EXTERNAL

FETAL
MONITOR
GOAL: To record FHS continuously; to check uterine activity; to detect any fetal distress; to
gain information about rate, rhythm of the fetal heart rate and fetal movement.

4. Assemble the necessary

1. Determine the indication for equipment;
fetal monitoring. a. Cardiotocograph
2. Explain the purpose, time b. Transducer (2): Toco and cardio
required for test. c. Conduction gel/ Ultrasound gel
3. Instruct the patient to empty d. Abdominal binder (two belts)
the bladder. e. Monitor paper
f. Tissue paper

5. Assist the client in supine position.

7.Uncover the abdomen.
6. Identify the patient. Enter the
8. Perform Leopold’s patient’s data
Maneuver. Identify the on the monitor; Enter the
position and presentation information
of the fetus. needed. Make sure with attached
CTG paper
and enough to print the CTG tracing.

9. Place the tocosensor on the

12. Explain the mother to push
fundus of uterus and fix it with
abdominal binder (belt). the trigger botton
10. Localize the FHS and fix it with when she feels any fetal
abdominal binder. Attach the BP cuff movements.
on patient’s arm. 13. Monitor the CTG tracing
11. Assure the recording of FHS and and observe for any
uterine contraction. Push start abnormal CTG tracing.
button.

15. Detached patient from the

monitor by 14. After 30 minutes of CTG
removing the transducer over monitoring relay the
the abdomen. tracing. Notify the doctor for
Wipe the abdomen with the any abnormality
tissue paper or of tracing seen.
tower paper.

17. Attached the

16. Turn off the monitor. Assist CTG tracing pape
the patient back r on patient file.
to her room/bed. 18. Do the
recording/documentation.

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