The Fetal Health Surveillance (FHS) course introduces learners to the principles of antenatal and intrapartum fetal health surveillance. This course reviews the research concerning fetal surveillance and principles of fetal/maternal physiology as well as their relevance to antenatal and intrapartum methods of surveillance. Acid/base balance, team communication, and documentation are also explored. The course was developed based on the Society of Obstetricians and Gynecologists of Canada (SOGC) and Perinatal Services of British Columbia (PSBS) FHS guidelines. Perinatal specialty students should take NSPN 7100 prior to taking this course. NSPN 7250 is a prerequisite for NSPN 7200 and NSPN 7300, Perinatal Clinical 1 and NSPN 7500, Perinatal Clinical 2.
This course requires program approval and has course materials to be purchased at the bookstore. Students will receive a course information email approximately 1 month prior to the course date. Please contact the Program Assistant at firstname.lastname@example.org for approval to register. Please note that this course is reserved for students taking NSPN 7200 in the next term. If this does not apply to you, please ensure your email details why you are applying.
Important course information will be sent to you prior to your course start
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In this course, learners will have opportunities to use the processes of critical thinking, systematic inquiry, communication, collaboration, leadership and professionalism. Upon successful completion of this course, students should be able to:
Discuss key evidence related to the various antepartum and intrapartum fetal health surveillance methods including supportive care in labour.
Describe the physiological (intrinsic/extrinsic) controls on the fetal heart rate (FHR) including the basic principles of maternal/fetal circulation physiology.
Identify the characteristics of fetal behavioural states and cardiovascular responses at differing gestational ages and during labour.
Identify the antenatal and intrapartum conditions associated with an increased risk for adverse fetal outcomes.
Identify factors that may adversely affect fetal acid/base balance and the changes that result from an academic insult.
Interpret blood gas results and distinguish between respiratory, metabolic, and mixed acidosis.
Describe the indications, procedure, frequency, and benefits of using intermittent auscultation (IA) as a method of fetal health surveillance.
Describe the appropriate interpretation of IA and the clinical management for prevention and/or correction of abnormal IA findings.
Describe the two EFM methods and the instrumentation used for monitoring uterine activity and FHR.
Define the components of a systematic interpretation of the EFM tracing
Identify normal, atypical, and abnormal parameters of an intrapartum EFM tracing and classify accordingly.
Identify normal, atypical and abnormal parameters of a NST and classify accordingly.
Describe the procedure, teaching, interpretation and follow-up for fetal movement counting (FMC) and the non-stress test (NST).
Describe the key principles of verbal communication and written documentation related to fetal health surveillance .
Effective as of Spring/Summer 2017
NSPN 7250 is offered as a part of the following programs:
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