Interpretation of results

Interpretation of results ( 4 Questions)

A nurse is reviewing the electronic fetal monitoring (EFM) tracing of a client in active labor.

The nurse notes that the baseline FHR is 150 bpm, with moderate variability and no decelerations.

The nurse also observes that the FHR increases by 25 bpm for 15 seconds, four times in a 20-minute period.

What term is used to describe these FHR changes?



Correct Answer: A

Accelerations. According to the National Institute of Child Health and Human Development (NICHD) terminology, accelerations are defined as transient increases in the FHR of at least 15 bpm above the baseline for at least 15 seconds. Accelerations are a reassuring sign of fetal well-being and oxygenation.

Early decelerations are decreases in the FHR that coincide with the onset and end of a uterine contraction. They are caused by fetal head compression and are usually benign.

Late decelerations are decreases in the FHR that begin after the peak of a uterine contraction and do not return to baseline until after the contraction ends. They are caused by uteroplacental insufficiency and are a sign of fetal hypoxia.

Variable decelerations are abrupt decreases in the FHR that vary in timing.

Interpretation of results




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