Essentials Of Fetal Monitoring Fourth Edition

This comprehensive guide to fetal monitoring, now in its fourth edition, provides an exhaustive compilation of up-to-date knowledge on the signs of fetal well-being and compromise obtained from FHR monitoring. Newly revised and updated, it features two new chapters on monitoring maternal heart rate patterns and legal issues involved in care, new fetal monitor "strips," and updated visual materials, references and resources. This book is an invaluable companion for labor and delivery nurses, nurse midwives, and maternal-child and family nurses. Key Features Covers systematic assessment of the pregnant patient Addresses external and internal fetal and maternal monitoring Includes a step-by-step guide to fetal monitoring equipment and procedures Contains detailed reproductions of actual fetal monitor tracings Clarifies differences between maternal and fetal heart rate patterns Includes NICHD definitions as alternative terminology for documentation Identifies ineffective actions that can delay timely interventions Sets forth legal issues Provides skill-testing exercises This hands-on workbook, designed for long-term and frequent use, is of value for any nurse currently working in a labor and delivery setting as well as those entering the field.

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Fetal heart rate monitoring affects the lives of millions of women and infants every year in the United States alone. Used by all members of the obstetric team - nurses, students, midwives, and physicians – it is the primary method to assess fetal oxygenation in both the antepartum and intrapartum setting. Improving outcomes and promoting patient safety depends upon correct use and interpretation of fetal heart rate monitoring, and is crucial to daily obstetric practice. This fourth edition provides the obstetrical team a framework within which to interpret and understand fetal heart rate tracings and their implications. The text covers key issues as the physiological basis for monitoring, a discussion of fetal hypoxemia and neonatal encephalopathy, instrumentation and pattern recognition. In addition to an in-depth review of the standardized NICHD nomenclature and three-tiered FHR Category approach, there are chapters on intrapartum and antepartum management as well as fetal central nervous system effects on monitor patterns. Since fetal monitoring is primarily a screening tool there are also discussions on the use of backup methods for evaluation of abnormal patterns. This 4th edition also brings the addition of Lisa A. Miller CNM, JD, who provides a nursing and midwifery perspective as well an enhanced legal and risk management review. This new fourth edition includes: Review of neonatal encephalopathy and recent studies on CP Currentinformation and discussion of most recent NICHD panel recommendations, both antepartum and intrapartum New chapter on Pitfalls in EFM Detailed chapter on risk management, liability & documentation New section on fetal maternal hemorrhage Update on new instrumentation Crucial information on maternal/fetal coincidence and FDA warnings All chapters include updated practice tips and clinical implications for the entire obstetric team Plus, with this edition clinicians have access to a companion website with full text and an image bank for fast & simplified clinical review.

Written for labor and delivery nurses, nurse midwives, and maternal–child and family birth nurses, Essentials of Fetal and Uterine Monitoring, Fifth Edition, expertly presents how to identify fetal well-being and the signs of potential fetal and uterine compromise. An accurate interpretation of fetal heart rate patterns and uterine activity helps to ensure the safest labor and delivery process for mother and baby. Chapters present the best practices for distinguishing normal from abnormal fetal heart rate patterns and uterine activity. Designed in an engaging workbook-style format with step-by-step instruction, this evidence-based resource is for the beginning learner as well as the seasoned professional. Key Features Covers systematic assessment of the pregnant patient Addresses external and internal fetal and maternal monitoring Includes a step-by-step guide to fetal monitoring equipment and procedures Based on peer-reviewed clinically applicable research Contains detailed reproductions of actual fetal monitor tracings Clarifies differences between maternal and fetal heart rate patterns Contains a dedicated section on chronic hypoxia, acute asphyxia, and the nursing role Identifies ineffective actions that can delay timely interventions Sets forth legal issues Provides skill-testing exercises What’s NEW Includes a NEW evidence-based section on normal vs. excessive uterine activity discussing prevention of hypoxic ischemic encephalopathy Increased focus on the uterus and the effect of contractions on fetal health. All relevant sections updated to include latest evidence, research, equipment, clinical practice considerations, and interventions.

Preceded by Essentials of fetal monitoring / Michelle L. Murray, Gayle Huelsmann, Nanci Koperski. 4th ed. 2011.

As over 85% of pregnant women entering labor and delivery floors undergo fetal monitoring, it is essential that nurses in this field are well-versed in the signs of fetal well-being and compromise obtained from FHR monitoring. Michelle Murray and company have created this workbook to provide a complete guide to fetal monitoring, useful for any nurse currently working in a labor and delivery setting as well those just starting their studies. You will not find a more essential volume on this topic, covering almost all issues you will encounter, including: , Systematic assessment of the pregnant patient External and internal fetal monitoring A step-by-step guide to the different equipment and procedures of fetal monitoring Detailed reproductions of actual fetal monitor tracings NICHD definitions to describe alternative terminology for documentation Skill testing exercises and true/false questions at each chapter end Ways to identify ineffective actions that can delay timely interventions Along with its use as a training guide, Essentials of Fetal Monitoring is an excellent reference for use at the bedside and should be a part of any labor and delivery nurse's repertoire. Please see our separate entry on the new third edition of Murray's classic Antepartal and Intrapartal Fetal Monitoring, also just published. To learn more about Dr. Murray's seminars and certification classes, as well as how to purchase copies of her Fetal Monitoring in Clinical Practice Multimedia Interactive CD-Rom package, please visit her website at www.fetalmonitoring.com

As more than 85 percent of pregnant women entering labor and delivery floors undergo fetal monitoring, it is essential that nurses in this field are well-versed in the signs of fetal well-being and compromise obtained from FHR monitoring. Murray and company have created this workbook to provide a complete guide to fetal monitoring, useful for any nurse currently working in a labor and delivery setting and those just starting their studies.