[Script Info]
Title: 
[Events]
Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text
Dialogue: 0,0:00:00.00,0:00:06.00,Default,,0000,0000,0000,,[music]
Dialogue: 0,0:00:13.14,0:00:14.30,Default,,0000,0000,0000,,After watching this video
Dialogue: 0,0:00:14.30,0:00:17.27,Default,,0000,0000,0000,,the clinician will be able to perform Leopold's Maneuvers,
Dialogue: 0,0:00:17.27,0:00:20.33,Default,,0000,0000,0000,,assess the fetal status through use of Doppler or fetoscope,
Dialogue: 0,0:00:20.33,0:00:23.27,Default,,0000,0000,0000,,perform an accurate measurement of the uterine fundus,
Dialogue: 0,0:00:23.27,0:00:25.07,Default,,0000,0000,0000,,and make a general assessment of maternal
Dialogue: 0,0:00:25.07,0:00:28.56,Default,,0000,0000,0000,,and fetal well-being within the accepted length of parameters.
Dialogue: 0,0:00:36.13,0:00:38.00,Default,,0000,0000,0000,,Hi Becky, how are you feeling?
Dialogue: 0,0:00:38.50,0:00:39.00,Default,,0000,0000,0000,,Fine.
Dialogue: 0,0:00:39.50,0:00:40.33,Default,,0000,0000,0000,,Baby moving good?
Dialogue: 0,0:00:40.83,0:00:41.40,Default,,0000,0000,0000,,Mhm.
Dialogue: 0,0:00:41.90,0:00:43.47,Default,,0000,0000,0000,,Moving at least 10 times a day? Being active?
Dialogue: 0,0:00:43.97,0:00:44.68,Default,,0000,0000,0000,,Mhm.
Dialogue: 0,0:00:45.27,0:00:46.60,Default,,0000,0000,0000,,You having any problems with swelling?
Dialogue: 0,0:00:47.13,0:00:48.13,Default,,0000,0000,0000,,Just hot.
Dialogue: 0,0:00:48.63,0:00:49.67,Default,,0000,0000,0000,,Just hot, yeah.
Dialogue: 0,0:00:50.17,0:00:52.64,Default,,0000,0000,0000,,What about any bad headaches, blurry vision,
Dialogue: 0,0:00:52.64,0:00:55.67,Default,,0000,0000,0000,,spots before your eyes, anything unusual going on?
Dialogue: 0,0:00:56.17,0:00:56.67,Default,,0000,0000,0000,,No.
Dialogue: 0,0:00:57.17,0:00:58.80,Default,,0000,0000,0000,,Position the woman comfortably with a pillow
Dialogue: 0,0:00:58.80,0:01:00.95,Default,,0000,0000,0000,,under her head and shoulders.
Dialogue: 0,0:01:02.35,0:01:03.33,Default,,0000,0000,0000,,Her knees should be bent slightly
Dialogue: 0,0:01:03.33,0:01:05.43,Default,,0000,0000,0000,,and her arms should be at her sides.
Dialogue: 0,0:01:06.87,0:01:08.53,Default,,0000,0000,0000,,With clean, warm hands prepare the woman
Dialogue: 0,0:01:08.53,0:01:11.84,Default,,0000,0000,0000,,draping her lower body, and exposing her abdomen
Dialogue: 0,0:01:11.84,0:01:12.77,Default,,0000,0000,0000,,for examination.
Dialogue: 0,0:01:13.53,0:01:15.47,Default,,0000,0000,0000,,Be sure the woman has emptied her bladder
Dialogue: 0,0:01:15.47,0:01:16.63,Default,,0000,0000,0000,,prior to the examination.
Dialogue: 0,0:01:17.13,0:01:19.00,Default,,0000,0000,0000,,A full bladder can make the fundal height
Dialogue: 0,0:01:19.00,0:01:20.87,Default,,0000,0000,0000,,seem higher than it actually is.
Dialogue: 0,0:01:21.97,0:01:24.13,Default,,0000,0000,0000,,Facing the woman, locate the symphysis pubis
Dialogue: 0,0:01:24.13,0:01:25.47,Default,,0000,0000,0000,,and the top of the fundus.
Dialogue: 0,0:01:25.97,0:01:28.53,Default,,0000,0000,0000,,Remember, the symphysis pubis has nothing to do
Dialogue: 0,0:01:28.53,0:01:29.74,Default,,0000,0000,0000,,with the pubic hairline.
Dialogue: 0,0:01:33.81,0:01:36.20,Default,,0000,0000,0000,,Place your hands along each side of her abdomen
Dialogue: 0,0:01:36.20,0:01:38.00,Default,,0000,0000,0000,,and palpate to the top of the fundus
Dialogue: 0,0:01:38.00,0:01:41.80,Default,,0000,0000,0000,,noting the size, shape, consistency, and mobility.
Dialogue: 0,0:01:49.23,0:01:51.71,Default,,0000,0000,0000,,The part of the fetus that is smooth, firm, and curved
Dialogue: 0,0:01:51.71,0:01:52.73,Default,,0000,0000,0000,,is the fetal back.
Dialogue: 0,0:01:53.80,0:01:56.47,Default,,0000,0000,0000,,And the small, knobby, irregular bumps are fetal knees,
Dialogue: 0,0:01:56.47,0:01:58.07,Default,,0000,0000,0000,,feet, elbows, and hands.
Dialogue: 0,0:01:58.57,0:02:00.56,Default,,0000,0000,0000,,This determines the lie of the fetus.
Dialogue: 0,0:02:01.30,0:02:04.16,Default,,0000,0000,0000,,You may feel movement or kicking on the side.
Dialogue: 0,0:02:04.97,0:02:07.13,Default,,0000,0000,0000,,Grasping the area above the symphysis pubis
Dialogue: 0,0:02:07.13,0:02:09.07,Default,,0000,0000,0000,,between your thumb and middle finger,
Dialogue: 0,0:02:09.07,0:02:11.15,Default,,0000,0000,0000,,press gently but firmly into the abdomen.
Dialogue: 0,0:02:11.15,0:02:14.63,Default,,0000,0000,0000,,This maneuver allows you to ascertain the presenting part.
Dialogue: 0,0:02:15.60,0:02:17.73,Default,,0000,0000,0000,,If the presenting part is the fetal head
Dialogue: 0,0:02:17.73,0:02:20.40,Default,,0000,0000,0000,,the mass will be moveable and ballotable,
Dialogue: 0,0:02:20.40,0:02:22.41,Default,,0000,0000,0000,,able to move fully between fingers
Dialogue: 0,0:02:22.41,0:02:24.57,Default,,0000,0000,0000,,unless it is engaged in the pelvis.
Dialogue: 0,0:02:25.40,0:02:27.82,Default,,0000,0000,0000,,Using the combined Pawlick grip
Dialogue: 0,0:02:27.82,0:02:29.82,Default,,0000,0000,0000,,you will be able to convey the presenting part
Dialogue: 0,0:02:29.82,0:02:31.00,Default,,0000,0000,0000,,with the top of the fundus.
Dialogue: 0,0:02:31.50,0:02:33.67,Default,,0000,0000,0000,,If the presenting part is ballotable,
Dialogue: 0,0:02:33.67,0:02:36.74,Default,,0000,0000,0000,,and if the top of the fundus moves the whole span of the fetus,
Dialogue: 0,0:02:36.74,0:02:39.40,Default,,0000,0000,0000,,the fetal lie is in the vertex position.
Dialogue: 0,0:02:48.93,0:02:50.50,Default,,0000,0000,0000,,Next, facing the woman's feet,
Dialogue: 0,0:02:50.50,0:02:52.80,Default,,0000,0000,0000,,place your hands on the lower sides of the uterus
Dialogue: 0,0:02:52.80,0:02:54.93,Default,,0000,0000,0000,,with your fingers toward the symphysis pubis.
Dialogue: 0,0:02:55.80,0:02:58.42,Default,,0000,0000,0000,,Press deeply with your fingertips into the abdomen
Dialogue: 0,0:02:58.42,0:02:59.67,Default,,0000,0000,0000,,in the direction of the pelvic inlet.
Dialogue: 0,0:03:00.47,0:03:02.80,Default,,0000,0000,0000,,You will feel a hard, round protrusion:
Dialogue: 0,0:03:02.80,0:03:04.44,Default,,0000,0000,0000,,the cephalic prominence.
Dialogue: 0,0:03:04.94,0:03:06.33,Default,,0000,0000,0000,,If the head is in the vertex position,
Dialogue: 0,0:03:06.33,0:03:07.73,Default,,0000,0000,0000,,it will be well-flexed
Dialogue: 0,0:03:07.73,0:03:09.73,Default,,0000,0000,0000,,and you will feel the prominence on the same side
Dialogue: 0,0:03:09.73,0:03:11.36,Default,,0000,0000,0000,,as the small fetal parts.
Dialogue: 0,0:03:12.00,0:03:15.09,Default,,0000,0000,0000,,If the presenting part is engaged within the pelvic inlet,
Dialogue: 0,0:03:15.09,0:03:16.16,Default,,0000,0000,0000,,you will not be able to feel it.
Dialogue: 0,0:03:18.13,0:03:20.67,Default,,0000,0000,0000,,A tape measure is commonly used to measure the fundal height.
Dialogue: 0,0:03:22.40,0:03:24.27,Default,,0000,0000,0000,,First, locate the woman's superior border
Dialogue: 0,0:03:24.27,0:03:26.13,Default,,0000,0000,0000,,of the symphysis pubis at the midline.
Dialogue: 0,0:03:30.73,0:03:32.67,Default,,0000,0000,0000,,Hold the "zero" end of the tape measure here
Dialogue: 0,0:03:32.67,0:03:35.30,Default,,0000,0000,0000,,and pull the tape over the abdomen to the top of the fundus.
Dialogue: 0,0:03:37.12,0:03:38.53,Default,,0000,0000,0000,,The measurement in centimeters
Dialogue: 0,0:03:38.53,0:03:40.47,Default,,0000,0000,0000,,should correspond to the weeks of gestation.
Dialogue: 0,0:03:41.07,0:03:44.20,Default,,0000,0000,0000,,For example, 35 weeks equals 35 centimeters.
Dialogue: 0,0:03:45.80,0:03:47.73,Default,,0000,0000,0000,,Variables to this measurement include positions of the fetus
Dialogue: 0,0:03:47.73,0:03:50.02,Default,,0000,0000,0000,,such as breech, transverse lies,
Dialogue: 0,0:03:50.02,0:03:51.43,Default,,0000,0000,0000,,and lightening, and engagement.
Dialogue: 0,0:03:52.59,0:03:54.60,Default,,0000,0000,0000,,Note that too much elevation of the women's torso
Dialogue: 0,0:03:54.60,0:03:56.84,Default,,0000,0000,0000,,can affect the accuracy of the measurement.
Dialogue: 0,0:04:10.33,0:04:15.87,Default,,0000,0000,0000,,[Doppler sounds, heart beat]
Dialogue: 0,0:04:15.87,0:04:18.00,Default,,0000,0000,0000,,Having previously located the back of the fetus
Dialogue: 0,0:04:18.00,0:04:19.53,Default,,0000,0000,0000,,during the Leopold's meneuvers,
Dialogue: 0,0:04:19.53,0:04:21.69,Default,,0000,0000,0000,,you will be able to judge with some accuracy
Dialogue: 0,0:04:21.69,0:04:24.60,Default,,0000,0000,0000,,where to listen for the fetal heart tones, or FHT.
Dialogue: 0,0:04:25.93,0:04:28.73,Default,,0000,0000,0000,,[heart tones]
Dialogue: 0,0:04:29.60,0:04:31.40,Default,,0000,0000,0000,,For a term fetus in the vertex position,
Dialogue: 0,0:04:31.40,0:04:34.33,Default,,0000,0000,0000,,you can locate the fetal heart tones below the umbilicus
Dialogue: 0,0:04:34.33,0:04:38.00,Default,,0000,0000,0000,,on either side of the midline, the left or lower right quadrant
Dialogue: 0,0:04:38.00,0:04:40.94,Default,,0000,0000,0000,,(LLQ, or RLQ) depending on the lie.
Dialogue: 0,0:04:42.61,0:04:44.73,Default,,0000,0000,0000,,For a fetus in the posterior position,
Dialogue: 0,0:04:44.73,0:04:46.67,Default,,0000,0000,0000,,fetal heart tones are close to the midline
Dialogue: 0,0:04:46.67,0:04:47.93,Default,,0000,0000,0000,,or in the flank area,
Dialogue: 0,0:04:47.93,0:04:50.67,Default,,0000,0000,0000,,in which case you would be listening to the fetal chest.
Dialogue: 0,0:04:52.20,0:04:56.47,Default,,0000,0000,0000,,Let's be sure and get the gel off.
Dialogue: 0,0:05:00.33,0:05:04.07,Default,,0000,0000,0000,,And I always like to assess the weight of the baby
Dialogue: 0,0:05:04.07,0:05:05.55,Default,,0000,0000,0000,,toward the end of the pregnancy.
Dialogue: 0,0:05:09.73,0:05:13.07,Default,,0000,0000,0000,,I bet this baby is about six and a half pounds right now.
Dialogue: 0,0:05:14.73,0:05:17.00,Default,,0000,0000,0000,,And we're about three weeks away from her due date
Dialogue: 0,0:05:17.00,0:05:20.40,Default,,0000,0000,0000,,so, about another eight pound baby.
Dialogue: 0,0:05:20.40,0:05:21.82,Default,,0000,0000,0000,,if it comes on time.
Dialogue: 0,0:05:23.60,0:05:25.07,Default,,0000,0000,0000,,Alright, do you have any questions Becky?
Dialogue: 0,0:05:25.93,0:05:28.27,Default,,0000,0000,0000,,Do you really think it's going to be an eight pound baby?
Dialogue: 0,0:05:28.77,0:05:30.42,Default,,0000,0000,0000,,Well if you're right on time I think it will.
Dialogue: 0,0:05:39.20,0:05:39.70,Default,,0000,0000,0000,,Hi Jennifer.
Dialogue: 0,0:05:40.20,0:05:40.70,Default,,0000,0000,0000,,Hi.
Dialogue: 0,0:05:40.70,0:05:41.53,Default,,0000,0000,0000,,How are you doing today?
Dialogue: 0,0:05:41.53,0:05:42.45,Default,,0000,0000,0000,,Very good.
Dialogue: 0,0:05:42.45,0:05:43.77,Default,,0000,0000,0000,,Heavy moving day? [???]
Dialogue: 0,0:05:43.77,0:05:44.80,Default,,0000,0000,0000,,Mhm, more active.
Dialogue: 0,0:05:44.80,0:05:46.47,Default,,0000,0000,0000,,More active, that's what I like to hear.
Dialogue: 0,0:05:46.47,0:05:48.02,Default,,0000,0000,0000,,Are you having any problems?
Dialogue: 0,0:05:48.02,0:05:49.60,Default,,0000,0000,0000,,No.
Dialogue: 0,0:05:49.60,0:05:50.78,Default,,0000,0000,0000,,Swelling any?
Dialogue: 0,0:05:50.78,0:05:51.80,Default,,0000,0000,0000,,Just a little.
Dialogue: 0,0:05:51.80,0:05:55.67,Default,,0000,0000,0000,,Just a little. Any severe headaches? Blurred vision?
Dialogue: 0,0:05:55.67,0:05:57.11,Default,,0000,0000,0000,,Spots before your eyes?
Dialogue: 0,0:05:57.11,0:05:57.63,Default,,0000,0000,0000,,No.
Dialogue: 0,0:05:57.63,0:06:00.40,Default,,0000,0000,0000,,Okay, well let's check you
Dialogue: 0,0:06:00.40,0:06:01.91,Default,,0000,0000,0000,,and see what this baby's doing today.
Dialogue: 0,0:06:14.56,0:06:16.87,Default,,0000,0000,0000,,Starting at the bottom of the fundus.
Dialogue: 0,0:06:18.87,0:06:22.87,Default,,0000,0000,0000,,Assess the fundus, until you...the uterus until you
Dialogue: 0,0:06:22.87,0:06:24.48,Default,,0000,0000,0000,,find the fundus.
Dialogue: 0,0:06:24.98,0:06:25.48,Default,,0000,0000,0000,,Top of the uterus, right here.
Dialogue: 0,0:06:29.13,0:06:32.67,Default,,0000,0000,0000,,Here is your baby's back
Dialogue: 0,0:06:32.67,0:06:34.74,Default,,0000,0000,0000,,mostly on top.
Dialogue: 0,0:06:37.27,0:06:39.47,Default,,0000,0000,0000,,This feels like a fetal head right there.
Dialogue: 0,0:06:39.97,0:06:41.40,Default,,0000,0000,0000,,I think this baby's in the breech position.
Dialogue: 0,0:06:43.87,0:06:46.23,Default,,0000,0000,0000,,This is the baby's bottom right down here.
Dialogue: 0,0:06:52.07,0:06:53.33,Default,,0000,0000,0000,,So the baby's curled up this way.
Dialogue: 0,0:06:54.60,0:06:56.40,Default,,0000,0000,0000,,And we should hear fetal tones
Dialogue: 0,0:06:56.40,0:06:57.82,Default,,0000,0000,0000,,right about here.
Dialogue: 0,0:07:00.14,0:07:00.64,Default,,0000,0000,0000,,[beep]
Dialogue: 0,0:07:00.64,0:07:07.27,Default,,0000,0000,0000,,[Doppler sounds, fetal heart tones]
Dialogue: 0,0:07:07.77,0:07:09.20,Default,,0000,0000,0000,,The fetal heart tones of a breech presention
Dialogue: 0,0:07:09.20,0:07:11.17,Default,,0000,0000,0000,,will be level with or above the umbilicus.
Dialogue: 0,0:07:25.87,0:07:26.37,Default,,0000,0000,0000,,Okay.
Dialogue: 0,0:07:28.67,0:07:30.84,Default,,0000,0000,0000,,Starting
Dialogue: 0,0:07:30.84,0:07:34.16,Default,,0000,0000,0000,,from the top of the pubic bone.
Dialogue: 0,0:07:39.60,0:07:43.67,Default,,0000,0000,0000,,The really superior portion of the pubic bone
Dialogue: 0,0:07:43.67,0:07:45.30,Default,,0000,0000,0000,,to the top of the fundus.
Dialogue: 0,0:07:49.13,0:07:52.73,Default,,0000,0000,0000,,The baby's position can really [???] on the fundal height measurement.
Dialogue: 0,0:07:55.87,0:07:56.80,Default,,0000,0000,0000,,Breech.
Dialogue: 0,0:07:58.53,0:07:59.73,Default,,0000,0000,0000,,Transverse lie.
Dialogue: 0,0:08:00.72,0:08:03.97,Default,,0000,0000,0000,,When the baby's head is on one side
Dialogue: 0,0:08:03.97,0:08:06.73,Default,,0000,0000,0000,,and then his bottom is on the other then you get
Dialogue: 0,0:08:06.73,0:08:08.40,Default,,0000,0000,0000,,a smaller fundal height measurement.
Dialogue: 0,0:08:10.07,0:08:11.71,Default,,0000,0000,0000,,So whatever position the baby is in
Dialogue: 0,0:08:11.71,0:08:15.33,Default,,0000,0000,0000,,can make a big difference in the measurement
Dialogue: 0,0:08:15.33,0:08:16.88,Default,,0000,0000,0000,,that we get each time.
Dialogue: 0,0:08:17.47,0:08:19.55,Default,,0000,0000,0000,,It's better if the measurement's taken by the same person
Dialogue: 0,0:08:19.55,0:08:20.55,Default,,0000,0000,0000,,every time.
Dialogue: 0,0:08:25.48,0:08:27.47,Default,,0000,0000,0000,,Feel a lot of kicking and moving over on this side?
Dialogue: 0,0:08:27.47,0:08:28.47,Default,,0000,0000,0000,,Mhm.
Dialogue: 0,0:08:28.47,0:08:31.87,Default,,0000,0000,0000,,Probably a lot right down in here.
Dialogue: 0,0:08:31.87,0:08:32.37,Default,,0000,0000,0000,,Mhm.
Dialogue: 0,0:08:44.80,0:08:45.96,Default,,0000,0000,0000,,Has anything changed?
Dialogue: 0,0:08:45.96,0:08:47.80,Default,,0000,0000,0000,,I think I dropped down more.
Dialogue: 0,0:08:48.33,0:08:49.81,Default,,0000,0000,0000,,Okay. That's always a good sign.
Dialogue: 0,0:08:58.27,0:09:00.00,Default,,0000,0000,0000,,Let's see how this baby's laying.
Dialogue: 0,0:09:03.07,0:09:06.73,Default,,0000,0000,0000,,The sides, and I can feel a little fin [?] or something over here.
Dialogue: 0,0:09:06.73,0:09:09.47,Default,,0000,0000,0000,,[???] if he never moves.
Dialogue: 0,0:09:10.29,0:09:13.73,Default,,0000,0000,0000,,Baby's bottom is right up here.
Dialogue: 0,0:09:17.18,0:09:21.40,Default,,0000,0000,0000,,Feels like we got back pretty much coming across the top.
Dialogue: 0,0:09:23.64,0:09:25.87,Default,,0000,0000,0000,,Press deeply with your fingertips into the abdomen
Dialogue: 0,0:09:25.87,0:09:27.40,Default,,0000,0000,0000,,in the direction of the pelvic inlet.
Dialogue: 0,0:09:28.13,0:09:30.07,Default,,0000,0000,0000,,You will feel a hard, round protrusion,
Dialogue: 0,0:09:30.07,0:09:31.56,Default,,0000,0000,0000,,the cephalic prominence.
Dialogue: 0,0:09:32.93,0:09:34.73,Default,,0000,0000,0000,,If the head is in the vertex position
Dialogue: 0,0:09:34.73,0:09:36.40,Default,,0000,0000,0000,,it would be well-flexed and you would
Dialogue: 0,0:09:36.40,0:09:39.38,Default,,0000,0000,0000,,feel the prominence on the same side as the small fetal parts.
Dialogue: 0,0:09:46.47,0:09:47.87,Default,,0000,0000,0000,,If there is a base presentation
Dialogue: 0,0:09:47.87,0:09:49.73,Default,,0000,0000,0000,,you should feel the prominence of the occiput
Dialogue: 0,0:09:49.73,0:09:51.33,Default,,0000,0000,0000,,on the same side as the fetal back.
Dialogue: 0,0:09:52.07,0:09:53.55,Default,,0000,0000,0000,,If the presenting part
Dialogue: 0,0:09:53.55,0:09:55.31,Default,,0000,0000,0000,,is engaged within the pelvic inlet
Dialogue: 0,0:09:55.31,0:09:56.73,Default,,0000,0000,0000,,you will not be able to feel it.
Dialogue: 0,0:09:57.53,0:09:59.24,Default,,0000,0000,0000,,This position is referred to as dipping.
Dialogue: 0,0:10:03.93,0:10:06.07,Default,,0000,0000,0000,,Let's see where our measurement is this week.
Dialogue: 0,0:10:09.04,0:10:12.40,Default,,0000,0000,0000,,Sometimes as a baby's head gets lower
Dialogue: 0,0:10:12.40,0:10:15.03,Default,,0000,0000,0000,,the measurement goes down a little bit
Dialogue: 0,0:10:15.03,0:10:15.87,Default,,0000,0000,0000,,instead of up.
Dialogue: 0,0:10:19.13,0:10:20.46,Default,,0000,0000,0000,,You're right around there.
Dialogue: 0,0:10:21.62,0:10:24.20,Default,,0000,0000,0000,,Be sure to record all the findings on position,
Dialogue: 0,0:10:24.20,0:10:26.33,Default,,0000,0000,0000,,measurement, and fetal heart tones rate,
Dialogue: 0,0:10:26.33,0:10:28.93,Default,,0000,0000,0000,,and location for future reference and comparison.
Dialogue: 0,0:10:31.60,0:10:33.33,Default,,0000,0000,0000,,His head is really low.
Dialogue: 0,0:10:33.33,0:10:37.73,Default,,0000,0000,0000,,It's under the symphysis pubis,
Dialogue: 0,0:10:37.73,0:10:39.15,Default,,0000,0000,0000,,what we call dipping down.
Dialogue: 0,0:10:40.27,0:10:42.00,Default,,0000,0000,0000,,From your assessment of fetal status
Dialogue: 0,0:10:42.00,0:10:44.33,Default,,0000,0000,0000,,you may also be able to estimate fetal weight.
Dialogue: 0,0:10:47.93,0:10:50.48,Default,,0000,0000,0000,,I think you've got about an eight pound baby right now.
Dialogue: 0,0:11:05.07,0:11:07.00,Default,,0000,0000,0000,,The mother's heart rate by Doppler or fetoscope
Dialogue: 0,0:11:07.00,0:11:09.07,Default,,0000,0000,0000,,will be much slower and make a swishing sound.
Dialogue: 0,0:11:09.83,0:11:12.94,Default,,0000,0000,0000,,If you are unsure whether you are hearing the fetus or the mother
Dialogue: 0,0:11:12.94,0:11:16.07,Default,,0000,0000,0000,,check the mother's radial pulse as you listen to the heart rate.
Dialogue: 0,0:11:18.16,0:11:19.80,Default,,0000,0000,0000,,Once you identify the fetal heart tones,
Dialogue: 0,0:11:19.80,0:11:22.40,Default,,0000,0000,0000,,take a moment to assess the rate and strength of them.
Dialogue: 0,0:11:23.32,0:11:24.73,Default,,0000,0000,0000,,Fetal heart tones are rapid and deep,
Dialogue: 0,0:11:24.73,0:11:28.82,Default,,0000,0000,0000,,usually around 130-160 beats per minute.
Dialogue: 0,0:11:39.25,0:11:40.33,Default,,0000,0000,0000,,Everything looks really good.
Dialogue: 0,0:11:41.60,0:11:42.91,Default,,0000,0000,0000,,Okay, do you have any questions?
Dialogue: 0,0:11:44.33,0:11:46.07,Default,,0000,0000,0000,,These visits also provide an opportunity
Dialogue: 0,0:11:46.07,0:11:48.23,Default,,0000,0000,0000,,to discuss the overall health of the mother.
Dialogue: 0,0:11:49.33,0:11:50.48,Default,,0000,0000,0000,,General physical feeling,
Dialogue: 0,0:11:50.48,0:11:52.00,Default,,0000,0000,0000,,genitourinary status,
Dialogue: 0,0:11:52.00,0:11:54.73,Default,,0000,0000,0000,,edema, nausea, energy and fatigue level,
Dialogue: 0,0:11:54.73,0:11:55.82,Default,,0000,0000,0000,,nutritional intake,
Dialogue: 0,0:11:55.82,0:11:57.57,Default,,0000,0000,0000,,account of fetal movement,
Dialogue: 0,0:11:57.57,0:11:59.49,Default,,0000,0000,0000,,and any concerns of either of you.
Dialogue: 0,0:12:00.20,0:12:02.67,Default,,0000,0000,0000,,Vital signs and urine tests are necessary each visit.
Dialogue: 0,0:12:03.60,0:12:04.80,Default,,0000,0000,0000,,Share your findings with the woman
Dialogue: 0,0:12:04.80,0:12:06.27,Default,,0000,0000,0000,,and be open for her questions.
Dialogue: 0,0:12:07.00,0:12:09.33,Default,,0000,0000,0000,,Communication is key in establishing confidence
Dialogue: 0,0:12:09.33,0:12:10.90,Default,,0000,0000,0000,,between you and your client.
Dialogue: 0,0:12:13.20,0:12:54.53,Default,,0000,0000,0000,,[cheesy music]