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Interpret a fetal heart tracing

Learner Task: The attending is finishing a procedure in another room and asks if there is anything concerning about the fetal heart rate tracing pictured below. Report the fetal heart rate findings and discuss fetal heart rate features which could be concerning.
 
Fetal Monitoring Strip


 
Educator Checklist: Fetal Heart Rate Tracing
Mark the appropriate column to indicate whether the learner included each element in his or her response. When completed, tally the “Included” column to calculate the learner’s score.
 

Included =1 Not Included =0
Identifies baseline heart
Identifies accelerations
Identifies contractions
Discusses types of decelerations and FHR tracing without accelerations