What does veal chop mean in nursing?
What does veal chop mean in nursing? Veal chop is a mnemonic that helps the providers determine what the fetal heart is telling us during labor.
What is veal chop mine?
VEAL CHOP MINE is a mnemonic used during intrapartum (labor) fetal heart rate monitoring. “VEAL” is the acronym for fetal heart rate pattern, “CHOP” stands for the causes of it, and the “MINE” represents the nursing interventions. The goal of fetal heart rate monitoring during labor is:
What is the meaning of the mnemonic veal chop?
Veal chop is a mnemonic that helps the providers determine what the fetal heart is telling us during labor. VEAL stands for Variable deceleration, Early decelerations, Accelerations, and Late decelerations, which aligns with CHOP and stands for Cord compression, Head compression, Oxygenated or Ok, and Placental insufficiency.
What does the chop stand for in labor?
And the chop stands for cord compression, head compression, oxygenated or OK, and placental insufficiency. It is a mnemonic that helps nurses determine the cause of fetal heart change during labor.
What does veal chop mean in nursing?
Veal chop is a mnemonic that helps the providers determine what the fetal heart is telling us during labor. VEAL stands for Variable deceleration,...
What is veal chop fetal heart rate?
Veal chop is used to determine what the fetal heart rate is doing during contractions in labor. If there is Variability that means there is Cord co...
What are the interventions for VEAL-CHOP?
If there are variable decelerations or late decelerations then this means that the fetus does not have good oxygenation so the patient should be tu...
What does VEAL-CHOP look like?
Variable decelerations indicate Cord compression and show as abrupt changes in FHR, Early decelerations indicate Head compression, shown as deceler...
What is being assessed with VEAL-CHOP?
Fetal heart rate (FHR) in response to labor contractions. This helps the providers know if the fetus is in a healthy environment or if they require...
Outline
A fetal acceleration is an abrupt increase in fetal heart rate above the established baseline. A fetal deceleration is a decrease in fetal heart rate below the established fetal heart rate. The VEAL CHOP nursing mnemonic can be used to help remember how to interpret fetal heart rate during labor.
Transcript
Hey guys, do you ever get confused about what you’re supposed to know when you’re dealing with your pregnant patients and when you’re doing your fetal heart rates? Well, I’ve gotten a moniker for you today. It’s called veal chop. Now let’s take a look at what each of these letters means. Starting with V V means variable.
Are late decelerations normal?
Typically, late decelerations are shallow, with slow onset and gradual return to normal baseline. The usual cause of the late deceleration is uteroplacental insufficiency.
What is a normal Toco reading?
A few places sited tocodynamometer readings of 120-140 were the average. With the last three kids, I remember the readings got as high as 180/190, and labor was still painfully bearable. But this time, the contractions were measuring 240 PLUS and the nurses were shocked.
What are decelerations in pregnancy?
A deceleration is a decrease in the fetal heart rate below the fetal baseline heart rate. An early deceleration is defined as a waveform with a gradual decrease and return to baseline with time from onset of the deceleration to the lowest point of the deceleration (nadir) >30 seconds.
What is fetal heart tone?
A normal fetal heart rate (FHR) usually ranges from 120 to 160 beats per minute (bpm) in the in utero period. It is measurable sonographically from around 6 weeks and the normal range varies during gestation, increasing to around 170 bpm at 10 weeks and decreasing from then to around 130 bpm at term.
What is late decelerations of fetal heart rate?
A late deceleration is a slowing of the fetal heart rate during a contraction, with the rate only returning to the baseline 30 seconds or more after the contraction has ended.
What does Toco stand for?
Objective. Tocodynamometry (Toco—strain gauge technology) provides contraction frequency and approximate duration of labor contractions, but suffers frequent signal dropout necessitating re-positioning by a nurse, and may fail in obese patients.
What causes a baby heart rate to drop during labor?
Sometimes the umbilical cord gets stretched and compressed during labor, leading to a brief decrease in blood flow to the fetus. This can cause sudden, short drops in fetal heart rate, called variable decelerations, which are usually picked up by monitors during labor.
1. VEAL CHOP Nursing Fetal Accelerations and Decelerations
The trick to the VEAL CHOP nursing mnemonic is to write it in a way that each letter is associated with the one beside it. The VEAL CHOP nursing acronym is a trick to remember fetal heart rate patterns. Variable decelerations are associated with cord compression (V and C). Early decelerations are associated with head compression.
2. BUBBLE-HE Postpartum Assessment
The nursing mnemonic BUBBLE-HE is used to remember the components of the postpartum maternal assessment. Nurses need to be aware of the normal physiologic and psychological changes that take place in women’s bodies and minds in order to provide comprehensive care during this period.
3. NNN: Fetal Non-Stress Test
A nonstress test is a common prenatal test used to check on a baby’s health. Results of a nonstress test are considered reactive or nonreactive. Results are considered normal (reactive) if the baby’s heartbeat accelerates to a certain level twice or more.
4. ALONE: Fetal Wellbeing Assessment Tests
Assessment of fetal well-being is crucial not only for high risk patients but also for other pregnant women who might develop unexpected complications in the course of otherwise normal pregnancies.
5. REEDDA: Episiotomy Healing Evaluation
If the mother had an episiotomy or vaginal tear during delivery, the wound might hurt for a few weeks. Extensive tears might take longer to heal. The patient will have a vaginal discharge (lochia) for a number of weeks after delivery. Expect a bright red, heavy flow of blood for the first few days.
6. HELLP Syndrome: Severe Pre-Eclampsia
HELLP syndrome nursing mnemonic is a life-threatening pregnancy complication usually considered to be a variant of preeclampsia. Both conditions usually occur during the later stages of pregnancy, or sometimes after childbirth.
8. ABCDEF: Prenatal Care Assessment
If you are lost with your assessment, remember the nursing mnemonic “ABCDEF” for the possible areas you can ask. The first prenatal visit is a time to establish rapport and baseline data relevant to the patient’s health.
Methods of fetal heart rate monitoring
The fetal heart rate can be monitored either (1) intermittently or (2) continuously with an electronic device. Both the methods will be discussed in detail.
Baseline Fetal Heart Rate (FHR)
The baseline fetal heart rate can be defined as the average heart rate of the fetus within a 10-minute period.
Baseline Fetal Heart Rate (FHR) Variability
Baseline fetal heart rate variability refers to the fluctuation between fetal heartbeats. It doesn’t include accelerations and decelerations.
Periodic Baseline Changes
Periodic baseline changes are temporary, recurrent changes made in response to a stimulus such as a contraction. The FHR shows a pattern of acceleration or deceleration in response to most stimuli.
Reference
Konar, H. (2015). DC Dutta’s textbook of obstetrics (8th ed). JP Brothers Medical.
