NURSING 265 Lecture Notes - Lecture 17: Heart Rate Variability, Cardiotocography, Breech Birth
Document Summary
Leopold maneuvers: consist of performing external palpations of the maternal uterus through the abdominal wall to determine the following: 2) presenting part, fetal lie, and fetal attitude. 3) degree of descent of the presenting part into the pelvis. 4) expected location of the point of maximal impulse (pmi) Fetal heart rate above belly button indicates a breech position. A normal fetal heart rate baseline at term is 110 to 160/min excluding accelerations, decelerations, and periods of marked variability within a 10 min window. At least 2 min of baseline segments in a 10 min window should be present. A single number should be documented instead of a baseline range. Fetal heart rate baseline variability is described as fluctuations in the fhr baseline that are irregular in frequency and amplitude. Minimal variability (greater than undetectable but less than 5/min) Category i: all of the following are included in the fetal heart rate tracing: Baseline fetal heart rate of 110 to 160/min.
