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butterball1980

butterball1980

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  1. butterball1980

    What do patients say that irks you?

    "Nipple Confusion"!!!!!!! When explaining to mom and dad that their 9-1/2 pound baby desperately needs a bottle for a low sugar!!
  2. butterball1980

    Physiology of FHR monitoring

    I have sent some letters out to the local educators that do our fetal monitoring courses and hoping for some responses soon. If I don't hear back from them, I'll send off some questions to some of the Level 3 hospitals. I really can't believe it's so hard to find information about this! It has become a really interesting subject for me though, so hopefully will hear something soon. I'll post as soon as I do!
  3. butterball1980

    Physiology of FHR monitoring

    Why not? If it is an electrical current, as in an adult, you can have electrical current without mechanical activity and I don't know why a fetal heartrate would be any different. And if you do have two different rates when you have compared it with mom's, who's to say it isn't some type of EMD or PEA. Just a thought. I've emailed this question to some fetal monitoring educators, so hopefully will get an answer.
  4. butterball1980

    Physiology of FHR monitoring

    Again, I am referring specifically to Fetal Scalp Electrode and this is a big difference from doppler, external heart monitor. I have been researching this for several days without much luck but I did find this little "ditty" that some of you might find interesting. I don't belong to the "club" so I can't pull the whole article up, but this gave me just enough to continue researching. I'm just finding this VERY fascinating right now and really think it's something very important for L&D nurses to understand. It can make a little bit of sense of a potentially tragic situation that a nurse may not recognize because there is not a blatant loss of fetal heart rate. http://www.ncbi.nlm.nih.gov/pubmed/1442935?log$=activity
  5. butterball1980

    Physiology of FHR monitoring

    I should have clarified. This was an IFM, fetal scalp electrode which would not be the same as doppler and would be picking up electrical activity of baby. That's why I compared it to adult PEA. Any thoughts with that in mind?
  6. butterball1980

    Physiology of FHR monitoring

    I am semi-new to L&D. I have been to numerous monitoring classes and remember hearing somewhere there could be a tracing yet the heart could not be mechanically functioning. This had to do with beat to beat variability, or rather, the loss of it. Similar to an adult in PEA. But, we would not know it until the birth obviously. This discussion came up after a stillbirth of a baby that had a FHR tracing up until birth although it was absent variability for quite a while. The other nurses couldn't understand how it could have had a tracing, yet be born lifeless. Am I totally off here or have others heard this????? I have no clue where or when I heard it and can find nothing as I research it. I find when I "google" these types of things, the only info that comes up is for lay people. Would appreciate any info on this so I can share it with my coworkers or admit defeat;)
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