Mosby’s® Pocket Guide to Fetal Monitoring

9th Edition - March 10, 2021
Authors: Lisa A. Miller, David A. Miller, Rebecca L. Cypher
Language: English
Paperback ISBN:
9 7 8 - 0 - 3 2 3 - 6 4 2 6 0 - 6
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 6 7 3 6 8 - 6

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… Read more

Mosby’s® Pocket Guide to Fetal Monitoring

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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.

Cover Image
Title Page
Copyright
Reviewers
Acknowledgments
Preface
Table of Contents
CHAPTER 1 A Brief History of Fetal Monitoring
HISTORICAL OVERVIEW
RANDOMIZED TRIALS OF ELECTRONIC FETAL MONITORING
RESEARCH AT THE END OF THE 20th CENTURY
FETAL MONITORING IN THE 21st CENTURY
SUMMARY
References
CHAPTER 2 Physiologic Basis for Electronic Fetal Heart Rate Monitoring
TRANSFER OF OXYGEN FROM THE ENVIRONMENT TO THE FETUS
FETAL RESPONSE TO INTERRUPTED OXYGEN TRANSFER
SUMMARY
References
CHAPTER 3 Methods and Instrumentation
INTERMITTENT AUSCULTATION OF THE FETAL HEART RATE
ELECTRONIC FETAL MONITORING
EXTERNAL MODE OF MONITORING
INTERNAL MODE OF MONITORING
DISPLAY OF FETAL HEART RATE, UTERINE ACTIVITY, AND OTHER INFORMATION
SUMMARY
References
CHAPTER 4 Uterine Activity Evaluation and Management
ASSESSMENT METHODS: PALPATION AND ELECTRONIC MONITORING
PARAMETERS FOR NORMAL LABOR
DEFINING ADEQUATE UTERINE ACTIVITY
DEFINING EXCESSIVE UTERINE ACTIVITY
CURRENT TRENDS IN LABOR SUPPORT AND MANAGEMENT
UTERINE ACTIVITY AND OXYTOCIN USE
SUMMARY
References
CHAPTER 5 Pattern Recognition and Interpretation
THE EVOLUTION OF STANDARDIZED FETAL HEART RATE DEFINITIONS
NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT DEFINITIONS: GENERAL CONSIDERATIONS
DEFINITIONS, PHYSIOLOGY, AND INTERPRETATION OF SPECIFIC FETAL HEART RATE PATTERNS
CATEGORIES OF BASELINE RATE
CATEGORIES OF BASELINE VARIABILITY
TYPES OF DECELERATIONS
FETAL CARDIAC ARRhYTHMIAS
TERMS AND CONCEPTS NOT SUPPORTED BY EVIDENCE OR CONSENSUS
SUMMARY
References
CHAPTER 6 Intrapartum Management of the Fetal Heart Rate Tracing
FUNDAMENTAL PRINCIPLES
OTHER METHODS OF FETAL MONITORING
SUMMARY
References
CHAPTER 7 Influence of Gestational Age on Fetal Heart Rate
THE PRETERM FETUS
THE LATE-TERM AND POSTTERM FETUS
SUMMARY
References
CHAPTER 8 Fetal Assessment in Non-Obstetric Settings
MATERNAL TRAUMA ALGORITHM
A CULTURE OF PATIENT SAFETY
PREGNANCY ANATOMY AND PHYSIOLOGY
OBSTETRIC PATIENTS IN THE EMERGENCY DEPARTMENT
NON-OBSTETRIC SURGICAL PROCEDURES: MATERNAL–FETAL ASSESSMENT AND CARE
SUMMARY
References
CHAPTER 9 Antepartum Fetal Assessment
COMPARING ANTEPARTUM TESTING METHODS
METHODS OF TESTING
SUMMARY
References
CHAPTER 10 Patient Safety, Risk Management, and Documentation
RISK MANAGEMENT
THE DECISION-MAKING PROCESS IN ELECTRONIC FETAL MONITORING AND INTERMITTENT AUSCULTATION
CENTRAL CONCEPTS IN LIABILITY CLAIMS
COMPONENTS OF CARE: ASSESSMENT, COMMUNICATION, AND DOCUMENTATION
LIABILITY IN FETAL MONITORING
FETAL MONITORING DOCUMENTATION
DOCUMENTATION COMPONENTS OF THE ELECTRONIC FETAL MONITORING EVALUATION
COMMON DOCUMENTATION DILEMMAS
ELECTRONIC FETAL MONITORING DOCUMENTATION POLICIES
SUMMARY
References
CHAPTER 11 Obstetric Models of Care and Electronic Fetal Monitoring Outside the United States
OBSTETRIC MODELS OF CARE
ELECTRONIC FETAL MONITORING: CARDIOTOCOGRAPHY
INTERNATIONAL INTERMITTENT AUSCULTATION AND CARDIOTOCOGRAPHY GUIDELINES
METHODS OF DETERMINING FETAL ACID–BASE STATUS
SUMMARY
References
APPENDIX A Amnioinfusion
INDICATIONS FOR AMNIOINFUSION
EQUIPMENT AND SUPPLIES
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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Lisa A. Miller

David A. Miller

Rebecca L. Cypher