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Discussion

EFM Interpretation Help

I'm trying to switch into labour and delivery nursing and am taking a certification course. Having a hard time with EFM interpretation. Wondering if anyone can give me some help with this one?

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    I would call that a prolonged late.

    it’s late because the nadir of the decel occurs after the peak of the contraction, and its prolonged because it lasts more than 2 minutes.

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    • Experts
    On 2/19/2020 at 12:49 AM, klone said:

    I would call that a prolonged late.

    it’s late because the nadir of the decel occurs after the peak of the contraction, and its prolonged because it lasts more than 2 minutes.

    I agree with Klone, though if the answer options don't have that it would just be prolonged because of the greater than 2 min but less than 10 minute long deceleration and return to baseline.

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    Labordude, do you have your C-EFM? If not, you should get it! Exams taken between 4/1-5/31 can be taken at home, with online proctoring (it’s a pilot they’re doing) and second chance free if you don’t pass!

  • Quote
    • Experts
    4 hours ago, klone said:

    Labordude, do you have your C-EFM? If not, you should get it! Exams taken between 4/1-5/31 can be taken at home, with online proctoring (it’s a pilot they’re doing) and second chance free if you don’t pass!

    Yeah, I have that and my RNC-OB and AWHONN and CLC and whatever. Seriously, at some point it becomes RN, (insert alphabet soup) ?

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    The NICHD guidelines are very clear. This is a prolonged, only a prolonged. It definitely has a late component, but the definitions are clear, and this is a perfect definition of a prolonged, regardless of where it started.

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