FHM Vignette #09: A Term Pregnancy With Vaginal Bleeding and Abdominal Pain

FHM Vignette #09: A Term Pregnancy With Vaginal Bleeding and Abdominal Pain

Training on reading FHR monitor strips is often not applied to specific clinical situations and an understanding of why the FHR patterns look as they do in those situations. This short activity reviews FHR patterns and highlights useful information for nurses who interpret fetal tracings. The basic steps in FHR monitor strip interpretation include: 1) accurate assessment of the FHR pattern using the standardized NICHD terminology; 2) accurate assessment of maternal uterine activity; 3) consideration of maternal/fetal physiology as it relates to the current clinical situation; 4) determination of appropriate FHR Category; and 5) intervention and management appropriate to tracing interpretation. In this activity, we encourage your use of critical thinking skills in an emergency situation. Fast-paced evaluation and intervention are required to save this mother and baby. The patient arrives to the emergency department with frank vaginal bleeding, abdominal pain, a challenging FHR tracing and a history of substance abuse. After completing this activity, practitioners should be able to: list nursing interventions appropriate for Category III FHR tracings; identify potential causes of placental abruption; and examine placental abruption and its impact on fetal oxygenation and the FHR tracing.

  • Provider:The Sullivan Group
  • Activity Link: https://www.thesullivangroup.com/RSQSolutions/course-purchase-home/
  • Start Date: 2023-10-02 05:00:00
  • End Date: 2023-10-02 05:00:00
  • Credit Details: AMA PRA Category 1 Credit™️: 1.0 hours
  • Commercial Support: No
  • Activity Type: Enduring Material
  • CME Finder Type: Online Learning
  • Fee to Participate: Variable
  • Measured Outcome: Learner Competence, Learner Knowledge, Learner Performance, Patient Health
  • Provider Ship: Directly Provided
  • Registration: Open to all
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