This presentation will assist labor & delivery nurses in sharpening their skills and foundation for interpreting fetal heart monitoring tracings. Beginning with a brief review of the basic physiology of acid base interpretation, we will discuss appropriate terminology for electronic fetal monitoring (EFM) using the terminology established by the National Institute of Child Health and Development. We will compare and contrast categories of fetal heart rate patterns and discuss their associated interventions. Finally, we will establish a core set of elements for creating a plan with the patient and care team for the physiologic management of the second stage of labor. This presentation offers labor and delivery nurses the opportunity to ensure their ability to read and respond to EFM during labor is up to date and consistent with national and international guidelines.
Learning Objectives:
1. Describe electronic fetal monitoring (EFM) patterns using National Institute of Child Health and Development (NICHD) terminology
2. Explain the physiology of acid base interpretation
3. Compare and contrast categories and fetal heart rate patterns and their associated interventions
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