If uterine activity shows no contractions on a measured tracing but strong contractions are palpated, what might be the problem?

In this scenario, the indication that there are strong contractions palpated but no contractions recorded on the measured tracing suggests a disconnect between what is being physically sensed and what the monitoring equipment is capturing. When the system connections are not properly attached, the transducer fails to receive the signals generated by the contractions, leading to a lack of data representation on the tracing. Proper sensor placement and secure connections are crucial for accurate data transmission from the uterine activity to the monitoring equipment.

While it is possible for factors such as a malfunctioning transducer or the patient's mobility to affect the monitoring, the most immediate and likely cause of the discrepancy observed here is specifically related to the connections. Addressing a potential issue with attachments should be a priority to ensure proper functioning of the fetal heart monitoring system and obtain accurate assessments of uterine activity.