IV Fetal Strip Library (from courses)
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STRIP 1
1. Baseline 140, moderate variability with 2 accelerations to 160 x 20 sec, no decel Toco: q 5-7 min
STRIP 2
1. Tracing 4hr later: Baseline 140, minimal variability, recurrent late decelerations with every contraction Ctx q 1-2 min
STRIP 3
1. Tracing 30 min later: Baseline 140, moderate variability, intermittent late decelerations (every 3rd contraction), no accelerations Toco q 3 min
STRIP 4
1. Initial tracing: Baseline 130, moderate variability, accelerations and one variable deceleration (down to 110, lasing 30 seconds) Toco: q 2-3 min
STRIP 5
1. Tracing 2 hours later: Baseline 130, minimal variability, one acceleration to 150, then recurrent variable decelerations down to 60 b/min lasting 40-60 sec with "shoulders" before and after decel
STRIP 6
1. Initial tracing: Baseline 150, moderate variability with accelerations, one variable decel down to 90, lasting 30 sec with ctx Toco: Q2
STRIP 7
1. Tracing with pushing: Baseline 155, minimal variability with recurrent variable decelerations down to 50 bmin, lasting 60-80 sec, with "shoulders" to 180 before and after deceleration, occurring with each ctx Toco ctx q 2-3 min with "pushing" artifact
STRIP 8
1. Tracing: 150, moder variability, same variable decels as above with pushing, alternating with "mild" variable decels down to 120 x 30 sec without pushing Toco: q 2-3 min, with "pushing" artifact with every other ctx
STRIP 9
1. Initial tracing: Baseline: 155 minimal variability with accelerations to 165 with each contraction Toco; q 3 min
STRIP 10
1. Tracing 2 hrs later: Baseline: 155 minimal variability, one acceleration (with exam/scalp stim), no decelerations Toco: q 3-4 (MVU 100)
STRIP 11
1. Initial tracing: Baseline 145, minimal variability, no accelerations, no response to scalp stimulation, no decelerations
STRIP 12
1. Baseline 145, minimal variability, one acceleration 10x10 b/min (with scalp stim), no decelerations
STRIP 13
1. Initial
STRIP 14
1. 30 min later
STRIP 15
1. Baseline 150, minimal variability, two accelerations 10x10, no decelerations, some loss of contact Toco: no contractions
STRIP 16
1. Initial
STRIP 17
STRIP 18
STRIP 19
STRIP 20
1. baseline about 140 bpm
normal variability
accelerations
1 severe variable deceleration in 10 minutes dropping to 60 bpm nadir with recovery to baseline after a total of 60-70 seconds total deceleration time.
4 contractions in the 10 minute window
STRIP 21
1. The following fhrt just like strip 20, except with 2 severe variables in a 10 minute window – normal variability and accelerations
STRIP 22
1. The fhrt is as follows: (baseline hr 150 bpm, normal variability, one acceleration. 1 classic late deceleration is seen in a series of 5 contractions occurring over a 10 minute window. (the late decelerations are too deep (some are nadiring at 50-60 bpm below baseline. Normal lates are more subtle usually 10-30 bpm at most below baseline)
STRIP 23
1. The following fhrt is observed (same tracing as above, strip 22, with 2 accelerations, but classic late decelerations in 3 of 5 contractions over a 10 minute window.)
STRIP 24
1. The following fhrt is seen a fhrt with the following features: baseline 155 bpm, normal variability, 3 prominent accelerations, 1variable deceleration to 80 bpm lasting only 30 seconds from baseline to baseline , and 1 variable deceleration to 70 bpm lasting 60 seconds from baseline to baseline in a 10 minute window
STRIP 25
1. the following fhrt For the first 7 minutes, the baseline is stable at 155 bpm, normal variability and 1 acceleration. There is then a 4 minute bradycardia to 60 bpm with recovery over 1 minute to a baseline of 105-110 bpm. Over the next 8 minutes the baseline remains at 105-110 bpm, with 2 episodes of brief (15 second) “acceleration” to 125 bpm, returning to baseline of 105-110 bpm
STRIP 26
1. a fhrt with baseline 125 bpm, normal variability, 3 accelerations in a 20 minute window and 5 total contractions in 20 minutes. 1 very small variable deceleration
STRIP 27
1. the following fhrt (baseline 135 bpm, normal variability, no decelerations, 1 acceleration in 20 minutes, 13 contractions in 20 minutes
STRIP 28
1. a category I fhrt with 4-5 contractions in 10 minutes
STRIP 29
1. the following fhrt: No change in the initial category I admission fhrt for the first 5 minutes
Then a single 2 minutes variable looking decelaration to 60 bpm with prompt recovery
Then 10 minutes of category I fhrt
uterine contraction occurring every 1.25 minutes, lasting 60 seconds each
STRIP 30
1. The FHRT is as follows: a category I fhrt with contractions every 4 minutes
STRIP 31
1. baseline 140 bpm, normal variability, several clear accelerations, 4 severe variable decelerations in 30 minutes with prompt return to baseline
STRIP 32
1. baseline 150 bpm, normal variability, 3 clear accelerations in 10 minutes, 5 contractions in 10 minutes, each with a classic late deceleration
STRIP 33
1. fhrt shows baseline of 130 bpm, normal variability, accelerations, 3 severe variable decelerations in 15 minutes
STRIP 34
1. Nine contractions, each 50-60 sec long, in last 20 minutes. Baseline rate at +/- 150 bpm over 20 minute panel with minimal variability
Three mild-moderate variable decelerations - (varying in duration from20-35 sec each to nadir varying between 105 to 120 bpm ( 4, 10 and 16 minutes in the 20 minute segment). There is no progression in depth or duration of the decelerations - random
There is one 18-bpm acceleration at minute 8-9 in the last 20 minutes
Category 2 with mild to moderate variable decelerations and minimal variability
STRIP 35
1. Contractions:11 in 20 minutes, each lasting +/- 50-55 seconds.
Baseline +/- 165 bpm with minimal variability
Four mild to moderate, (but not unusual variable decelerations down to range of 105 to 125 bpm at minute 4, 11, 17 minutes, each with duration varying between 25-35 seconds.- with prompt return to baseline. There is no progression in depth or duration of decelerations – random.
There are no spontaneous accelerations.
Indicate scalp stimulation at minute 18 with no resultant acceleration
STRIP 36
STRIP 37
STRIP 38
Contractions – average of 4 contractions / 10 minutes each symmetric x 60 seconds
Baseline 1 – 145 with average variability
Decelerations - none
Accelerations – none
STRIP 39
1. Contractions – 6 contractions / 10 minutes x 70 seconds with asymmetry to right i.e. 40sec after peak.
Baseline – 150 with 3-5 bpm variability
Decelerations – sporadic mild late decelerations – 10-15 bpm nadir x 1min with every 4th contraction with random nadir showing no progression in depth
Accelerations – none; scalp stimulation negative response at 12 minutes into this panel. Write on strip point of scalp stim with no parallel accel
STRIP 40
1. Contractions: 7-8 60-70 second contractions in 20 min. See exception
below re deceleration associated contractions – 3 run together concluding 30 sec or so before end of deceleration.
Baseline 140 bpm for first 5 minutes w 7-8 bpm variability
Decelerations 1 deceleration x 5.5 minutes to initial nadir of 110 bpm x 45 seconds, followed by gradual return to 140 bpm. The deceleration parallels a triple contraction with total duration of 5 minutes – first contraction relative magnitude 1, second .75 and third .5 magnitude of first
Variability average / moderate at 145 pm after deceleration
Accelerations no accelerations after deceleration
STRIP 41
1. Contractions: 7-8 60-70 second contractions in 20 min. Contractions at
more predictable intervals with no coupling or tripling of contractions
Baseline 140 bpm for first 6 minutes
Decelerations One deceleration x 6 minutes to initial nadir of 115 bpm x 35 seconds, followed by gradual return to 150 bpm baseline
Variability average / moderate at 6-7 bpm at 145 bpm baseline rate after deceleration
Accelerations 2 no accelerations after deceleration
STRIP 42
1. Contractions: 7-8 60-70 second contractions in 20 min. See exception
below re deceleration associated contractions – 3 run together concluding 30 sec or so before end of deceleration.
Baseline 140 bpm for first 5 minutes w 7-8 bpm variability
Decelerations x 5.5 minutes to initial nadir of 110 bpm x 45 seconds, followed by gradual return to 140 bpm. The deceleration parallels a triple contraction with total duration of 5 minutes – first contraction relative magnitude 1; second .75 and third .5 magnitude of first.
Variability moderate at 145 pm after deceleration
Accelerations no accelerations after deceleration
STRIP 43
1. Contractions: 7-8 60-70 second contractions in 20 min. Contractions at
more predictable intervals with no coupling or tripling of contractions
Baseline 145 bpm for first 5 minutes
Decelerations One deceleration x 6 minutes to initial nadir of 115 bpm x 35 seconds, followed by gradual return to 150 bpm baseline
Variability minimum- moderate at 4-5 bpm at 145 bpm baseline rate after deceleration
Accelerations no accelerations after deceleration
STRIP 44
1. Ctxs 8 in 18 or 9 in 20 min, each 60 sec
Baseline 180 bpm with minimal variability at 2-3 bpm
Decels – 30 second variable decels to 160, 155, 160 bpm nadir each with prompt return to baseline with one of three contractions
Accels- None
STRIP 45
1. Ctxs -8 in 18 or 9 in 20 mins, each 60 seconds
Baseline – 165 bpm w minimum variability at 3-4 bpm
Decels – 30 sec variable decels to 140,145,150,145 bpm nadirs, each with prompt return to baseline with one for each two-three contractions
Accels - None
STRIP 46
1. Ctxs1 – every 4-5 minutes
Baseline1 – 120 bpm
Decels1 - ? Baseline undulations vs ? late decels - with minimal (possibly absent) variability. Lates responsive to IU Resuscitation
Variability1 – minimal /possibly absent
Accels1 - none
STRIP 47
STRIP 48
1. Ctxs – 11 contractions each 50 sec 55 sec 50 sec, etc duration
Baseline -140bpm with mod variability -7-8 bpm
Decels - None
Accels – None until scalp stimulation to be written on strip done at 14 min into strip – 18 bpm x 20 sec
STRIP 49
1. Ctxs – 10 contractions – each 60, 65, 60, 65 etc sec duration.
Baseline – 150 bpm with mod variability 7-8 bpm
Decels - Late Decel with Ctx 2, Ctx 8, each 15 bpm nadir
Variability – moderate at 7-8 bpm
Accels – none scalp stim not done
STRIP 50
1. Ctxs – 8 contractions – as above strip 2
Baseline 155 bpm with min-mod variability varying 4-6 bpm transitioning every 6 minutes or so from 4 to 6 to 4 bpm
Decels – Variable decelerations at CTX 2, 4, 6, 8, - of 30 sec, 40 sec, 35 sec and 50 sec with nadir to 130, 135, 120, 115 nadir at that level for 15 sec each.
Accels – none; no scalp stim done
STRIP 51
1. Spontaneous tachysystole
Recurrent late decelerations
Moderate variability
Baseline 155
STRIP 52
1. 2 Recurrent prolonged decelerations
Moderate variability
Baseline 170
STRIP 53
1. Category II tracing with prolonged variable decelerations, variability remaining moderate
STRIP 54
1. Add deeper decelerations with progression getting worse
STRIP 55
1. FHR 180
Minimal to moderate variability
No decelerations
STRIP 56
1. Minimal variability
No accelerations for 40 minutes
No decelerations
STRIP 57
1. FHR 155
Minimal variability
No decelerations
Regular contractions
STRIP 58
1. FHR 155
Minimal variability
No decelerations
STRIP 59
1. FHR 160-170
Intermittent late decelerations initially
STRIP 60
1. Fetal tachycardia -- 165
Some intermittent late decelerations
Minimal variability
No response from fetal scalp stimulation
STRIP 61
1. Fetal tachycardia, 165
Minimal variability
2 late decelerations with first 3 contractions, then 15 mins of moderate variability with no lates
STRIP 62
1. recurrent late decelerations and moderate variability
STRIP 63
1. Mild variable decelerations (nadir at 90 bpm x 30-40 seconds)
Moderate variability
FHR baseline 140
Regular contractions
STRIP 64
1. Variable decelerations that become progressively deeper
Variability moderate
STRIP 65
1. Variable decelerations that become progressively deeper
Variability changing from moderate to minimal
STRIP 66
1. Category II with variable decelerations
STRIP 67
1. Absent variability
Persistent late decelerations
STRIP 68
1. Sinusoidal tracing
STRIP 69
1. Panel 20 minutes
Nine contractions, each 50-60 sec long, in last 20 minutes. 2nd, 3rd and 4th contraction to long, about 10 secs, 6th needs 15 secs off,
Baseline rate at +/- 150 bpm over 20 minute panel with minimal variability
Three mild-moderate variable decelerations - (varying in duration from20-35 sec each to nadir varying between 105 to 120 bpm ( 4, 10 (needs to be moved over 1 min) and 16 (move 30 secs over to right) minutes in the 20 minute segment). There is no progression in depth or duration of the decelerations - random
There is one 18-bpm acceleration at minute 8-9 in the last 20 minutes
Category 2 with mild to moderate variable decelerations and minimal variability.
STRIP 70
1. 1st panel:
Tracing to show 140 bpm with average variability and no decelerations. Five 50-second contractions noted in 20 minutes of observation. (1st and 2nd contraction 10sec less, 5th 30secs less
2nd panel:
Panel: 20-minute of FHR strip.
Contractions:11 in 20 minutes, each lasting +/- 50-55 seconds. (1st 3rd, 4th, 6th, 7th, 8th, 10th and 11th too long 10-15 secs off)
Baseline +/- 165 bpm with minimal variability
Four mild to moderate, (but not unusual variable decelerations down to range of 105 to 125 bpm at minute 4, 11, 17 minutes, each with duration varying between 25-35 seconds.- with prompt return to baseline. There is no progression in depth or duration of decelerations – random. (1st 2nd more abrupt, 1st deeper, 4th more abrupt and deeper)
There are no spontaneous accelerations.
Indicate scalp stimulation at minute 18 with no resultant acceleration
STRIP 71
1. 1st panel:
Contractions – average of 4 contractions / 10 minutes each symmetric x 60 seconds 3rd too long 30secs, 4th too long 20secs,
Baseline 1 – 145 with average variability
Decelerations 1 - none
Accelerations1 – none
2nd panel:
Contractions – 6 contractions / 10 minutes x 70 seconds with asymmetry to right i.e. 40sec after peak. (5th too long, shorten little, 8th make little longer)
Baseline2 – 150 with 3-5 bpm variability
Decelerations 2 – sporadic mild late decelerations – 10-15 bpm nadir x 1min with every 4th contraction with random nadir showing no progression in depth. (1st decel move 20-30 sec to left, 2nd decel move over the 8th contraction and make it look more gradual)
Accelerations2 – none; scalp stimulation negative response at 12 minutes into this panel. Write on strip point of scalp stim with no parallel accel.
STRIP 72
1. 1st and 2nd panel:
Contractions: 7-8 60-70 second contractions in 20 min. (2nd too long by40 secs, 4th take off 10 secs, last 2 take off 20-30secs) See exception below re deceleration associated contractions – 3 run together concluding 30 sec or so before end of deceleration.
Baseline 140 bpm for first 5 minutes w 7-8 bpm variability
Decelerations deceleration x 5.5 minutes to initial nadir of 110 bpm x 45 seconds, followed by gradual return to 140 bpm. The deceleration parallels a triple contraction with total duration of 5 minutes – first contraction relative magnitude 1; second .75 and third .5 magnitude of first.
Variability1 average / moderate at 145 pm after deceleration
Accelerations no accelerations after deceleration
3rd panel:
Contractions2: 7-8 60-70 second contractions in 20 min. Contractions at more predictable intervals with no coupling or tripling of contractions (2nd, 4th 7th contraction too long
Baseline2 140 bpm for first 6 minutes
Decelerations2 One deceleration x 6 minutes to initial nadir of 115 bpm x 35 seconds, followed by gradual return to 150 bpm baseline
Variability2 average / moderate at 6-7 bpm at 145 bpm baseline rate after deceleration
Accelerations2 no accelerations after deceleration
STRIP 73
1. 1st and 2nd panel:
Contractions: 7-8 60-70 second contractions in 20 min. See exception below re deceleration associated contractions – 3 run together concluding 30 sec or so before end of deceleration. (2nd too long, last 2 also to long)
Baseline 140 bpm for first 5 minutes w 7-8 bpm variability (move decel over to left to the 5th min, adjust contraction tripling)
Decelerations deceleration x 5.5 minutes to initial nadir of 110 bpm x 45 seconds, followed by gradual return to 140 bpm. The deceleration parallels a triple contraction with total duration of 5 minutes – first contraction relative magnitude 1; second .75 and third .5 magnitude of first.
Variability moderate at 145 pm after deceleration
Accelerations1 no accelerations after deceleration (move accel over to min 1)
3rd panel:
Contractions: 7-8 60-70 second contractions in 20 min. Contractions at more predictable intervals with no coupling or tripling of contractions (1st 3rd by 30-40secs, 5th by 20secs, 7th 40secs shorter)
Baseline 145 bpm for first 5 minutes
Decelerations One deceleration x 6 minutes to initial nadir of 115 bpm x 35 seconds, followed by gradual return to 150 bpm baseline (move decel over to min 5)
Variability minimum- moderate at 4-5 bpm at 145 bpm baseline rate after deceleration
Accelerations2 no accelerations after deceleration
STRIP 74
1. 1st and 2nd panel:
Ctxs 8 in 18 or 9 in 20 min, each 60 sec
Baseline 180 bpm with minimal variability at 2-3 bpm
Decels – 30 second variable decels to 160, 155, 160 bpm nadir each with prompt return to baseline with one of three contractions
Accels- None
3rd panel:
Ctxs -8 in 18 or 9 in 20 mins, each 60 seconds
Baseline – 165 bpm w minimum variability at 3-4 bpm
Decels – 30 sec variable decels to 140,145,150,145 bpm (3rd decel more abrupt) nadirs, each with prompt return to baseline with one for each two-three contractions
Accels2 - None
STRIP 75
1. 1st panel:
Ctxs – every 4-5 minutes
Baseline – 120 bpm
Decels - ? Baseline undulations vs ? late decels - with minimal (possibly absent) variability. Lates responsive to IU Resuscitation
Variability – minimal /possibly absent
Accels - none
STRIP 76
1. Ctxs – 11 contractions each 50 sec 55 sec 50 sec, etc duration (3rd contraction from end too long)
Baseline -140bpm with mod variability -7-8 bpm
Decels - None
Accels – None until scalp stimulation to be written on strip done at 14 min into strip – 18 bpm x 20 sec
Ctxs2 – 10 contractions – each 60, 65, 60, 65 etc sec duration.
Baseline2 – 150 bpm with mod variability 7-8 bpm
Decels2 - Late Decel with Ctx 2, Ctx 8 (more gradual, less variable looking), each 15 bpm nadir
Variability2 – moderate at 7-8 bpm
Accels2 – none scalp stim not done.
STRIP 77
1. Pt is demonstrating aspects of abruption, uterine tachysystole, rapid dilation, pain and bleeding.
FHR has risen to 150 and shows decelerations and is now falling and showing a change in variability
STRIP 78
1. Decelerations are common is all labors but the nature of these
decelerations in the third panel and the marked variability set them apart from the first panel
In the third panel every contraction is producing a decel and each decel is larger and deeper that its preceding one. Give the known natural history of uterine rupture and it propensity for causing rapid deterioration, this deceleration pattern should not be tolerated
STRIP 79
1. There is a short portion with less variability and possibility a sinusoidal pattern. However at the end of it there are two accelerations. Given the benign association between Nisentil and sinusoidal, and the presence of these two accelerations this pattern does not warrant intervention and continued observation is very acceptable at time.
STRIP 80
1. On presentation. The initial FHR tracing has a base line of 150 bpm, moderate variability with no accelerations or decelerations. Contractions are every 2-3 mins
STRIP 81
1. After 2 hours. baseline 140 bpm, moderate variability with accelerations and late decelerations with about 50-60% of contractions over 30 mins. The nadir is at 25 bpm below the baseline. Contractions are every 3 mins.
STRIP 82
1. After 30 minutes: Should be very, very similar to second part of tracing in context but not the exact thing
STRIP 83
1. Initial tracing; The initial FHR tracing has a base line of 150 bpm, moderate variability with accelerations and no decelerations. Contractions are every 2- 3 min
STRIP 84
1. 2 hours later; baseline 150 bpm, moderate variability with accelerations and recurrent variable decelerations with a nadir at 85 bpm lasting 40 sec (however variable decels are not progressing to deeper and longer). Contraction pattern is unchanged.
STRIP 85
1. Initial tracing.The initial FHR tracing has a base line of 140 bpm, moderate variability with accelerations and no decelerations. Contractions are every 3 mins.
STRIP 86
1. 2 hours later. baseline 150 bpm, moderate variability with accelerations and recurrent variable decelerations with a nadir at 100 bpm lasting 30 sec. Contractions are every 3-4 mins. The patient's position is changed, and a fluid bolus is given with no change in the FHR tracing.
STRIP 87
1. On initial presentation. The initial FHR tracing has a base line of 120 bpm, moderate variability with no accelerations. Shortly after arriving she has a prolonged deceleration to 90 lasting 6 minutes. Contractions are every 2-3 mins
STRIP 88
1. 20 minutes later after conservative interventions and during the move to the OR. baseline 140 bpm, moderate variability with no accelerations. No further prolonged decelerations, however there are intermittent variable decelerations occurring on average after every 3rd contraction since the prolonged deceleration. The nadir is at 85 bpm lasting 30 sec. Contractions are every 3 mins.
STRIP 89
1. On initial presentation. The initial FHR tracing has a base line of 120 bpm, moderate variability with no accelerations or decelerations. Contractions are every 2-3 mins
STRIP 90
1. After 1 hour. baseline 125 bpm, mod variability without accelerations and intermittent recurrent variable decelerations with a nadir at 65 bpm lasting 30-40 sec. Contractions are every 3 mins.
STRIP 91
1. After 30 minutes: Should be very, very similar to second part of tracing in context but not the exact thing (don’t want to look like a copy).
STRIP 92
1. On initial presentation. The initial FHR tracing has a base line of 130 bpm, moderate variability with no accelerations or decelerations. Contractions are every 5 mins
STRIP 93
1. 1 hour later. baseline 125 bpm, min variability with no accelerations and 2 late decelerations noted over the last 20 mins. The nadir is 10 bpm below the baseline. Contractions are every 3 mins.
In these illustrations, make sure we have more than 2 contractions. Maybe have 8 contractions and 2 with late decels. Need minimal to some variability here.
STRIP 94
1. 30 minutes later. Make a segment very, very similar to the second part of the context strip but not so simillar it is clearly a copy.
STRIP 95
1. On initial presentation. The initial FHR tracing has a base line of 120 bpm, moderate variability with no accelerations or decelerations. Oxytocin is started. Over the next 3 hours she progresses to 4/-1/60%. Membranes are ruptured and oxytocin is continued with contractions every 3 min.
STRIP 96
1. After 2 hours. baseline 140 bpm, min variability without accelerations or decelerations over the last 30 min. Contractions are every 2-3 mins.
STRIP 97
1. 30 minutes later after conservative interventions. Tracing is very, very close to second part of context tracing (but not so close it looks like a copy). BUT contractions have slowed to 1 every 4 minutes
STRIP 98
1. On initial presentation. At this time the FHR tracing had moderate variability, accelerations, baseline of 150 and no decelerations.
STRIP 99
1. exam now of 9/+1/100%/LOP and after conservative interventions. the accelerations have disappeared, the baseline is unchanged and recurrent variable decelerations developed initially with a nadir of 120 bpm but now the nadir is 95 bpm. The varibility has progressively decreased from moderate to now absent. The contractions are every 4-5 min.
STRIP 100
1. Prolonged decel.
STRIP 101
1. Significant variable decel
STRIP 102
1. Tachycardia
STRIP 103
1. Minimal / absent variability
STRIP 104
1. Minimal variability, tachycardia
STRIP 105
1. Baseline 170, minimal to moderate variability, recurrent late decelerations
STRIP 106
1. Baseline 170, minimal to moderate variability, recurrent late decelerations
STRIP 107
1. Baseline 170 moderate variability and recurrent late decelerations, contractions every 2 minutes
STRIP 108
1. 150s baseline with minimal variability (0-4) and moderate recurrent variable decelerations and one severe variable deceleration. Contractions are every 3 minutes. Normal and Category II trending to III with 20 minutes of tracing.
STRIP 109
1. Baseline of 120s with moderate variability. The tracing has accelerations with mild (quantification previously addressed) variable decelerations lasting 15 seconds to 90 bpm with contractions. Contractions are every 5 minutes and normal. Strip is 20 minutes Category II
STRIP 110
1. Minimal variability with recurrent variable decelerations which are dipping to 60 bpm and lasting 30-40 seconds and one variable deceleration to the 60’s lasting 1 minute and one
STRIP 111
1. Baseline 125, min variability, occasional acceleration
STRIP 112
1. The FHT shows the following characteristics: Baseline 125, min-mod variability and occasional late decelerations
STRIP 113
1. Baseline 125, min variability, occasional acceleration Toco: contractions are irregular every 2-5 minutes
STRIP 114
1. The FHT shows the following characteristics:
Baseline 125, min-mod variability and occasional late decelerations
Toco: as above
STRIP 115
1. Baseline 140, minimal variability with recurrent variable decelerations Toco: every 2 minutes
STRIP 116
1. The FHT showed the following characteristics: Tracing would show
category II – baseline 140, minimal variability with recurrent variable decelerations. Tracing is worsening category II---periods of min and mod variability and now recurrent late decelerations
Toco: with IUPC, every 3-4 minutes, low amplitude to match MVU listed above
STRIP 117
1. Baseline 145, minimal variability, occasional variable decelerations
Toco: every 2 minutes
STRIP 118
1. Baseline 150, periods of minimal and moderate variability, intermittent late decelerations
Toco: every 2 minutes
STRIP 119
1. Category II -- baseline 145, minimal variability, occasional variable decelerations and loss of tracing
Toco: every 2 minutes
STRIP 120
1. 130 baseline, minimal variability, rare acceleration toco: q 3-4 minutes
STRIP 121
1. Baseline 160, min variability, intermittent late decelerations. Toco: every 2-3 minutes
STRIP 122
1. Baseline 145, min variability, intermittent late decelerations. Toco: every 2-3 minutes
STRIP 123
1. Baseline 140s, mod variability, present accelerations Toco: every 3-5 minutes
STRIP 124
1. Baseline is 140s, minimal variability, occasional accelerations. Toco: every 3-5 minutes
STRIP 125
1. Baseline 140, mod variability, presence of accelerations. Uterine contractions every 3-5 minutes.
STRIP 126
1. FHR is in the 150s with minimal variability and occasional decelerations. Uterine activity is every 1-2 minutes, low amplitude.
STRIP 127
1. FHR is in the 150s with minimal variability and occasional decelerations. Uterine activity is every 1-2 minutes, low amplitude. Then changes so toco every 2 minutes. With pushing, get intermittent loss of the tracing—but there are deep variables with each push.
STRIP 128
1. Baseline 160s, with marked variability. Toco: every 2-3 minutes
STRIP 129
1. 160s minimal variability, worsening early decelerations toco: as above
STRIP 130
1. Baseline 110, moderate variability, but no true accelerations. Toco: every 3-4 minutes
STRIP 131
1. 130s, minimal variability, occasional accelerations. Toco: as above
STRIP 132
STRIP 133
STRIP 134
STRIP 135
STRIP 136
1. Strip shows baseline 150 min variability, no accels, one contraction seen on toco lasting one minute followed by a late deceleration
STRIP 137
STRIP 138
STRIP 139
STRIP 140
1. Category 2 EFM strip showing moderate variability, normal uterine activity with contractions occurring every 3 minutes, and recurrent moderate variable decelerations
STRIP 141
1. Same strip as Strip 140, but with the recurrent variable decelerations extending to 30 bpm below the fetal baseline.
STRIP 142
STRIP 143
1. Category II EFM strip showing a baseline of 120s with minimal variability, normal uterine activity with contractions occurring every 2 minutes and no decelerations.
STRIP 144
1. Same as Strip 143 but with a baseline shift to 100 bpm with now absent baseline variability over the next 20 minutes.
STRIP 145
1. Bradycardia, FHR 95 bpm, moderate variability, accelerations
STRIP 146
STRIP 147
1. Bradycardia, minimal to marked variability
STRIP 148
1. Baseline 140, minimal variability with recurrent variable decelerations
STRIP 149
1. category II – baseline 140, minimal variability with recurrent variable decelerations. Tracing is worsening category II---periods of min and mod variability and now recurrent late decelerations
STRIP 150
1. 130s, minimal variability, occasional accelerations.
STRIP 151
1. Moderate variability, FHR 145, recurrent variable decelerations.
STRIP 152
STRIP 153
STRIP 154
1. Unable to determine FHR baseline in first strip. Variable decelerations with nadir to 75-80, contractions every minute. Also another strip showing FHR 150 with minimal variability, and then uncertain FHR or possibly maternal heartrate.
STRIP 155
1. FHR 170, minimal variability, late decelerations
STRIP 156
1. FHR baseline 170, minimal variability, late decelerations
STRIP 157
STRIP 158
1. Baseline FHR 170, moderate variability
STRIP 159
1. Category 2 EFM strip with absent baseline variability, no
decelerations, and normal uterine activity with contractions occurring every 2 minutes.
STRIP 160
1. Category 3 EFM strip with absent baseline variability, recurrent variable decelerations, and normal uterine contractions occurring every 2 minutes.
STRIP 161
1. baseline 150 min variability, no accels, one contraction seen on toco lasting one minute followed by a late deceleration
STRIP 162
STRIP 163
STRIP 164
1. Category 2 tracing, 20 minute chunk, 145 bpm baseline, minimal variability, no accels, no deccels, irregular contractions approx every 10 minutes.
STRIP 165
1. Fetal heart tones 160s, minimal variability, no accelerations, no decelerations, contractions every 3-4 minutes, category II, 10-minute chunk
STRIP 166
1. Category I EFM strip showing a baseline of 130s with moderate variability, normal uterine activity with contractions occurring every 3 minutes and no decelerations. The strip should contain elevations in the heart rate that are less than 15 bpm above baseline.
STRIP 167
1. Category I EFM strip showing a baseline of 130s with moderate variability, normal uterine activity with contractions occurring every 3 minutes and no decelerations. The strip should not contain any accelerations.
STRIP 168
1. Category II EFM strip showing a baseline of 120s with minimal variability, normal uterine activity with contractions occurring every 2 minutes and no decelerations.
STRIP 169
1. Same as Strip 168 with a baseline shift to 100 bpm.
STRIP 170
1. Category III EFM strip showing a baseline of 150s with absent variability, normal uterine activity with contractions occurring every 3 minutes and recurrent late decelerations.
STRIP 171
1. Category III EFM strip showing a baseline of 150s with minimal variability, normal uterine activity with contractions occurring every 3 minutes and a sinusoidal pattern
STRIP 172
1. Category III EFM strip showing a baseline of 150s with absent variability, normal uterine activity with contractions occurring every 3 minutes and recurrent variable decelerations.
STRIP 173
1. Category III EFM strip showing a baseline of 150s with absent variability, normal uterine activity with contractions occurring every 3 minutes and the start of a prolonged deceleration to 80 bpm.
STRIP 174
1. 150s baseline with minimal variability (0-4) and moderate recurrent variable decelerations with one 10 bpm by 10 seconds acceleration and one 15 bpm by 15 bpm acceleration. Contractions are every 3 minutes. Normal contractions. Category II and 20 minutes
STRIP 175
1. 150s baseline with minimal variability (0-4) and moderate recurrent variable decelerations and one severe variable deceleration. Contractions are every 3 minutes. Normal and Category II trending to III with 20 minutes of tracing.
STRIP 176
1. Baseline of 120s with moderate variability. The tracing has accelerations with mild (quantification previously addressed) variable decelerations lasting 15 seconds to 90 bpm with contractions. Contractions are every 5 minutes and normal. Strip is 20 minutes Category II
STRIP 177
1. Minimal variability with recurrent variable decelerations which are dipping to 60 bpm and lasting 30-40 seconds and one variable deceleration to the 60’s lasting 1 minute and one prolonged deceleration lasting 4 minutes to 40 bpm. Contractions every 3 minutes and are normal. Category II trending to III. Length of strip 30 minutes.
STRIP 178
STRIP 179
STRIP 180
1. 15 min of baseline in 150s with minimal variability. Recurrent variable decelerations with nadir of 70 bpm lasting 1-2 min) 703_lo4_md_sct_q076 (example from Panel B); modifications (variable decels need last >1 min but <2 min on average and nadir around 70 bpm)/
Ctx about q 3min and decels are recurrent
STRIP 181
1. Baseline in 160s with minimal variability. Recurrent variable decelerations lasting > 60-90 seconds with nadir 70-80 bpm)
STRIP 182
1. 1. 15 min of tracing; Baseline in 150s with moderate variability. Recurrent late decelerations (decelerations occur with > 50% of the contractions) with nadir about 30 bpm below baseline). Contractions are q3-4 min on average; normal pattern
STRIP 183
1. 15 min strip: Baseline in 150s with moderate variability. Recurrent late decelerations with decrement 15-20 bpm below baseline
STRIP 184
1. Baseline in 150s with moderate variability and recurrent variable decelerations with nadir of 60 bpm lasting 1-2 min)
STRIP 185
1. 15-20 min tracing with baseline rate in 140s and moderate variability. Recurrent significant variable decelerations which nadir at 70bpm lasting 1-2 minutes. , along with a single late deceleration towards the end of the strip
STRIP 186
1. Baseline initially for 4 minutes is 140 bpm, with minimal variability and then late decelerations (nadir around 110) become recurrent with each contraction starting at minute 5 through 15. Contractions occur every 2-3 minutes and variability evolves from minimal to near absent)
STRIP 187
1. Panel A: show 7-8 minutes of a pseudo-sinusoidal pattern with no decelerations and no accelerations; range of baseline between 120-160 bpm. Show about 2-3 minutes no FHRT indicating off the monitor. Contractions are every 3 minutes
Panel B: "Reattached to EFM in the OR”): several minutes of pseudo-sinusoidal pattern with some variability and an acceleration occurring a few minutes into the tracing
STRIP 188
1. 15 minutes of strip; first few minutes is Category II with minimal variability and recurrent significant variable decelerations; the last several minutes- becomes Cat III (near absent variability and recurrent variables). Normal baseline in 150s with contraction pattern that indicates pushing spikes (q 2-3)
STRIP 189
1. 150s baseline with prolonged deceleration with a nadir in 80s but with gradual decline and variability present in deceleration. Recovery to baseline but with single late deceleration with first contraction post prolonged decel and then no further decelerations and minimal variability after recovery along with baseline increase to 160 bpm; total tracing around 15 min and contractions are normal occurring q 3-4 min
STRIP 190
1. Overshoot
STRIP 191
1. Sinusoidal heart rate pattern
STRIP 192
1. Early decels
STRIP 193
1. Moderate variability vs. marked variability
STRIP 194
1. Minimal variability
STRIP 195
1. MOderate variability to minimal variability
STRIP 196
1. Minimal variability
STRIP 197
1. Marked variability
STRIP 198
1. Marked variability
STRIP 199
1. Variable decels
STRIP 200
1. Acceleration
STRIP 201
1. Bradycardia might be maternal heart rate
STRIP 202
1. Overview of strip
STRIP 203
1. Spaces in fetal heart rate can be from maternal movement