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Mosby's Pocket Guide to Fetal Monitoring: A Multidisciplinary Approach 8th edition [Minkštas viršelis]

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(President, Perinatal Risk Management & Education Services), (Associate Professor),
  • Formatas: Paperback / softback, 352 pages, aukštis x plotis: 187x111 mm, weight: 250 g, Approx. 175 illustrations (150 in full color); Illustrations
  • Serija: Nursing Pocket Guides
  • Išleidimo metai: 19-May-2016
  • Leidėjas: Mosby
  • ISBN-10: 0323401570
  • ISBN-13: 9780323401579
Kitos knygos pagal šią temą:
  • Formatas: Paperback / softback, 352 pages, aukštis x plotis: 187x111 mm, weight: 250 g, Approx. 175 illustrations (150 in full color); Illustrations
  • Serija: Nursing Pocket Guides
  • Išleidimo metai: 19-May-2016
  • Leidėjas: Mosby
  • ISBN-10: 0323401570
  • ISBN-13: 9780323401579
Kitos knygos pagal šią temą:
Authored by a nurse-midwife, a perinatologist, and a nurse, Mosbys Pocket Guide to Fetal Monitoring: A Multidisciplinary Approach, 8th Editionis an evidence-based resource on fetal heart rate monitoring for all clinicians - whether nurses or physicians, students or instructors. Designed for use in the clinical environment, this pocket-sized guide prepares you for the care and management of patients anywhere electronic monitoring is employed for fetal surveillance, such as the labor and delivery suite, the fetal intensive care unit, the labor-delivery-recovery-postpartum room, the antepartum inpatient unit or ambulatory care setting. It utilizes a team approach, and is the most current source for standardized terminology, interpretation, and management.Pocket-sized, two-color design offers portability and easy access to information.Prioritization of fetal monitoring elements helps you make clinical decisions in areas such as fetal heart rate assessment, evaluation, interpretation, and action planning, all supported by evidence-based practice and literature.Descriptions of the relationship between various fetal heart rate patterns and fetal academia alert you to important considerations in the care of specific conditions.Patient safety and risk management strategies with case study illustrations and legal commentary include guidelines for providing safe and competent care.Coverage of innovative practices supports a culture of patient safety and improved quality outcomes in high-reliability perinatal units addressing:Use of a common language for fetal heart rate patterns with a common construct for interpretationEmergency preparedness (multidisciplinary mock emergencies, simulations, debriefing after critical events, and exemplary practice)Human factor issues (step-by-step process to improve communication, situational awareness, no-fault/just culture, teamwork, and collegiality)Selected FHR Tracings and Cases: Interpretation and Documentation appendix provides an important reference tool for all clinicians.Expert author team with international presence.NEW! Coverage of the management model in fetal medicine. NEW! Content on Category II tracing management prepares you to evaluate fetal status. NEW! Neonatal encephalopathy content keeps you in the know. UPDATED! Revised chapters feature the most up-to-date information.
1 A Brief History of Fetal Monitoring, Historical Overview 1(9)
Randomized Trials of Electronic Fetal Monitoring
2(2)
Research at the End of the Twentieth Century
4(1)
Fetal Monitoring in the Twenty-First Century
5(1)
Summary
6(4)
2 Physiologic Basis for Electronic Fetal Heart Rate Monitoring 10(17)
Transfer of Oxygen from the Environment to the Fetus
10(13)
External Environment
11(1)
Maternal Lungs
11(1)
Maternal Blood
12(1)
Maternal Heart
13(1)
Maternal Vasculature
14(1)
Uterus
15(1)
Placenta
15(6)
Fetal Blood
21(1)
Umbilical Cord
21(2)
Fetal Response to Interrupted Oxygen Transfer
23(2)
Mechanisms of Injury
23(1)
Injury Threshold
24(1)
Summary
25(2)
3 Methods and Instrumentation 27(48)
Intermittent Auscultation of Fetal Heart Rate
27(9)
Description
27(3)
Leopold's Maneuvers
30(2)
Utilization, Procedure, and Frequency of Intermittent Auscultation
32(1)
Documentation of Auscultated Fetal Heart Rate
33(2)
Interpretation of Auscultated Fetal Heart Rate
35(1)
Benefits and Limitations of Auscultation
35(1)
Electronic Fetal Monitoring
36(3)
Overview
36(1)
Converting Raw Data Into a Visual Display of FHR
37(2)
External Mode of Monitoring
39(5)
Ultrasound Transducer
39(3)
Tocotransducer
42(2)
Advantages and Limitations of External Transducers
44(1)
Internal Mode of Monitoring
44(7)
Fetal Spiral Electrode
44(1)
Contraindications
45(1)
Situations Requiring Caution
46(1)
Intrauterine Pressure Catheter
47(3)
Advantages and Limitations of Internal Monitoring
50(1)
Display of Fetal Heart Rate, Uterine Activity, and Other Information
51(18)
Monitor Tracing Scale
52(1)
Monitoring Multiple Gestations
52(4)
Artifact Detection and Signal Ambiguity (Coincidence) with MHR
56(5)
Telemetry
61(1)
Troubleshooting the Monitor
61(3)
Computerized Perinatal Data Systems
64(4)
Data-input Devices
68(1)
Integrated Abdominal Fetal Heart Rate and Uterine Activity Monitoring
69(3)
Summary
72(3)
4 Uterine Activity Evaluation and Management 75(28)
Assessment Methods: Palpation and Electronic Monitoring
75(5)
Manual Palpation
75(1)
Electronic Monitoring of Uterine Activity
76(4)
Redefining Normal Labor
80(1)
Defining Adequate Uterine Activity
81(4)
Defining Excessive Uterine Activity
85(6)
Common Underlying Causes of Excessive Uterine Activity
91(1)
Interventions to Decrease Excessive Uterine Activity
91(1)
New Trends in Labor Support and Management
91(4)
Latent Phase Abnormalities
92(1)
Active-Phase Abnormalities
93(1)
Second-Stage Abnormalities
94(1)
Uterine Activity and Oxytocin Use
95(3)
Summary
98(5)
5 Pattern Recognition and Interpretation 103(41)
The Evolution of Standardized FHR Definitions
103(5)
The 2008 NICHD Consensus Report
103(3)
Evidence-based Interpretation of FHR Patterns
106(2)
NICHD Definitions: General Considerations
108(1)
Five Essential Components of an FHR Tracing
109(1)
Definitions, Physiology, and Interpretation of Specific FHR Patterns
109(2)
Baseline Rate
109(2)
Categories of Baseline Rate
111(6)
Tachycardia
111(2)
Bradycardia
113(1)
Baseline FHR Variability
114(3)
Categories of Baseline Variability
117(6)
Absent Variability
117(2)
Minimal Variability
119(1)
Moderate Variability
119(1)
Marked Variability
120(1)
Sinusoidal Pattern
120(1)
Acceleration
121(1)
Decelerations
122(1)
Types of Decelerations
123(8)
Early Deceleration
123(1)
Late Deceleration
124(2)
Variable Deceleration
126(3)
Prolonged Deceleration
129(2)
Fetal Cardiac Arrythmias
131(1)
Terms and Concepts Not Supported by Evidence or Consensus
132(6)
Wandering Baseline
132(1)
Lambda Pattern
132(1)
Shoulder
132(1)
Checkmark Pattern
133(1)
End-stage Bradycardia and Terminal Bradycardia
133(1)
Uniform Accelerations
134(1)
Atypical Variable Decelerations
134(1)
Variable Deceleration with a Late Component
134(1)
Mild, Moderate, and Severe Variable Decelerations
135(1)
V-shaped Variables and W-shaped Variables
136(1)
Good Variability Within the Deceleration
136(1)
Other Mechanisms That Lack Scientific Basis
136(2)
Summary
138(6)
6 Intrapartum Management of the Fetal Heart Rate Tracing 144(24)
Fundamental Principles
144(14)
Standard of Care
145(1)
Confirm FHR and Uterine Activity
146(1)
Evaluate FHR Components
146(2)
A Standardized "ABCD" Approach to FHR Management
148(3)
A: Assess the Oxygen Pathway and Consider Other Causes of FHR Changes
151(1)
B: Begin Corrective Measures as Indicated
152(3)
C: Clear Obstacles to Rapid Delivery
155(1)
D: Delivery Plan
156(1)
Expectant Management Versus Delivery
156(2)
Other Methods of Fetal Monitoring
158(5)
Intrapartum Fetal Scalp pH and Lactate Determination
158(1)
Fetal Scalp Stimulation and Vibroacoustic Stimulation
158(1)
Computer Analysis of FHR
159(1)
Fetal Pulse Oximetry
159(1)
ST Segment Analysis
159(2)
Umbilical Cord Blood Gas Analysis
161(2)
Summary
163(5)
7 Influence of Gestational Age on Fetal Heart Rate 168(21)
The Preterm Fetus
168(13)
Baseline Fetal Heart Rate in the Preterm Fetus
170(1)
Baseline Variability in the Preterm Fetus
170(1)
Periodic and Episodic Heart Rate Changes in the Preterm Fetus
170(2)
Behavioral States in the Preterm Fetus
172(3)
Preterm Uterine Activity
175(1)
Tocolytic Therapy and Effect on Fetal Heart Rate
175(5)
Monitoring the Preterm Fetus
180(1)
The Late Term and Postterm Fetus
181(2)
Risks Associated with Postterm Pregnancy
182(1)
Management of Postterm Pregnancy
183(1)
Summary
183(6)
8 Fetal Assessment in Non-obstetric Settings 189(21)
Pregnancy Anatomy and Physiology
189(2)
Emergency Department Assessment and Care
191(2)
Pregnant Trauma Victim Assessment and Care
193(8)
Maternal—Fetal Transport, Assessment, and Care
193(3)
Primary and Secondary Survey in the Emergency Department
196(3)
Emergent and Perimortem Cesarean Birth
199(2)
Stabilization and Discharge
201(1)
Non-obstetric Surgical Procedures: Maternal—Fetal Assessment and Care
201(5)
Intraoperative Maternal—Fetal Assessment
202(2)
Surgery When Gestation Is Greater Than
204(1)
Weeks
205(1)
Federal Law and Triage
206(1)
Summary
206(4)
9 Antepartum Fetal Assessment 210(22)
Comparing Antepartum Testing Methods
210(4)
Methods of Testing
214(3)
Contraction Stress Test and Oxytocin Challenge Test
214(1)
Interpretation and Management
214(1)
Advantages and Limitations
215(1)
Procedures for Contraction Stress Testing
216(1)
The Nonstress Test
217(3)
Interpretation and Management
218(1)
Advantages and Disadvantages
219(1)
The Biophysical Profile
220(2)
Interpretation and Management
220(1)
Advantages and Limitations
221(1)
The Modified Biophysical Profile
222(2)
Interpretation and Management
222(1)
Advantages and Limitations
223(1)
Fetal Movement Counts
224(1)
Interpretation and Management
224(1)
Umbilical Artery Doppler Velocimetry
224(1)
Biochemical Assessment
225(3)
Amniocentesis for Fetal Lung Maturity
225(3)
Summary
228(4)
10 Patient Safety, Risk Management, and Documentation 232(32)
Human Error
232(3)
Error Prevention and Risk Reduction
235(6)
High-Reliability Perinatal Units
235(1)
Guidelines to Promote Safety and Reduce Risks
236(5)
Adverse Outcomes and Litigation
241(4)
Disclosure of Unanticipated Outcomes
242(1)
Elements of Malpractice
242(1)
EFM, IA, and Informed Consent
243(1)
Notification and Clinical Review
244(1)
Reporting of Sentinel Events
245(1)
Documentation
245(13)
Components of Care: Assessment, Communication, Documentation
246(4)
Documentation Issues Specific to Electronic Fetal Monitoring
250(4)
Electronic Medical Records and Information Systems
254(4)
Summary
258(6)
11 Obstetric Models and Electronic Fetal Monitoring in Europe 264(14)
Models of Care
264(2)
Electronic Fetal Monitoring (EFM)-Cardiotocography (CTG)
266(8)
Quality of EFM-CTG
266(1)
Guidelines for Terminology and Interpretation
267(1)
Examples of 1- and 2-cm CTG Tracings
268(1)
Methods of Determining Fetal Acid—Base Status
268(6)
Summary
274(4)
Appendix A: Amnioinfusion 278(3)
Appendix B: Instructions for Reviewing Appendix B FHR Tracings 281(31)
Appendix C: Self-Assessment 312(6)
Index 318