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    Fetal Heart Tones

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    Christian Clyde N. Jakosalem
    This document describes fetal heart tones, including conditions that can cause fetal tachycardia or bradycardia and their grading. It also discusses variability, accelerations and decelerations including early decelerations caused by uterine squeeze, late decelerations caused by uteroplacental insufficiency, and variable decelerations which may indicate cord compression. Nursing interventions are provided for different fetal heart tone patterns.

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    Fetal Heart Tones

    Uploaded by

    Christian Clyde N. Jakosalem
    73 views1 page
    This document describes fetal heart tones, including conditions that can cause fetal tachycardia or bradycardia and their grading. It also discusses variability, accelerations and decelerations including early decelerations caused by uterine squeeze, late decelerations caused by uteroplacental insufficiency, and variable decelerations which may indicate cord compression. Nursing interventions are provided for different fetal heart tone patterns.

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    This document describes fetal heart tones, including conditions that can cause fetal tachycardia or bradycardia and their grading. It also discusses variability, accelerations and decelerations including early decelerations caused by uterine squeeze, late decelerations caused by uteroplacental insufficiency, and variable decelerations which may indicate cord compression. Nursing interventions are provided for different fetal heart tone patterns.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    73 views1 page

    Fetal Heart Tones

    Uploaded by

    Christian Clyde N. Jakosalem
    This document describes fetal heart tones, including conditions that can cause fetal tachycardia or bradycardia and their grading. It also discusses variability, accelerations and decelerations including early decelerations caused by uterine squeeze, late decelerations caused by uteroplacental insufficiency, and variable decelerations which may indicate cord compression. Nursing interventions are provided for different fetal heart tone patterns.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    FETAL HEART TONES

    CONDITION CAUSE GRADE

    Fetal Tachycardia ❖ Infection ❖ Mild : > 5 BPM from baseline


    ❖ Dehydration ❖ Moderate: 6-25 BPM from baseline
    ❖ Fever ❖ Severe: < 25 BPM from baseline
    ❖ Fetal hypoxemia ❖ Absent : No fluctuation in fetal heart rate
    ❖ Anemia
    ❖ Prematurity
    ❖ Terbutaline
    ❖ Caffeine
    ❖ Epinephrine
    ❖ Theophylline
    ❖ illicit drugs

    Fetal bradycardia ❖ Maternal hypotension ❖ Mild : > 5 BPM from baseline


    ❖ Supine hypotensive syndrome ❖ Moderate: 6-25 BPM from baseline
    ❖ Fetal decompression ❖ Severe: < 25 BPM from baseline
    ❖ Late fetal hypoxia ❖ Absent : No fluctuation in fetal heart rate
    ❖ Cord compression
    ❖ Abruptio placenta
    ❖ Vagal stimulation

    Accelerations & Decelerations


    Variability Accelerations: must be 15 BPM above the FHR baseline for 15
    seconds 15x15 window
    FHR drops from baseline then recovers, usually jagged and Decelerations : A decrease in FHR during uterine contraction ”
    erratically shaped. Can happen at anytime during contraction mirrors contractions usually a U shape
    Periodic changes : variations that occur during a contraction.
    Nursing interventions : Left Side. IV bolus of fluids, O2 6l mask, ❖ Reassuring periodic changes : must be 15 BPM
    Notify HCP above the FHR baseline for 15 seconds ( 15x15 window)
    ❖ Benign periodic changes: Early decelerations
    A great way to remember this is L.I.O.N
    Decreased or absent variability: Non reassuring, acute treatment Episodic changes: occur in association with medication
    and monitoring are indicated. administration or analgesia
    Decreased or absent variability: medications, narcotics, mag
    Wandering baselines with no variability could indicate
    sulfate ( preeclampsia, preterm), terbutaline, fetal sleep (
    ❖ Congenital defects normally 20 minute cycles), prematurity, fetal hypoxemia.
    ❖ Metabolic acidosis

    Fetal decelerations
    The nurse should administer 02 and the baby needs to be
    delivered as quickly as possible.

    Memory trick
    Early decelerations : A decrease in FHR during uterine contraction mirrors
    uterine contractions . caused by uterine squeeze
    ❖ FHR slows as the contraction begins
    V: variable deceleration C: cord compression ❖ Lowest point coincides with the highest point ACME of the
    E:early deceleration H: head compression contraction
    A: acceleration O: ok ❖ Deceleration ends with the contraction
    Late deceleration Placental insufficiency Late deceleration: occurs after the peak of contraction due to uteroplacental
    insufficiency, pitocin, HTN, diabetes, placental abruption.
    ❖ Too many decelerations will indicate a need for C-section
    ❖ Prepare for fetal resuscitation
    Variable decelerations: may indicate cord compression. Occur at different
    times during a contraction, resulting in fetal HTN that causes the aortic arch
    to slow the FHR. usually abrupt and sudden.
    Measures to clarify NONreassuring FHR patterns
    ❖ Fetal stimulation
    ❖ Fetal scalp sampling
    ❖ Fetal scalp oximetry

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