Nyhet

Mosby's� Pocket Guide to Fetal Monitoring

AvLisa A. Miller,David A. Miller

Häftad, Engelska, 2026

Del i serien Nursing Pocket Guides

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Beskrivning

Find real-world, clinically useful information on all aspects of electronic fetal monitoring! Authored by a nurse-midwife, a perinatologist, and a nurse, Mosby's 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.

Produktinformation

Utgivningsdatum:2026-03-17
Mått:111 x 187 x 16 mm
Vikt:280 g
Format:Häftad
Språk:Engelska
Serie:Nursing Pocket Guides
Antal sidor:400
Upplaga:10
Förlag:Elsevier Health Sciences
ISBN:9780443123573

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Innehållsförteckning

1 Physiologic Basis for Electronic Fetal MonitoringTransfer of Oxygen From the Environment to the FetusExternal EnvironmentMaternal LungsMaternal BloodMaternal HeartMaternal VasculatureUterusPlacentaIntervillous Space Pao2Intervillous Space Blood FlowChorionic Villous Surface AreaDiffusion Across the “Blood-Blood” BarrierInterruption of Placental Blood VesselsSummary of Placental Causes of Disrupted OxygenationFetal BloodUmbilical CordFetal Response to Interrupted Oxygen TransferMechanisms of InjuryInjury ThresholdSummary2 Methods and InstrumentationIntermittent Auscultation of the Fetal Heart RateDescriptionLeopold's ManeuverUtilization of Intermittent AuscultationProcedure for Intermittent AuscultationFrequency of Intermittent AuscultationInterpretation of Auscultated Fetal Heart RateBenefits and Limitations of AuscultationElectronic Fetal MonitoringOverviewConverting Raw Data Into a Visual Display of Fetal Heart RateExternal Mode of MonitoringUltrasound TransducerTocotransducerAdvantages and Limitations of External TransducersInternal Mode of MonitoringFetal Spiral ElectrodeContraindicationsIntrauterine Pressure CatheterContraindicationsAdvantages and Limitations of Internal MonitoringDisplay of Fetal Heart Rate, Uterine Activity, and Other InformationMonitor Tracing ScaleMonitoring Multiple GestationsOffset FeatureSystematic Labeling ParametersFetal Heart Rate Artifact and DetectionSignal Ambiguity (Coincidence) With Maternal Heart RateTelemetryElectronic Fetal Monitoring TroubleshootingSelected Troubleshooting ActionsComputerized Perinatal Data SystemsClinical Decision SupportComputer Decision Analysis of the Fetal Heart RateSummary3 Evaluation and Management of Uterine ActivityAssessment Methods: Palpation and Electronic MonitoringManual PalpationElectronic Monitoring of Uterine ActivityElectronic Display of Uterine ActivityNormal Labor ParametersDefining Adequate Uterine ActivityDefining Excessive Uterine ActivityCommon Underlying Causes of Excessive Uterine ActivityCorrective Measures to Decrease Excessive Uterine ActivityLabor Support and ManagementLatent-Phase AbnormalitiesManagement Strategies for Latent-Phase DisordersActive-Phase AbnormalitiesManagement Strategies for Active-Phase DisordersSecond-Stage AbnormalitiesUterine Activity and Oxytocin UseSummary4 Fetal Heart Rate Pattern Recognition and InterpretationThe Evolution of Standardized FHR DefinitionsThe 2008 National Institute of Child Health and Human Development Consensus ReportEvidence-Based Interpretation of Fetal Heart Rate PatternsNational Institute of Child Health and Human Development Definitions: General ConsiderationsFive Essential Components of a Fetal Heart Rate TracingDefinitions, Physiology, and Interpretation of Specific Fetal Heart Rate PatternsTerms and Concepts Not Supported by Evidence or ConsensusBaseline RateCategories of Baseline RateTachycardiaBradycardiaBaseline Fetal Heart Rate VariabilityCategories of Baseline VariabilityAbsent VariabilityMinimal VariabilityModerate VariabilityMarked VariabilityPeriodic and Episodic Fetal Heart Rate PatternsAccelerationDecelerationsTypes of DecelerationsEarly DecelerationLate DecelerationVariable DecelerationProlonged DecelerationFetal Cardiac ArrhythmiasWandering BaselineLambda PatternShoulderCheckmark PatternEnd-Stage Bradycardia and Terminal BradycardiaUniform AccelerationsVariable Deceleration TerminologyVariable Deceleration With a Late ComponentMild, Moderate, and Severe Variable DecelerationsV-Shaped Variables and W-Shaped Variable DecelerationsVariability Within a DecelerationOther Mechanisms That Lack Scientific BasisSummary5 Intrapartum Management of the Fetal Heart Rate TracingFundamental PrinciplesStandard of CareConfirm Fetal Heart Rate and Uterine ActivityEvaluate Fetal Heart Rate ComponentsA Standardized ABCD Approach to Fetal Heart Rate ManagementA: Assess the Oxygen Pathway and Consider Other Causes of Fetal Heart Rate ChangesB: Begin Corrective Measures as IndicatedC: Clear Obstacles to Rapid DeliveryD: Delivery PlanExpectant Management Versus DeliveryOther Methods of Fetal MonitoringIntrapartum Fetal Scalp pH and Lactate DeterminationFetal Scalp Stimulation and Vibroacoustic StimulationComputer Analysis of Fetal Heart RateUmbilical Cord Blood Gas AnalysisSummary6 Influence of Gestational Age on Fetal Heart RateThe Preterm FetusPhysiologic Principles in the Preterm FetusPreterm Fetal Heart RatePreterm Baseline VariabilityPreterm AccelerationsProstaglandin Synthase InhibitorsCalcium Channel BlockerBeta-Adrenergic Receptor AgonistsFetal NeuroprotectionMonitoring the Preterm FetusThe Late-Term and Postterm FetusRisks Associated With Postterm PregnancySummary7 Fetal Assessment in Nonobstetric SettingsPregnancy Anatomy and PhysiologyObstetric Patients in the Emergency DepartmentEmergency Medical Treatment and Active Labor ActPregnant Trauma Victim Assessment and CarePrehospital CareIn-Hospital CareTraumatic Cardiac Arrest and Resuscitative Cesarean DeliveryStabilization and DischargeNonobstetric Surgical Procedures: Maternal-Fetal Assessment and CareIntraoperative Fetal SurveillanceFundamentals of Nonobstetric SurgeryA Culture of Patient SafetySummary8 Antepartum Fetal TestingComparing Antepartum Testing MethodsMethods of TestingContraction Stress Test and Oxytocin Challenge TestNonstress TestDoppler Velocimetry of Maternal and Fetal Blood VesselsBiophysical ProfileThe Modified Biophysical ProfileFetal Movement CountsAmniocentesisBiochemical Assessment for Fetal Lung MaturitySummary9 Patient Safety and Risk ManagementRisk ManagementThe Decision-Making Process in Electronic Fetal Monitoring and Intermittent AuscultationUnderstanding Liability ClaimsComponents of Care: Assessment, Communication, and DocumentationLiability in Fetal MonitoringSummary10 Fetal Monitoring DocumentationElectronic Health RecordsThe Clear ConceptStandardized TerminologyIntermittent Auscultation DocumentationElectronic Fetal Monitoring DocumentationDocumentation of Uterine ActivityAppropriate Use of Fetal Heart Rate and Uterine Activity TerminologyElectronic Fetal Monitoring Assessment and Documentation FrequencyLocation of Nursing Assessment and DocumentationLate EntryFrequent Documentation QuestionsThree-Tier Fetal Heart Rate CategoriesReassuring and Nonreassuring TerminologyQuantification of DecelerationsPatterns That Do Not Meet Standardized DefinitionsMontevideo UnitsChain of Communication (Chain of Command)Electronic Fetal Monitoring Documentation GuidanceSummary11 Obstetric Models of Care and International Fetal Surveillance ConceptsObstetric Continuity of Care ModelsMidwifery Model of CarePhysician Model of CareInterprofessional and Intraprofessional Models of CareBirth SettingElectronic Fetal Monitoring: CardiotocographyInternational Intermittent Auscultation and Cardiotocography GuidelinesGuidelines for Terminology and InterpretationMethods of Determining Fetal Acid-Base StatusFetal Blood SamplingCriteria and ProcedurepH and Lactate ResultsUmbilical Cord Gas AnalysisST Analysis of the Fetal ElectrocardiogramCriteria and ProcedureRole of ST Analysis in Contemporary PracticeSummaryAPPENDIX A: Intrapartum AmnioinfusionPotential Indications for Intrapartum AmnioinfusionPotential Amnioinfusion RisksContraindications for AmnioinfusionEquipment and SuppliesProcedurePreprocedureProcedurePatient CareAPPENDIX B: Fetal Heart Rate Tracings ReviewKey for Appendix B Fetal Heart Rate TracingsAPPENDIX C: Self-AssessmentAnswer Key for Self-Assessment