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Electronic Fetal Monitoring

Electronic Fetal Monitoring

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Published by: Eagles171 on Nov 11, 2009
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12/08/2012

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ELECTRONIC FETAL MONITORINGFALL 2009NURSING 2111
 
EFM8/10/09
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Electronic Fetal Monitoring The electronic fetal monitor (EFM) is a device that provides a graphic displayof the fetal heart rate (FHR) and monitoring of uterine activity by digitalreadout and tracing. EFM can be either external, which is noninvasive orinternal, which requires the attachment of an electrode to the presentingfetal part. Nursing staff may routinely initiate external monitoring; initiatingthe internal route is generally performed by a physician or midwife. A nursemay also be certified in this skill. Monitoring of uterine contractile activitycan also be executed by an external or internal method.Continuous fetal monitoring is indicated when abnormalities occur withintermittent auscultation and for use in high-risk clients.A.External1.Noninvasive2.Two devices are secured to the maternal abdomen by belts andconnected to the monitoring machine.a.Ultrasound Transducer1.Detects fetal heart soundsi.Water soluble conducting gel is placed on thesurface to the transducer.ii.Transducer is placed on the maternal abdomenwhere the fetal heart tones (FHT) are heardloudestiii.Ultrasound waves generated from this devicebounce back from the fetus.iv.The ultrasound waves are then displayed onthe monitor paper and by digital readout.b.Tocotransducer
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Detects the relative strength of uterine contractions.i.Placed over the uterine fundus and secured by abelt.ii.As the uterus contracts, pressure is exertedagainst the transducer and is recorded.iii.FHT and contractions pressure (intensity) cannotbe accurately recorded on obese clients or if thereare problems securing the belt.B.Internal1.Invasive2.Provides the most accurate fetal heart monitoring andmonitoring of uterine pressure.3.Two devices
EFM8/10/09
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