fetal heart monitoring…

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what the risks are --> fetal heart, uterine contraction monitor, internal fetal monitoring, non-stress test, nst, cst, contraction, scalp monitoring external fetal monitoring, by definition, external fetal monitoring, the skin, transdermally, not meant to be invasive, sit, knees, back partially elevated, a cushion under the right hip, moves uterus, left, comfortable, uterus is displaced, left, brief periods on the right, sensitive electrodes, monitors, placed on abdomen over conducting jelly, sense both fetal heart rate, fhr, strength, duration of uterine contractions, output, results of this test, continuous, printed out, appear on a computer screen, allows health care provider to monitor, baby is experiencing fetal distress, how well the fetus is tolerating the contractions, decision to move to internal fetal monitoring, the information first obtained by external fetal monitoring, non-stress test, nst, nst is another way of externally monitoring baby, nst, the 27th week of pregnancy, measures the fhr accelerations, normal movement, sit, knees, back partially elevated, a cushion under the right hip, moves uterus, left, same monitors described, placed on abdomen to measure the ability, the uterus to contract, fhr, no activity after 30-40 minutes, given something to drink, a small meal, stimulate fetal activity, interventions that might encourage fetal movement include the use of fetal acoustic stimulation, sending sounds, fetus, gently placing hands on abdomen, moving the fetus, contraction stress test, cst, cst, final method of externally monitoring baby, test measures the ability, the placenta to adequately oxygenate the fetus under pressure, contractions, sit, knees, back partially elevated, a cushion under the right hip, moves uterus, left, same monitors described, placed on abdomen to measure uterine contractility, fhr, contractions, not occurring spontaneously, either a medication, oxytocin, given intravenously, nipple stimulation, induce contractions, oxytocin is administered, the oxytocin challenge test, oct, oxytocin is administered, an iv, three uterine contractions, lasting 40 to 60 seconds, over a 10-minute period, a test involving nipple stimulation, the nipple stimulation contractions stress test, every effort, ensure privacy, the nurse, the entire procedure, after positioned, rub the palm of hand across one nipple, garments, 2 to 3 minutes, after a 5-minute rest, nipple stimulation should continue, 40 minutes have elapsed, 3 contractions have occurred, lasting more than 40 seconds, a 10-minute period, a uterine contraction starts, should stop the nipple stimulation, internal fetal monitoring, internal fetal monitoring involves placing a electrode directly on the fetal scalp, the cervix, use this method of monitoring baby, external monitoring is not working well, information is suspicious, a vaginal examination, electrode, introduced, its plastic sheath, vaginal canal, plastic guide is moved, the cervix, placed on the fetus' scalp, removed, electrode's wire is strapped to thigh, attached, monitor, an explanation, the procedure, its risks is provided by health care provider, wear a hospital gown, sign a consent form, external fetal monitoring, sitting in place, extended periods of time, become uncomfortable, people, the case, once notified, help reposition to a more comfortable position, jelly that, under the external monitors, same used, ultrasounds, cold, internal fetal monitoring, patients report feeling mild discomfort the electrode is inserted, the cervix, both types of tests, performed to evaluate fetal heart rate, variability between beats, in relation to uterine contractions, tests also indicate the frequency, strength of uterine contractions, information is invaluable in determining how well baby is tolerating the birth process, needs to be emergency intervention, normal values indicate that the fetus is not in distress by showing a fetal heart rate between 120, 160 beats per minute, variability of 5-25 beats per minute, baseline, fetal heart rate, not uncommon, the fetal heart rate to drop slightly, a contraction, placental blood supply is diminished under the compression of a uterine contraction, the fhr recovers quickly once the contraction has stopped, following situations, considered abnormal results, detected by health care provider, by monitoring the data from these tests, cord compression, no free blood flow, fetus, fetal heart block, block of electrical flow, the heart muscle causing an altered heart rhythm, fetal malposition, fetal hypoxia, insufficient oxygen supply, fetus, infection, monitoring cannot diagnose an infection, suggest, an infection, uteroplacental insufficiency, insufficient oxygen exchange between the uterus, placenta, fetal distress, abruptio placenta, external fetal monitoring, no risks associated, external monitoring, internal fetal monitoring, infection, fetal scalp bruising.