What is the acronym for fetal monitoring?

And the chop stands for cord compression, head compression, oxygenated or OK, and placental insufficiency. It is a mnemonic that helps nurses determine the cause of fetal heart change during labor.

What Nichd term is used to describe a FHR baseline that is 2 minutes in any 10 minute segment?

A prolonged acceleration is ≥2 minutes but less than 10 minutes. An acceleration of 10 minutes or more is considered a change in baseline. A gradual* decrease and return to baseline of the FHR associated with a uterine contraction.

What is baseline FHR?

Baseline fetal heart rate is the average fetal heart rate (FHR) rounded to increments of 5 beats per minute during a 10-minute segment, excluding periodic or episodic changes, periods of marked variability, or baseline segments that differ by more than 25 beats per minute.

What is a non-reassuring fetal heart rate pattern?

Fetal tachycardia is defined as a baseline heart rate greater than 160 bpm and is considered a nonreassuring pattern (Figure 3). Tachycardia is considered mild when the heart rate is 160 to 180 bpm and severe when greater than 180 bpm.

How do you remember fetal decelerations?

VEAL CHOP, sometimes referred to as veal chop nursing, is a mnemonic used during delivery to remember fetal heart rate pattern changes. Rapid increases (acceleration) or decreases (deceleration) in a fetus’s heart rate can be a cause of concern.

What is the term for a FHR baseline of 110 bpm?

Bradycardia = below 110 bpm. Normal = 110 to 160 bpm. Tachycardia = over 160 bpm. The baseline rate is the mean bpm (rounded to 0 or 5) over a 10-minute interval, excluding periodic changes, periods of marked variability, and segments that differ by more than 25 bpm.

What are the 2 most important characteristics of the FHR?

There are two features that should always be assessed: The baseline fetal heart rate. The presence or absence of decelerations: If present, the relation of the deceleration to the contraction must be determined. It is very important to compare the timing of the contraction to the timing of the deceleration.

How is FHR baseline calculated?

The baseline FHR is the heart rate during a 10 minute segment rounded to the nearest 5 beat per minute increment excluding periods of marked FHR variability, periodic or episodic changes, and segments of baseline that differ by more than 25 beats per minute. The minimum baseline duration must be at least 2 minutes.

What is Nonreassuring fetal status?

Non-reassuring fetal status is a term used to describe suspected fetal hypoxia and is meant to replace the more ubiquitous term “fetal distress.” Fetal distress, defined as progressive fetal hypoxia and/or acidemia secondary to inadequate fetal oxygenation, is a term that is used to indicate changes in fetal heart …

Which fetal heart rate tracing characteristics are considered reassuring or normal category?

In general, reassuring FHR patterns are characterized by an FHR baseline in the range of 110 to 160 beats/min with no periodic changes, a moderate baseline variability, and accelerations with fetal movement.

How is FHR variability related to fetal acidemia?

Minimal FHR variability (with decelerations) should be considered as potentially indicative of fetal acidemia and should be managed accordingly. Moderate FHR variability reliably predicts the absence of fetal metabolic acidemia at the time it is observed.

How to determine the baseline of fetal heart rate?

1. Accelerations and decelerations 2. Periods of marked FHR variability There must be at least 2 minutes of identifiable baseline (BL) segments (not necessarily contiguous) in any 10-minute window or the baseline for that period is indeterminate. In such cases, may need to refer to previous 10-minute window in order to determine the baseline.

How is a sinusoidal fetal heart rate pattern defined?

A sinusoidal fetal heart rate pattern is a specific fetal heart rate pattern that is defined as having a visually apparent, smooth, sine wave–like undulating pattern in FHR baseline with a cycle frequency of 3–5/min that persists for ≥20 minutes.

How is autocorrelation used in fetal heart rate monitoring?

The definitions apply to the interpretations of patterns produced from either a direct fetal electrode detecting the fetal electrocardiogram or an external Doppler device detecting the fetal heart rate events with use of the autocorrelation technique.