During the application of the fetal spiral electrode, what direction should you gently turn the FSE?

The fetal spiral electrode (FSE) is designed to provide accurate assessment of the fetal heart rate by being attached to the fetal scalp. When applying the FSE, it is important to rotate the electrode in a specific direction to ensure proper attachment and to avoid any complications.

Turning the electrode clockwise until resistance is met is the correct technique because this motion helps to securely anchor the electrode onto the fetal scalp. It allows for penetration of the electrode’s corkscrew-like tip into the soft layers of the fetal scalp, facilitating stable contact that is essential for monitoring fetal heart rate accurately. This method also reduces the risk of dislodgment during contractions or fetal movements.

Understanding this technique is crucial for healthcare providers, as improper placement or insufficient fixation of the FSE may lead to erroneous readings of the fetal heart rate and potential misinterpretation of fetal status. The alternative options, such as counterclockwise movement, circular motion, or indicating "none of the above," do not align with the standard procedure and could lead to ineffective electrode placement. Thus, prioritizing a clockwise direction until resistance is encountered is essential for effective fetal monitoring.