Maternal/Child Health (OB): Fetal Heart Tones Acronym

VEAL CHOP

Variable decelerations…..Cord compression
Early decelerations………Head compression
Accelerations…………….OK, may need Oxygen
Late decelerations……….Placental Insufficiency

INTERVENTIONS

Variable decels → reposition mother to knee-chest position to get baby’s head off the cord OR use two fingers to lift the baby’s head off the cord until further interventions required
Early decels → 
sign that baby is descending into the pelvis, monitor as needed
Accelerations → 
reassuring (normal) sign; last for 15+ seconds and peaks 15+ beats/min
Late decels →
worrisome sign; reposition mother, administer IV fluids and anticipate discontinuing/decreasing Oxytocin or administering a tocolytic to decrease contractions

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