When preparing to listen to the fetal heart rate at 20 weeks gestation the nurse would use which of the following?

American Congress of Obstetricians and Gynecologists (2009) American Congress of Obstetricians and Gynecologists Practice Bulletin No. 109: Intrapartum fetal heart rate monitoring: nomenclature, interpretation, and general management principles. Obstetrics and Gynecology. 2009;114:192–202. [PubMed] [Google Scholar]

Daumer & Neiss (2001) Daumer M, Neiss A. A new adaptive algorithm to detect shifts, drifts, and outliers in biomedical time series. In: Kunert J, Trenkler G, editors. Mathematical statistics with applications in biometry. Lohmar: Josef Eul Verlag; 2001. [Google Scholar]

Daumer et al. (2007) Daumer M, Scholz M, Boulesteix A-L, Pildner von Steinburg S, Schiermeier S, Hatzmann W, Schneider KTM. The normal fetal heart rate study: analysis plan and amendment. Nature Precedings. 2007 doi: 10.1038/npre.2007.980.1. Available at http://precedings.nature.com/documents/980/version/2 . [CrossRef] [Google Scholar]

Daumer et al. (2008) Daumer M, Held U, Ickstadt K, Heinz M, Schach S, Ebers G. Reducing the probability of false positive research findings by pre-publication validation - experience with a large multiple sclerosis database. BMC Medical Research Methodology. 2008;8:18. doi: 10.1186/1471-2288-8-18. [PMC free article] [PubMed] [CrossRef] [Google Scholar]

Deutsche Gesellschaft für Gynäkologie und Geburtshilfe (2010) Deutsche Gesellschaft für Gynäkologie und Geburtshilfe Anwendung des CTG während Schwangerschaft und Geburt [Application of CTG during pregnancy and delivery] 2010. Available at http://www.dggg.de/fileadmin/public_docs/Leitlinien/3-4-2-ctg-2010.pdf .

Deutsche Gesellschaft für Gynäkologie und Geburtshilfe (2012) Deutsche Gesellschaft für Gynäkologie und Geburtshilfe Anwendung des CTG während Schwangerschaft und Geburt [Application of CTG during pregnancy and delivery] 2012. Available through www.dggg.de .

Diogo & Joao (2010) Diogo Ayres-de-Campos, Joao Bernardes. Twenty five years after the FIGO guidelines for the use of fetal monitoring: time for a simplified approach? International Journal of Gynaecology and Obstetrics. 2010;110:1–6. doi: 10.1016/j.ijgo.2010.03.011. [PubMed] [CrossRef] [Google Scholar]

Downs & Zlomke (2007) Downs T, Zlomke E. Fetal heart rate pattern notification guidelines and suggested management algorithm for intrapartum electronic fetal heart rate monitoring. The Permanente Journal. 2007;11:22–28. [PMC free article] [PubMed] [Google Scholar]

Grivell et al. (2012) Grivell RM, Alfirevic Z, Gyte GML, Devane D. Antenatal cardiotocography for fetal assessment. Cochrane Database of Systematic Reviews. 2012;(12) doi: 10.1002/14651858.CD007863.pub3. Art. No.: CD007863. [PubMed] [CrossRef] [Google Scholar]

Ioannidis (2005) Ioannidis J. Why most published research findings are false. PLoS Medicine. 2005;2(8):e124. doi: 10.1371/journal.pmed.0020124. [PMC free article] [PubMed] [CrossRef] [Google Scholar]

Karolina & Edwin (2011) Karolina A, Edwin C. Use of continuous electronic fetal monitoring in a preterm fetus: clinical dilemmas and recommendations for practice. Journal of Pregnancy. 2011;2011 doi: 10.1155/2011/848794. Article ID 848794. [PMC free article] [PubMed] [CrossRef] [Google Scholar]

König et al. (2007) König I, Malley JD, Weimar C, Diener HC, Ziegler A. Practical experiences on the necessity of external validation. Statistics in Medicine. 2007;26:5499–5511. doi: 10.1002/sim.3069. [PubMed] [CrossRef] [Google Scholar]

Macones et al. (2008) Macones GA, Hankins GD, Spong CY, Hauth J, Moore T. The 2008 National Institute of Child Health and Human Development workshop report on electronic fetal monitoring: update on definitions, interpretation, and research guidelines. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2008;37:510–515. doi: 10.1111/j.1552-6909.2008.00284.x. [PubMed] [CrossRef] [Google Scholar]

Manassiew (1996) Manassiew N. What is the normal heart rate of a term fetus? British Journal of Obstetrics and Gynaecology. 1996;103:1269–1273. [PubMed] [Google Scholar]

Manassiev et al. (1998) Manassiev N, Abusheika N, Victor-Olagundoye V, Johnstone M. What is the normal heart rate of a term fetus? Journal of Obstetrics and Gynaecology. 1998;18:442–444. doi: 10.1080/01443619866750. [PubMed] [CrossRef] [Google Scholar]

Murray (2004) Murray ML. Maternal or fetal heart rate? Avoiding intrapartum misidentification. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2004;33:93–104. doi: 10.1177/0884217503261161. [PubMed] [CrossRef] [Google Scholar]

National Institute of Child Health and Human Development Research Planning Workshop (1997) National Institute of Child Health and Human Development Research Planning Workshop Electronic fetal heart rate monitoring: research guidelines for interpretation. American Journal of Obstetrics and Gynecology. 1997;177:1385–1390. doi: 10.1016/S0002-9378(97)70079-6. [PubMed] [CrossRef] [Google Scholar]

National Institute for Health and Clinical Excellence (NICE) (2007) National Institute for Health and Clinical Excellence (NICE) Clinical Guideline 55: Intrapartum care: care of healthy women and their babies during childbirth. 2007. Corrected 2008. Available at www.nice.org.uk/nicemedia/live/11837/36275/36275.pdf .

Nijhuis et al. (1998) Nijhuis IJM, ten Hof J, Mulder EJH, Nijhuis JG, Narayan H, Taylor DJ, Westers P, Visser GHA. Numerical fetal heart rate analysis – nomograms, minimal duration of recording and intrafetal consistency. Prenatal and Neonatal Medicine. 1998;3:314–322. [Google Scholar]

Pattison & McCowan (2004) Pattison N, McCowan L. The Cochrane Library. Issue 2. Chichester: John Wiley & Sons, Ltd; 2004. Cardiotocography for antepartum fetal assessment (Cochrane Review) [Google Scholar]

Perinatal Committee of the Japan Society of Obstetrics and Gynecology (2009) Perinatal Committee of the Japan Society of Obstetrics and Gynecology Guideline for intrapartum management based on FHR interpretation. Acta Obstetrica et Gynaecologica Japonica. 2009;61:1297–1302. [Google Scholar]

Rooth, Huch & Huch (1987) Rooth G, Huch A, Huch R. FIGO news: guidelines for the use of fetal monitoring. International Journal of Gynaecology and Obstetrics. 1987;25:1159–1167. [Google Scholar]

Royal Australian and New Zealand College of Obstetricians and Gynaecologists (2006) Royal Australian and New Zealand College of Obstetricians and Gynaecologists . Intrapartum fetal surveillance clinical guidelines. East Melbourne: RANZCOG; 2006. [Google Scholar]

Saling (1966) Saling E. Das Kind im Bereich der Geburtshilfe. Stuttgart: Georg Thieme Verlag; 1966. [Google Scholar]

Schiermeier et al. (2008) Schiermeier S, Pildner von Steinburg S, Thieme A, Reinhard J, Daumer M, Scholz M, Hatzmann W, Schneider KTM. Sensitivity and specificity of intrapartum computerised FIGO criteria for cardiotocography and fetal scalp pH during labour: multicentre, observational study. British Journal of Obstetrics and Gynaecology. 2008;115:1557–1563. doi: 10.1111/j.1471-0528.2008.01857.x. [PubMed] [CrossRef] [Google Scholar]

Schindler (2002) Schindler T. Delayed moving window algorithm for online cardiotocogram analysis - a comparison of computerized CTG analysis. Aachen: Mainz Verlag; 2002. [Google Scholar]

Serra et al. (2009) Serra V, Bellver J, Moulden M, Redman CWG. Computerized analysis of normal fetal heart rate pattern throughout gestation. Ultrasound in Obstetrics and Gynecology. 2009;34:74–79. doi: 10.1002/uog.6365. [PubMed] [CrossRef] [Google Scholar]

Society of Obstetrics and Gynaecologists of Canada (2007) Society of Obstetrics and Gynaecologists of Canada Fetal health surveillance: antepartum and intrapartum consensus guideline. Journal of Obstetrics and Gynaecology Canada. 2007;29:S1–S57. [PubMed] [Google Scholar]

Vintzileos et al. (1995) Vintzileos AM, Nochimson DJ, Guzman ER, Knuppel RA, Lake M, Schifrin BS. Intrapartum electronic fetal heart rate monitoring versus intermittent auscultation: a meta-analysis. Obstetrics and Gynecology. 1995;85:149–155. doi: 10.1016/0029-7844(94)00320-D. [PubMed] [CrossRef] [Google Scholar]


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When preparing to listen to the fetal heart rate at 20 weeks gestation the nurse would use which of the following?

Histogram of baseline fetal heart rate values

(A) Training data. (B) Validation data. (C) All data. Red bars comprise 25th to 75th percentile, red and green ones 12.5th to 87.5th percentile, red, green and yellow bars 5th to 95th percentile and all bars except white ones comprise 2.5th to 97.5th percentile.

  • When preparing to listen to the fetal heart rate at 20 weeks gestation the nurse would use which of the following?
  • When preparing to listen to the fetal heart rate at 20 weeks gestation the nurse would use which of the following?

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