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WB109 NCC Monograph Applying NICHD Terminology and Other Factors to Electronic Fetal Monitoring Interpretation
Objectives 1. Describe the goal of the NICHD Research Planning Workshop and the development of standardized language to interpret fetal heart rate tracings 2. Summarize the operational principles for using NICHD fetal heart rate monitoring terminology 3. Define fetal heart rate baseline and fetal heart variability 4. Compare and contrast the components of fetal heart rate patterns based on NICHD terminology 5. Discuss the basic principles for assessing uterine activity on the fetal heart rate monitor 6. Identify the characteristics of reasurring and nonreassuring fetal heart rate patterns 7. Explain how medications, environment and maternal and fetal factors can affect the fetal heart rate
Content Outline 1. Purpose and Goal for Development of NICHD Language for Fetal Heart Rate Interpretation 2. Operational Principles for Using NICHD When Interpretation Fetal Heart Rate Tracings 3. Terminology and Definitions 3.1 Fetal heart rate baseline 3.1.1 3.1.2 Bradycardia 3.1.3 Tachycardia 3.2 Fetal heart variability terminology 3.1 Absent 3.2 Minimal 3.3 Moderate 3.4 Marked 3.3 Fetal heart rate patterns 3.3.1 Accelerations 3.3.2 Late decelerations 3.3.3 Early decelerations 3.3.4 Variable decelerations 3.3.5 Prolonged decelerations 4. Uterine Activity 4.1 Frequency 4.2 Duration 4.3 Intensity 5. Characteristics of Reassuring and Nonreassuring Tracings 6. Factors That Influence Fetal Heart Rate Patterns 6.1 Maternal 6.2 Fetal 6.3 Environmental 6.4 Medications |
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