Question

A paper discussing the 3 different classes for fetal monitoring .this means you need to have a paragraph for each classification.each paragraph needs to be descriptive and substantive in what each category entails and the interventions that would occur for each classification>

Answer 1

FETAL MONITORING

DESCRIPTION

the fetal monitoring displays the fetal heart rate [FHR]

The device monitors uterine activity

the monitors assesses frequency ,duration and intensity of contraction

the normal FHRat term is110 to 160 beats per minutes

external fetal monitoring

it is performed with a tocotransducer or doppler ultrasonic transducer-placed over the fundus of the uterus,where contractions feel the strongest

preferable postion is to have the client lie on her side to increase perfusion

internal fetal monitoring

internal fetal monitoring is invasive and requires rupturing of the membrane and attaching an electrode to the presenting part of the fetus

the client must dilated 2 to3 cm to perform internal monitoring

periodic patterns in FHR

fetal bradycardia and tachycardia

bradycardia-FHRless than 110 beats /minutes for 10 minutes or longer

Tachycardia-FHRis more than 160 beats /minutes for10 minutes or longer

if bradycardia or tachycardia occurs- change the position of mother ,  administer oxygen, assess the mother's vital signs, notify the health care provider as soon as possible

FETAL HEART RATE TRACING CATEGORIES

CATEGORY 1

FHR tracings are normal -not associated with fetal asphyxia

they include -normal fetal heart rate,along with moderate variability defined as fiuctuatons in the baseline heart rate that are irregular in amplitude and frequency 6 -25 bpm,no late or variable deceleration ,possible early deceleration and possible acceleration

Interventions - category 1 - FHR tracings are considered to be normal not associated with fetal complication

-monitor this patient for every 30 minutes during the first stage of labour and every 15 minutes in second stage of labour

CATEGORY 2

FHR tracings are indeterminate and include a wide veriety of possible tracings that do not fit in category 1 or category 3. they include Bradycardia with Variability ,Tachycardia,Minimal variability,no variability with no recurrent decelerations,marked variability ,absence of induced accelerations even before fetal stimulation,recurrent variable decelerations with minimal or moderate baseline variability ,prolonged decelerations lasting more than 2 minutes,but less than 10 minutes,recurrent late deceleration with moderate variability,

interventions

intervention for late deceleration include immediately improving placental blood flow and fetal oxygenation.In this category FHR tracings are indeterminate and contain many possibilities and management is typically determined by which of the possibilities exist.

IF VARIABLE DECELERATION OCCUR-change the position of mother,administer oxygen,discontinue oxytocin if infusing.Assess the mothers vital signs and notify health care provider

patient require close supervision  ,frequent evaluation,documentation and correction of abnormalities by consevative management and intrauterine resuscitation .Accelerations and moderate variability suggest normal acid base balance

CATEGORY 3

fhr tracings are abnormal and indicative of hypoxic risk to the fetus and possible acidemia they include either no baseline variability or the presence of recurrent late deceleration,variable decelerations,bradycardia or a sinusoidal pattern.category 3 are unusual

intervention

FHR tracings are abnormal and are associated withadverse neurologic abnormalities

when intrauterine resuscitation of these abnormalities fails ,delivery should be expedient