EFM Interpretation Help

[Gingerpsych]

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?

[klone, MSN, RN]

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.

[labordude, BSN, RN]

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.

[klone, MSN, RN]

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!

[labordude, BSN, RN]

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) ?

[peeweedelivery]

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.