Fetal Heart Rate Auscultation

as always be sure to introduce yourself to the patient when you enter the room such as good morning my name is Mona Braun Kettner I'm a registered nurse and I'll be listening to your baby's heartbeat today it is important to explain the procedure to the patient and then assist her to a comfortable position you want to palpate her abdomen for contractions and a soft uterine resting tone ask her if she's feeling any contractions at the current time place the fetus cope over the fetal back using firm pressure but not too much to cause pain for the woman you may certainly ask her where the baby's heartbeat was heard the last time she was in the doctor's office or clinic it could be necessary to search for the fetal heart rate be methodical and slow listening in each quadrant while moving the fetus scope around sometimes the fetal heart is a little bit elusive in terms of your ability to find it you want to listen after a contraction since this is difficult to hear during a contraction itself make sure to slow down and listen for a full 30 to 60 seconds it is very important to take your time count the actual rate and then compare it to mom's pulse rate to differentiate the two rates you want to make certain that you have two different rates that you're assessing assess the fetal heart rate for regularity is it regular is the rhythm regular or do you hear a skipped beat are there accelerations of the fetal heart rate do you hear decelerations when you have completed this procedure explain the results to the patient and then clean the equipment thoroughly you want to document the actual rate in the patient's medical record such as 147 beats per minute or 128

One Reply to “Fetal Heart Rate Auscultation”

  1. Most of the videos I came across try to locate the position of the heart with the stethoscope or doppler. In the UK, we first palpate the abdomen for SFH, lie, presentation (and if cephalic, then engagement). During palpation, we will have located the back and the head of the baby. Then when it comes to auscultate, the heart will be located just deep to the anterior shoulder of the fetus, the location of which you deduce by that of the head and the back. Sometimes the anterior shoulder itself may also be palpable. It seems a much more complete and smoother examination technique than searching the entire abdomen for the fetal heart sound.

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