Page 749 - Saunders Comprehensive Review For NCLEX-RN

Box 23-6

Nonreassuring Fetal Heart Rate Patterns

▪ Bradycardia
▪ Tachycardia
▪ Late decelerations

▪ Prolonged decelerations
▪ Hypertonic uterine activity
▪ Decreased or absent variability
▪ Variable decelerations falling to less than 70 beats per minute for longer than 60
seconds

Table 23-1

Four Stages of Labor

FIG. 23-4 A labor curve, often referred to as a partogram or Friedman’s curve, may be
used to identify whether a woman’s cervical dilation and descent are progressing at the
expected rate. The symbol for station (X), which represents descent, may be added to the
labor curve. Typical labor curves for a multiparous woman and a nulliparous woman are
illustrated for comparison of patterns.

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