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Mosby's® Pocket Guide to Fetal Monitoring

Mosby's® Pocket Guide to Fetal Monitoring

9780443123573
282,19 zł
239,86 zł Zniżka 42,33 zł Brutto
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Opis
Find real-world, clinically useful information on all aspects of electronic fetal monitoring! Authored by a nurse-midwife, a perinatologist, and a nurse, Mosbys Pocket Guide to Fetal Monitoring:: A Multidisciplinary Approach, 10th Edition, is an evidence-based resource on fetal heart rate monitoring for all clinicians - whether you are a nurse, a physician, or a midwife, a student or an instructor, this guide has information crucial to your practice. Designed specifically for the clinical environment, it provides a single source for interpretation and management of electronic fetal monitoring in labor and delivery, the intensive care unit, inpatient antepartum units, or the obstetric or midwifery office.
Szczegóły produktu
Mosby
104372
9780443123573
9780443123573

Opis

Rok wydania
2026
Numer wydania
10
Oprawa
miękka foliowana
Liczba stron
400
Wymiary (mm)
111 x 187
Waga (g)
280
  • 1 Physiologic Basis for Electronic Fetal Monitoring
    Transfer of Oxygen From the Environment to the Fetus
    External Environment
    Maternal Lungs
    Maternal Blood
    Maternal Heart
    Maternal Vasculature
    Uterus
    Placenta
    Intervillous Space Pao2
    Intervillous Space Blood Flow
    Chorionic Villous Surface Area
    Diffusion Across the “Blood-Blood” Barrier
    Interruption of Placental Blood Vessels
    Summary of Placental Causes of Disrupted Oxygenation
    Fetal Blood
    Umbilical Cord
    Fetal Response to Interrupted Oxygen Transfer
    Mechanisms of Injury
    Injury Threshold
    Summary

    2 Methods and Instrumentation
    Intermittent Auscultation of the Fetal Heart Rate
    Description
    Leopolds Maneuver
    Utilization of Intermittent Auscultation
    Procedure for Intermittent Auscultation
    Frequency of Intermittent Auscultation
    Interpretation of Auscultated Fetal Heart Rate
    Benefits and Limitations of Auscultation
    Electronic Fetal Monitoring
    Overview
    Converting Raw Data Into a Visual Display of Fetal Heart Rate
    External Mode of Monitoring
    Ultrasound Transducer
    Tocotransducer
    Advantages and Limitations of External Transducers
    Internal Mode of Monitoring
    Fetal Spiral Electrode
    Contraindications
    Intrauterine Pressure Catheter
    Contraindications
    Advantages and Limitations of Internal Monitoring
    Display of Fetal Heart Rate, Uterine Activity, and Other Information
    Monitor Tracing Scale
    Monitoring Multiple Gestations
    Offset Feature
    Systematic Labeling Parameters
    Fetal Heart Rate Artifact and Detection
    Signal Ambiguity (Coincidence) With Maternal Heart Rate
    Telemetry
    Electronic Fetal Monitoring Troubleshooting
    Sel‎ected Troubleshooting Actions
    Computerized Perinatal Data Systems
    Clinical Decision Support
    Computer Decision Analysis of the Fetal Heart Rate
    Summary

    3 Evaluation and Management of Uterine Activity
    Assessment Methods: Palpation and Electronic Monitoring
    Manual Palpation
    Electronic Monitoring of Uterine Activity
    Electronic Display of Uterine Activity
    Normal Labor Parameters
    Defining Adequate Uterine Activity
    Defining Excessive Uterine Activity
    Common Underlying Causes of Excessive Uterine Activity
    Corrective Measures to Decrease Excessive Uterine Activity
    Labor Support and Management
    Latent-Phase Abnormalities
    Management Strategies for Latent-Phase Disorders
    Active-Phase Abnormalities
    Management Strategies for Active-Phase Disorders
    Second-Stage Abnormalities
    Uterine Activity and Oxytocin Use
    Summary

    4 Fetal Heart Rate Pattern Recognition and Interpretation
    The Evolution of Standardized FHR Definitions
    The 2008 National Institute of Child Health and Human Development Consensus Report
    Evidence-Based Interpretation of Fetal Heart Rate Patterns
    National Institute of Child Health and Human Development Definitions: General Considerations
    Five Essential Components of a Fetal Heart Rate Tracing
    Definitions, Physiology, and Interpretation of Specific Fetal Heart Rate Patterns
    Baseline Rate
    Categories of Baseline Rate
    Tachycardia
    Bradycardia
    Baseline Fetal Heart Rate Variability
    Categories of Baseline Variability
    Absent Variability
    Minimal Variability
    Moderate Variability
    Marked Variability
    Periodic and Episodic Fetal Heart Rate Patterns
    Acceleration
    Decelerations
    Types of Decelerations
    Early Deceleration
    Late Deceleration
    Variable Deceleration
    Prolonged Deceleration
    Fetal Cardiac Arrythmias
    Terms and Concepts Not Supported by Evidence or Consensus
    Wandering Baseline
    Lambda Pattern
    Shoulder
    Checkmark Pattern
    End-Stage Bradycardia and Terminal Bradycardia
    Uniform Accelerations
    Variable Deceleration Terminology
    Variable Deceleration With a Late Component
    Mild, Moderate, and Severe Variable Decelerations
    V-Shaped Variables and W-Shaped Variable Decelerations
    Variability Within a Deceleration
    Other Mechanisms That Lack Scientific Basis
    Summary

    5 Intrapartum Management of the Fetal Heart Rate Tracing
    Fundamental Principles
    Standard of Care
    Confirm Fetal Heart Rate and Uterine Activity
    Evaluate Fetal Heart Rate Components
    A Standardized “ABCD” Approach to Fetal Heart Rate Management
    A: Assess the Oxygen Pathway and Consider Other Causes of Fetal Heart Rate Changes
    B: Begin Corrective Measures as Indicated
    C: Clear Obstacles to Rapid Delivery
    D: Delivery Plan
    Expectant Management Versus Delivery
    Other Methods of Fetal Monitoring
    Intrapartum Fetal Scalp pH and Lactate Determination
    Fetal Scalp Stimulation and Vibroacoustic Stimulation
    Computer Analysis of Fetal Heart Rate
    Umbilical Cord Blood Gas Analysis
    Summary

    6 Influence of Gestational Age on Fetal Heart Rate
    The Preterm Fetus
    Physiologic Principles in the Preterm Fetus
    Preterm Fetal Heart Rate
    Preterm Baseline Variability
    Preterm Accelerations
    Prostaglandin Synthase Inhibitors
    Calcium Channel Blocker
    Beta-Adrenergic Receptor Agonists
    Fetal Neuroprotection
    Monitoring the Preterm Fetus
    The Late-Term and Postterm Fetus
    Risks Associated With Postterm Pregnancy
    Summary

    7 Fetal Assessment in Nonobstetric Settings
    Pregnancy Anatomy and Physiology
    Obstetric Patients in the Emergency Department
    Emergency Medical Treatment and Active Labor Act
    Pregnant Trauma Victim Assessment and Care
    Prehospital Care
    In-Hospital Care
    Traumatic Cardiac Arrest and Resuscitative Cesarean Delivery
    Stabilization and Discharge
    Nonobstetric Surgical Procedures: Maternal-Fetal Assessment and Care
    Intraoperative Fetal Surveillance
    Fundamentals of Nonobstetric Surgery
    A Culture of Patient Safety
    Summary

    8 Antepartum Fetal Testing
    Comparing Antepartum Testing Methods
    Methods of Testing
    Contraction Stress Test and Oxytocin Challenge Test
    Nonstress Test
    Doppler Velocimetry of Maternal and Fetal Blood Vessels
    Biophysical Profile
    The Modified Biophysical Profile
    Fetal Movement Counts
    Amniocentesis
    Biochemical Assessment for Fetal Lung Maturity
    Summary

    9 Patient Safety and Risk Management
    Risk Management
    The Decision-Making Process in Electronic Fetal Monitoring and Intermittent Auscultation
    Understanding Liability Claims
    Components of Care: Assessment, Communication, and Documentation
    Liability in Fetal Monitoring
    Summary

    10 Fetal Monitoring Documentation
    Electronic Health Records
    The Clear Concept
    Standardized Terminology
    Intermittent Auscultation Documentation
    Electronic Fetal Monitoring Documentation
    Documentation of Uterine Activity
    Appropriate Use of Fetal Heart Rate and Uterine Activity Terminology
    Electronic Fetal Monitoring Assessment and Documentation Frequency
    Location of Nursing Assessment and Documentation
    Late Entry
    Frequent Documentation Questions
    Three-Tier Fetal Heart Rate Categories
    Reassuring and Nonreassuring Terminology
    Quantification of Decelerations
    Patterns That Do Not Meet Standardized Definitions
    Montevideo Units
    Chain of Communication (Chain of Command)
    Electronic Fetal Monitoring Documentation Guidance
    Summary

    11 Obstetric Models of Care and International Fetal Surveillance Concepts
    Obstetric Continuity of Care Models
    Midwifery Model of Care
    Physician Model of Care
    Interprofessional and Intraprofessional Models of Care
    Birth Setting
    Electronic Fetal Monitoring: Cardiotocography
    International Intermittent Auscultation and Cardiotocography Guidelines
    Guidelines for Terminology and Interpretation
    Methods of Determining Fetal Acid-Base Status
    Fetal Blood Sampling
    Criteria and Procedure
    pH and Lactate Results
    Umbilical Cord Gas Analysis
    ST Analysis of the Fetal Electrocardiogram
    Criteria and Procedure
    Role of ST Analysis in Contemporary Practice
    Summary

    APPENDIX A: Intrapartum Amnioinfusion
    Potential Indications for Intrapartum Amnioinfusion
    Potential Amnioinfusion Risks
    Contraindications for Amnioinfusion
    Equipment and Supplies
    Procedure
    Preprocedure
    Procedure
    Patient Care

    APPENDIX B: Fetal Heart Rate Tracings Review
    Key for Appendix B Fetal Heart Rate Tracings

    APPENDIX C: Self-Assessment
    Answer Key for Self-Assessment
    Index
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