Nursing > NCLEX > Mark Klimek Audio Lectures Lecture 11 Fetal Heart Monitoring Fetal Monitoring Patterns During Labor  (All)

Mark Klimek Audio Lectures Lecture 11 Fetal Heart Monitoring Fetal Monitoring Patterns During Labor and Delivery.

Document Content and Description Below

Mark Klimek Audio Lectures Lecture 11 Fetal Heart Monitoring Fetal Monitoring Patterns During Labor and Delivery Mark Klimek Audio Lectures Lecture 11 Fetal Heart Monitoring Fetal Monitoring Pat... terns During Labor and Delivery - It takes 3 things to pass the NCLEX exam - Knowledge - Confidence - Exam Proficiency - You can’t apply what you don't know, but you have to be able to apply what you do know. - Go with majority: if something is 75% fatal, consider it fatal. - If you try to learn everything you will master nothing. Lecture 11 Fetal Heart Monitoring Fetal Monitoring Patterns During Labor and Delivery - There are 7 fetal monitoring patterns you should know. 1. Low Fetal Heart Rate (a fetal heart rate under 110) - A fetal heart rate under 110 is BAD - When the fetal monitor registers a fetal heart rate below 110 do LION - L: Lay the mother on her Left side - I: Increase IV fluids - O: Apply oxygen - N: Notify physician - If Pitocin is running stop it immediately, then perform LION 2. High Fetal Heart Rate (a fetal heart rate over 160) - A fetal heart rate over 160 is no big deal, document. - Take moms temperature. (Most likely has a fever) 3. Low Baseline Variability (the baby’s heart rate remains relatively constant) - A fetal heart rate that does not change frequently is BAD - When the fetal heart rate does not vary do LION. - L: Lay the mother on her Left side - I: Increase IV fluids - O: Apply oxygen - N: Notify physician 4. High Baseline Variability (the baby’s heart rate is constantly changing) - When the babies heart rate is constantly changing that's good, document 5. Late Decelerations: - Late deceleration refers to the baby’s heart rate decelerating (slowing down) near or at the end of a contraction. This is BAD. - If a fetal heart rate is showing late decelerations do LION. - L: Lay the mother on her Left side - I: Increase IV fluids - O: Apply oxygen - N: Notify physician 6. Early Decelerations: - Early deceleration refers to the baby’s heart rate decelerating (slowing down) before or at the beginning of a contraction. - This is normal, document. 7. Variable Decelerations: - Variable deceleration is when the baby’s heart rate decelerates (slows down) and varies in duration, intensity, and uterine contractions. - This is VERY BAD, this means prolapsed cord. - Stick hand in mother’s vagina and push the baby’s head up. - Position her in keen chest (hands and knees), with hand still on baby’s head - Rush to the operating room in this position for an emergency cesarean section - The fetal monitor heart rate patterns that start with “L” are bad and you do “LION” - The fetal monitor heart rate patterns that don't start with “L” are normal occurrences, document and continue monitoring. - A fetal monitor heart rate that shows Variable deceleration is VERY BAD, this means prolapsed cord. - VEEL CHOP table for fetal heart rate monitoring. C H O P V (variable) Chord compression E (early deceleration) Head compression A (Acceleration) Okay (normal) L (late deceleration) Placental insufficiency Delivery of the Baby - First you deliver the head. - Suction the mouth and then nose. (While the body is still in the birth canal) - Check for a Nuchal cord (when the umbilical cord is wrapped around the neck. - Main goal is to prevent cord compression. - Then you deliver the body. - The baby must have an ID band on before it leaves the delivery area. Delivery of the Placenta - First, make sure the placenta is all there. - Second, check for a 3-vessel cord. - 2 Arteries - 1 vein Recovery - The first 2 hours after the delivery of the placenta. - There are 4 things you do, 4 times and hour (every 15 minutes), in the 4th stage. 1. Monitor vital signs for shock: - Low blood pressures - Increased heart rate - Pale, cold, and clammy 2. Check the fundus: - If the fundus is boggy (soft) you massage it. - If the fundus is displaced (not midline) you catheterize. 3. Check the perineal pads: - If she is bleeding excessively she will 100 % saturate a pad in less than 15 minutes. - Give her a new pad. 4. Roll her over: - Check for bleeding underneath of her. - It’s possible for a pad to be half saturated but leaking underneath her. Post-partum [Show More]

Last document update: 3 months ago

Preview 1 out of 7 pages

Reviews( 0 )

NCLEX

$9.00

Add to cart

Instant download

OR

Can't Find what you want?

Post questions here
32
1

Document information


Connected school, study & course



About the document


Uploaded

3 months ago

Number of pages

7

Written in

All

Type

NCLEX

Seller


NursingStudyGuidesandNotes

Member since 9 months ago

154 Documents Sold


Additional information

This document has been written for:

Course

Nursing

Paper Category

NCLEX

Uploaded

3 months ago

Downloads

 1

Views

 32

THE BEST STUDY GUIDES

Avoid resits and achieve higher grades with the best study guides, textbook notes, and class notes written by your fellow students

Avoid examination resits

Your fellow students know the appropriate material to use to deliver high quality content. With this great service and assistance from fellow students, you can become well prepared and avoid having to resits exams.

Get the best grades

Your fellow student knows the best materials to research on and use. This guarantee you the best grades in your examination. Your fellow students use high quality materials, textbooks and notes to ensure high quality

Earn from your notes

Get paid by selling your notes and study materials to other students. Earn alot of cash and help other students in study by providing them with appropriate and high quality study materials.

WHAT STUDENTS SAY ABOUT US


What is Browsegrades

In Browsegrades, a student can earn by offering help to other student. Students can help other students with materials by upploading their notes and earn money.

We are here to help

We're available through e-mail, Twitter, Facebook, and live chat.
 FAQ
 Questions? Leave a message!

Follow us on
 Twitter

Copyright © Browsegrades · High quality services·