By Michelle Murray PhD RNC
The 3rd variation presents practitioners with the wanted references and assets they should supply caliber care to girls and their fetuses. it's a leading edge source for a practice-based self-discipline, with info and references which are particular and transparent. furthermore, the protocols and approaches present in the appendix are acceptable to medical practices that come with fetal screens.
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Additional info for Antepartal and Intrapartal Fetal Monitoring
All IUPCs must be “zeroed” to negate atmospheric pressure (193). The INTRAN Plus® can be zeroed before or after insertion. After insertion, this device can be electronically zeroed by opening a sliding “door” (rezero switch) in the proximal end of the catheter near the cable. The UA level of the fetal monitor is set to zero when this “door” is open then the “door” is closed. Some solid IUPCs, such as INTRAN III®, are not equipped with a rezero capability. Therefore, these IUPCs can only be zeroed prior to insertion.
Testing the DECG Cable Block/Leg Plate Some fetal monitors have a ECG cable test capability. Consult the manufacturer’s guidelines. For example, to test the cable of the Hewlett-Packard 8030A® or 8040A® monitors, the cable is plugged into the monitor and the end of the cable block is pressed against two protruding metal pins. The monitor is turned on and the digital readout reads 200 bpm and the audio speaker makes a sound at a 200 bpm rate. To test the cable block of the Hewlett-Packard M1350A®, an electrode must be in the fetus.
The maternal lead or reference electrode should be in vaginal secretions. The US transducer should remain in place until the SE is attached to the fetus, electrode wires are attached to the leg plate, the leg plate is secured to the maternal leg, and a clear tracing is obtained. Then, the US should be removed. Testing the DECG Cable Block/Leg Plate Some fetal monitors have a ECG cable test capability. Consult the manufacturer’s guidelines. For example, to test the cable of the Hewlett-Packard 8030A® or 8040A® monitors, the cable is plugged into the monitor and the end of the cable block is pressed against two protruding metal pins.