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EFM Interpretation Help

Ob/Gyn   (1,123 Views | 5 Replies)
by Gingerpsych Gingerpsych (New) New

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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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klone has 14 years experience as a MSN, RN and specializes in Women's Health/OB Leadership.

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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. 

Edited by klone

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labordude has 14 years experience as a BSN, RN and specializes in L&D, OBED, NICU, Lactation.

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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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klone has 14 years experience as a MSN, RN and specializes in Women's Health/OB Leadership.

6 Followers; 13,527 Posts; 118,233 Profile Views

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!

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labordude has 14 years experience as a BSN, RN and specializes in L&D, OBED, NICU, Lactation.

472 Posts; 12,235 Profile Views

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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