Page 208 - كتاب تمريض نسا الاكتروني

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2) Prepare equipment
3) Keep privacy
4) Explain the procedure and teach the mother that using electronic monitoring does not
mean that you or the baby has a problem- it's a common way we assess the baby's response

to labor contraction.
5) Verify doctor order.

6) use Leopold’s maneuver or grips To locate the fetus back
7) Apply ultra sound gel to the transducer as gel improues the transmission of ultra sound
wave.
8) Place the transducer on the woman's abdomen at approximately of fetal back, move the

sensors until a clear signal's heard.
9) Place the uterine activity sensor in the fundal area or the area where contraction feel
strongest when palpate

10) Apply belts; slide both belts under the women's back
11) Observe the strip for baseline fetal heat rate and contraction frequency and duration
12) Record any abnormalities

II-Internal monitoring:
• There are two electrode (fetal spiral electrode and intrauterine pressure catheter)

• fetal spiral electrode (FSE) application occur once the amniotic membranes have been
ruptured.
Contraindication:

1- Planned application to fatal head, fontanels, or genitilia
2- Presence or suspicions of placenta previa

3- Presence of active herpes lesion or HIDV
4- Maternal infection with hepatitis B or C
5-Inability to identify the portions of the fetus where the applications id applied.
Equipment:

1) Two transducer "fetal scalp electrode and intrauterine pressure catheter " 42 Fetal
monitoring
2) Paper strip

3) Electronic fetal monitoring
4) Gloves

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