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El. knyga: Mosby's(R) Pocket Guide to Fetal Monitoring - E-Book: A Multidisciplinary Approach

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(President, Perinatal Risk Management and Education Services, USA), , (Professor of Maternal-Fetal Medicine and Pediatrics Keck School of Medicine, University of Southern California Chief of Maternal Fetal Medicine Children's Hospital Los )
  • Formatas: PDF+DRM
  • Serija: Nursing Pocket Guides
  • Išleidimo metai: 10-Mar-2021
  • Leidėjas: Mosby
  • Kalba: eng
  • ISBN-13: 9780323673686
Kitos knygos pagal šią temą:
Mosby's(R) Pocket Guide to Fetal Monitoring - E-Book: A Multidisciplinary ApproachDidesnis paveikslėlis
  • Formatas: PDF+DRM
  • Serija: Nursing Pocket Guides
  • Išleidimo metai: 10-Mar-2021
  • Leidėjas: Mosby
  • Kalba: eng
  • ISBN-13: 9780323673686
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Find real-world, clinically useful information on all aspects of electronic fetal monitoring! Written by clinicians for clinicians, Mosby's Pocket Guide to Fetal Monitoring: A Multidisciplinary Approach, 9th Edition provides an evidence-based, collaborative approach to fetal heart monitoring during labor and in the antepartum period. It covers the physiologic basis for FHR monitoring, methods and instrumentation, standardized terminology, pattern recognition and interpretation, and management of care. Authored by a nurse-midwife, a perinatologist, and a nurse, this compact guide prepares you for success on the EFM certification exam and for success in today's clinical practice.

  • Pocket-sized format makes this guide ideal to carry and use in the clinical setting, and a colorful design makes information easier to find.
  • Coverage of fetal heart rate assessment, evaluation, interpretation, and management is supported by evidence-based practice and literature, helping you prioritize care and make clinical decisions.
  • Patient safety and risk management strategies include case studies and legal commentary, plus guidelines for providing safe and competent care.
  • Information on the relationship between fetal heart rate patterns and neonatal outcomes provides a guide to the correct use of fetal monitoring.
  • Illustrations, tables, and fetal monitor tracings highlight critical information.
  • Coverage of innovative practices supports patient safety and improved outcomes through the use of a common language for fetal heart rate patterns, a standardized approach to interpretation, a discussion of emergency preparedness, and a discussion of human factor issues such as improved communication, situational awareness, no-fault/just culture, and teamwork.
  • Practical appendices offer a guide to FHR tracings and interpretation as well as self-assessment questions for credentialing and certification exam preparation.
  • Expert author team provides clinical insight along with international presence.
  • NEW information on Category II tracing management is included.
  • NEW! Expanded section on common misconceptions and myths includes evidence supporting factual EFM characteristics.
  • NEW! Detailed information on documentation and legal issues is added.
  • NEW EFM tracings with interpretation are added.
1 A Brief History Of Fetal Monitoring
1(9)
Historical Overview
1(2)
Randomized Trials of Electronic Fetal Monitoring
3(1)
Research at the End of the 20th Century
3(1)
Fetal Monitoring in the 21st Century
4(2)
Summary
6(4)
2 Physiologic Basis For Electronic Fetal Heart Rate Monitoring
10(18)
Transfer of Oxygen from the Environment to the Fetus
10(12)
External Environment
12(1)
Maternal Lungs
12(1)
Maternal Blood
12(2)
Maternal Heart
14(1)
Maternal Vasculature
15(1)
Uterus
15(1)
Placenta
16(1)
Fetal Blood
17(5)
Umbilical Cord
22(1)
Fetal Response to Interrupted Oxygen Transfer
22(4)
Mechanisms of Injury
24(1)
Injury Threshold
24(2)
Summary
26(2)
3 Methods And Instrumentation
28(49)
Intermittent Auscultation of Fetal Heart Rate
28(10)
Description
28(3)
Leopold's Maneuvers
31(2)
Utilization, Procedure, and Frequency of Intermittent Auscultation
33(3)
Documentation of Auscultated Fetal Heart Rate
36(1)
Benefits and Limitations of Auscultation
37(1)
Electronic Fetal Monitoring
38(4)
Overview
38(2)
Converting Raw Data Into a Visual Display of Fetal Heart Rate
40(2)
External Mode of Monitoring
42(7)
Ultrasound Transducer
42(3)
Tocotransducer
45(1)
Advantages and Limitations of External Transducers
46(3)
Internal Mode of Monitoring
49(5)
Fetal Spiral Electrode
49(1)
Contraindications
50(1)
Situations Requiring Caution
50(1)
Intrauterine Pressure Catheter
51(2)
Advantages and Limitations of Internal Monitoring
53(1)
Display of Fetal Heart Rate, Uterine Activity, and Other Information
54(1)
Monitor Tracing Scale
54(3)
Monitoring Multiple Gestations
57(2)
Artifact Detection and Signal Ambiguity (Coincidence) With Maternal Heart Rate
59(5)
Telemetry
64(1)
Electronic Fetal Monitoring Troubleshooting
65(1)
Troubleshooting Actions
65(2)
Computerized Perinatal Data Systems
67(4)
Computer Decision Analysis of the Fetal Heart Rate
71(1)
Data-Input Devices
71(1)
Summary
72(5)
4 Uterine Activity Evaluation And Management
77(1)
Assessment Methods: Palpation and Electronic Monitoring
77(1)
Manual Palpation
78(1)
Electronic Monitoring of Uterine Activity
79(2)
Parameters for Normal Labor
81(2)
Defining Adequate Uterine Activity
83(5)
Defining Excessive Uterine Activity
88(3)
Common Underlying Causes of Excessive Uterine Activity
91(1)
Corrective Measures to Decrease Excessive Uterine Activity
92(1)
Current Trends in Labor Support and Management
92(3)
Latent Phase Abnormalities
93(1)
Active Phase Abnormalities
94(1)
Second-Stage Abnormalities
95(1)
Uterine Activity and Oxytocin Use
95(4)
Summary
99(5)
5 Pattern Recognition And Interpretation
104(641)
The Evolution of Standardized Fetal Heart Rate Definitions
104(5)
The 2008 National Institute of Child Health and Human Development Consensus Report
104(3)
Evidence-Based Interpretation of Fetal Heart Rate Patterns
107(2)
National Institute of Child Health and Human Development Definitions: General Considerations
109(1)
Five Essential Components of a Fetal Heart Rate Tracing
110(1)
Definitions, Physiology, and Interpretation of Specific Fetal Heart Rate Patterns
110(2)
Baseline Rate
110(2)
Categories of Baseline Rate
112(6)
Tachycardia
112(2)
Bradycardia
114(1)
Baseline Fetal Heart Rate Variability
115(3)
Categories of Baseline Variability
118(6)
Absent Variability
118(2)
Minimal Variability
120(1)
Moderate Variability
120(1)
Marked Variability
121(1)
Sinusoidal Pattern
121(1)
Acceleration
122(1)
Decelerations
123(1)
Types of Decelerations
124(8)
Early Deceleration
124(1)
Late Deceleration
125(2)
Variable Deceleration
127(3)
Prolonged Deceleration
130(2)
Fetal Cardiac Arrhythmias
132(1)
Terms and Concepts Not Supported by Evidence or Consensus
133(6)
Wandering Baseline
133(1)
Lambda Pattern
133(1)
Shoulder
133(1)
Checkmark Pattern
134(1)
End-Stage Bradycardia and Terminal Bradycardia
134(1)
Uniform Accelerations
134(1)
Atypical Variable Decelerations
135(1)
Variable Deceleration With a Late Component
135(1)
Mild, Moderate, and Severe Variable Decelerations
136(1)
V-Shaped Variables and W-Shaped Variables
136(1)
Good Variability Within the Deceleration
137(1)
Other Mechanisms That Lack Scientific Basis
137(2)
Summary
139(6)
6 Intrapartum Management Of The Fetal Heart Rate Tracing
145(1)
Fundamental Principles
145(1)
Standard of Care
146(1)
Confirm Fetal Heart Rate and Uterine Activity
147(1)
Evaluate Fetal Heart Rate Components
147(2)
A Standardized "ABCD" Approach to Fetal Heart Rate Management
149(3)
A Assess the Oxygen Pathway and Consider Other Causes of Fetal Heart Rate Changes
152(1)
B Begin Corrective Measures as Indicated
153(3)
C Clear Obstacles to Rapid Delivery
156(1)
D Delivery Plan
157(1)
Expectant Management Versus Delivery
157(3)
Other Methods of Fetal Monitoring
160(5)
Intrapartum Fetal Scalp pH and Lactate Determination
160(1)
Fetal Scalp Stimulation and Vibroacoustic Stimulation
160(1)
Computer Analysis of Fetal Heart Rate
161(1)
Fetal Pulse Oximetry
161(1)
ST Segment Analysis
161(2)
Umbilical Cord Blood Gas Analysis
163(2)
Summary
165(5)
7 Influence Of Gestational Age On Fetal Heart Rate
170(27)
The Preterm Fetus
170(15)
Baseline Fetal Heart Rate in the Preterm Fetus
172(1)
Baseline Variability in the Preterm Fetus
173(1)
Periodic and Episodic Heart Rate Changes in the Preterm Fetus
173(2)
Behavioral States in the Preterm Fetus
175(2)
Preterm Uterine Activity
177(1)
Short-Term Tocolytic Therapy and Effect on Fetal Heart Rate
178(6)
Monitoring the Preterm Fetus
184(1)
The Late-Term and Postterm Fetus
185(3)
Fetal Assessment
186(1)
Risks Associated with Postterm Pregnancy
186(2)
Management of Postterm Pregnancy
188(1)
Summary
188(9)
8 Fetal Assessment In Non-Obstetric Settings
197(30)
Maternal Trauma Algorithm
197(1)
A Culture of Patient Safety
197(1)
Pregnancy Anatomy and Physiology
198(1)
Obstetric Patients in the Emergency Department
198(14)
Federal Law and Emergency Medical Treatment and Active Labor Act
203(1)
Pregnant Trauma Victim Assessment and Care
203(2)
Primary and Secondary Survey in the Emergency Department
205(5)
Emergent Cesarean Birth and Resuscitative Hysterotomy
210(1)
Stabilization and Discharge
210(2)
Non-Obstetric Surgical Procedures: Maternal-Fetal Assessment and Care
212(4)
Intraoperative Maternal-Fetal Assessment
213(3)
Tocolytic Agents and Antenatal Corticosteroids
216(1)
Fundamentals of Non-Obstetric Surgery
216(1)
Summary
216(5)
9 Antepartum Fetal Assessment
221(1)
Comparing Antepartum Testing Methods
221(4)
Methods of Testing
225(1)
Contraction Stress Test and Oxytocin Challenge Test
225(3)
The Nonstress Test
228(2)
The Biophysical Profile
230(2)
The Modified Biophysical Profile
232(2)
Fetal Movement Counts
234(1)
Doppler Velocimetry of Maternal and Fetal Blood Vessels
235(2)
Biochemical Assessment
237(2)
Summary
239(4)
10 Patient Safety, Risk Management, And Documentation
243(26)
Risk Management
243(1)
The Decision-Making Process in Electronic Fetal Monitoring and Intermittent Auscultation
244(2)
Central Concepts in Liability Claims
246(2)
Components of Care: Assessment, Communication, and Documentation
248(3)
Liability in Fetal Monitoring
251(1)
Fetal Monitoring Documentation
251(2)
Documentation Components of the Electronic Fetal Monitoring Evaluation
253(2)
Common Documentation Dilemmas
255(8)
Use of Fetal Heart Rate Categories
255(2)
Documentation of Uterine Activity
257(1)
Quantification of Decelerations
258(1)
Frequency of Electronic Fetal Monitoring Assessment and Documentation
258(5)
Electronic Fetal Monitoring Documentation Policies
263(3)
Summary
266(3)
11 Obstetric Models Of Care And Electronic Fetal Monitoring Outside The United States
269(19)
Obstetric Models of Care
269(2)
Electronic Fetal Monitoring: Cardiotocography
271(2)
International Intermittent Auscultation and Cardiotocography Guidelines
273(6)
Guidelines for Terminology and Interpretation
276(3)
Methods of Determining Fetal Acid-Base Status
279(3)
Fetal Blood Sampling
279(2)
ST Analysis of the Fetal Electrocardiogram
281(1)
Summary
282(6)
Appendix A Amnioinfusion 288(9)
Appendix B Fetal Heart Rate Tracings Review 297(35)
Appendix C Self-Assessment 332(6)
Index 338
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