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    Auscultating Fetal Heart Tone PDF

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    Shemess Butgorg
    This document provides instructions for auscultating fetal heart tones, including 8 steps: 1) explain the procedure and empty the bladder; 2) wash hands; 3) position the woman supine with flexed knees; 4) observe fetal movement; 5) use the fundal grip maneuver to determine fetal position; 6) use the umbilical grip maneuver to locate the back; 7) compare heart sounds to the patient's pulse; 8) document the fetal heart rate. The goals are to locate the fetal position, back, and heart rate while ensuring comfort and sanitation.

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    Auscultating Fetal Heart Tone PDF

    Uploaded by

    Shemess Butgorg
    55 views1 page
    This document provides instructions for auscultating fetal heart tones, including 8 steps: 1) explain the procedure and empty the bladder; 2) wash hands; 3) position the woman supine with flexed knees; 4) observe fetal movement; 5) use the fundal grip maneuver to determine fetal position; 6) use the umbilical grip maneuver to locate the back; 7) compare heart sounds to the patient's pulse; 8) document the fetal heart rate. The goals are to locate the fetal position, back, and heart rate while ensuring comfort and sanitation.

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    This document provides instructions for auscultating fetal heart tones, including 8 steps: 1) explain the procedure and empty the bladder; 2) wash hands; 3) position the woman supine with flexed knees; 4) observe fetal movement; 5) use the fundal grip maneuver to determine fetal position; 6) use the umbilical grip maneuver to locate the back; 7) compare heart sounds to the patient's pulse; 8) document the fetal heart rate. The goals are to locate the fetal position, back, and heart rate while ensuring comfort and sanitation.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    55 views1 page

    Auscultating Fetal Heart Tone PDF

    Uploaded by

    Shemess Butgorg
    This document provides instructions for auscultating fetal heart tones, including 8 steps: 1) explain the procedure and empty the bladder; 2) wash hands; 3) position the woman supine with flexed knees; 4) observe fetal movement; 5) use the fundal grip maneuver to determine fetal position; 6) use the umbilical grip maneuver to locate the back; 7) compare heart sounds to the patient's pulse; 8) document the fetal heart rate. The goals are to locate the fetal position, back, and heart rate while ensuring comfort and sanitation.

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    of 1

    MCHN RLE 2021

    AUSCULTATING FETAL HEART TONE


    PROCEDURE PRINCIPLE
    1.Explain the procedure and instruct the woman to void to •Explanation to reduces anxiety and enhance cooperation.
    empty her bladder An empty bladder promotes comfort and allows for more
    productive palpation because fetal contour will not
    obscured by distended bladder.
    2. Wash your hands using warm water. Provide privacy •Hand washing prevents the spread of possible infection.
    Using water warm water aids on patient comfort and
    prevents tightening of abdominal muscles during palpation
    3. Position the woman supine with knees slightly flexed. •Flexing the knees relaxes the abdominal.
    Expose her abdomen
    4. Observe the woman’s abdomen as to which is the longest •The longest diameter (axis) is the length of the fetus.
    diameter and where fetal movement is apparent The location of the activity most likely reflects the position of
    the feet.
    5. 1st Maneuver : (Fundal grip) •This maneuver determine whether the fetal head or
     Stand at the foot of the woman, facing her and breech is the fundus. A head feels more firm than the
    place both hands flat on her abdomen. breech; round and hard, and moves dependently of the
     Palpate the superior surface of the fundus. body (beech feels softer and moves only in conjunction with
     Determine consistency, shape and mobility. the body.)

    6. 2nd Maneuver : •This maneuver locates the back of the fetus. The fetal back
    (Umbilical Grip) feels like a smooth, hard resistant surface; the knees and
     Face the woman , hold the left hand stationary on elbows of the uterus on the opposite side feel or like number
    the left side of the fetus while you palpate with the of angular bumps or nodules.
    right hand on the opposite side of the uterus from
    top to bottom
     Repeat the palpation using the opposite side.

    7. Compare the audible heart sounds with your patient’s •If the rate’s the same, you’re probably hearing the
    pulse. When you locate the fetal heartbeat, count it for a full mother’s heart sounds and need to reposition the
    minute and listen closely for any increases or decreases in Stethoscope.
    rate. Normal Fetal Heart RATE 120-16O BPM IN 1 FULL MINUTE
    8. Document the fetal heart rate of the baby.

    University of Luzon-College of Nursing Escosio

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