena cava.
Decrease and stop the fluids
Repositioning
Category I reading monitor the baby
Category III get the baby out
Baby medication administration
Where to give a baby a shot- straighten the leg and find the muscle that sticks out
Needle size 5/8’s 27 Gage
If drawing from an ampule use a filter needle.
Blunt need is used when drawing up hep b medication Or any medications.
When applying erythromycin, apply by inner to outer “don’t touch the eye.”
When opening an ampule use an alcohol wipe and break it away from you and the baby