VEAL CHOP Nursing Mnemonic (Fetal Accelerations and Decelerations) (VEAL CHOP)

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Study Tools For VEAL CHOP Nursing Mnemonic (Fetal Accelerations and Decelerations) (VEAL CHOP)

Fetal Heart Rate Monitoring (Cheatsheet)
Fetal Accelerations and Decelerations (Mnemonic)
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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. For example, early decelerations in FHR (fetal heart rate) indicate head compression. It is typical for decels in FHR during a contraction because of head compression, but FHR should return to normal when contraction ends.

V Variable
E Early
A Accelerations
L Late
C Cord Compression
H Head Compression
O Okay
P Placental Insufficiency

veal chop nursing mnemonic


 

VEAL CHOP FAQ’s

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, Early decelerations, Accelerations, and Late decelerations, which aligns with CHOP and stands for Cord compression, Head compression, Oxygenated or Ok, and Placental insufficiency.

What is veal chop fetal heart rate?
It’s used to determine what the fetal heart rate is doing during contractions in labor. If there is Variability that means there is Cord compression, Early decelerations means Head compression, Accelerations means the fetus is well Oxygenated and ok, and Late decelerations means there is Placental insufficiency.

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 turned to her side (preferably her left side) and given oxygen (the additional oxygen will supply the fetus). Early decelerations and accelerations require no emergent interventions.

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 decelerations that MIRROR the contraction. Accelerations indicate Oxygenation seen as FHR increases and Late decelerations indicate Placental insufficiency shown as a drop in FHR AFTER the start of the contraction.

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 an intervention.

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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. You’re going to have variable accelerations, and that could also mean that there’s cord compression happening. So what can you do for your patient? Well, the first thing you can do is reposition your patient, or you can provide them supplemental oxygen and then continue to monitor. Now let’s take a look at the next one, which is E these are early decelerations. Now, if we go along with chop, this is going to be H head compression. That means that we could be getting to the point where a birth is about to happen.

So just continue to check the cervix to the patient and monitor them. Now, let’s go to the, a, a stands for accelerations. This is a totally normal occurrence, and that means that it’s okay. Now let’s take a look at L L is late decelerations. And what that means is you could have some P or placental insufficiency. What that means is there is some oxygen that’s not getting to the fetus. And so what we have to do is we have to make that happen by means most of the time, by going to the, or, and delivering the baby by C-section. Now that’s our mnemonic on veal chop, and that’s how you take care of your pregnant patients. And you pay attention to those fetal heart tones. Now go out and be your best selves today. And as always happy nursing.

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OB

Concepts Covered:

  • Pregnancy Risks
  • Labor Complications
  • Newborn Complications
  • Fetal Development
  • Terminology
  • Prenatal Concepts
  • Newborn Care
  • Postpartum Care
  • Postpartum Complications
  • Medication Administration
  • Labor and Delivery
  • Studying
  • Communication

Study Plan Lessons

Abortion in Nursing: Spontaneous, Induced, and Missed
Abruptio Placentae (Placental abruption)
Acyclovir (Zovirax) Nursing Considerations
Addicted Newborn
Alpha-fetoprotein (AFP) Lab Values
Anemia in Pregnancy
Antepartum Testing
Antepartum Testing Case Study (45 min)
Babies by Term
Betamethasone and Dexamethasone
Betamethasone and Dexamethasone in Pregnancy
Breastfeeding
Butorphanol (Stadol) Nursing Considerations
Cardiac (Heart) Disease in Pregnancy
Causes of Chorioamnionitis Nursing Mnemonic (Pregnancies Are Very Interesting)
Causes of Labor Dystocia Nursing Mnemonic (Having Extremely Frustrating Labor)
Causes of Postpartum Hemorrhage Nursing Mnemonic (4 T’s)
Chorioamnionitis
Day in the Life of a Labor Nurse
Day in the Life of a Postpartum Nurse
Discomforts of Pregnancy
Disseminated Intravascular Coagulation (DIC)
Dystocia
Ectopic Pregnancy
Ectopic Pregnancy Case Study (30 min)
Emergent Delivery (OB) (30 min)
Epidural
Episiotomy – Evaluation of Healing Nursing Mnemonic (REEDA)
Erythroblastosis Fetalis
Eye Prophylaxis for Newborn
Factors That Can Put a Pregnancy at Risk Nursing Mnemonic (RIBCAGE)
Family Planning & Contraception
Fertilization and Implantation
Fetal Alcohol Syndrome (FAS)
Fetal Circulation
Fetal Development
Fetal Distress Interventions Nursing Mnemonic (Stop MOAN)
Fetal Heart Monitoring (FHM)
Fetal Environment
Fetal Wellbeing Assessment Tests Nursing Mnemonic (ALONE)
Fundal Height Assessment for Nurses
Gestation & Nägele’s Rule: Estimating Due Dates
Gestational Diabetes (GDM)
Gestational HTN (Hypertension)
Glucose Tolerance Test (GTT) Lab Values
Gravidity and Parity (G&Ps, GTPAL)
HELLP Syndrome
HELLP Syndrome – Signs and Symptoms Nursing Mnemonic (HELLP)
Hematomas in OB Nursing: Causes, Symptoms, and Nursing Care
Hemorrhage (Postpartum Bleeding) for Certified Emergency Nursing (CEN)
Hepatitis B Vaccine for Newborns
Homocysteine (HCY) Lab Values
Hydatidiform Mole (Molar pregnancy)
Hyperemesis Gravidarum
Hypovolemic Shock Case Study (OB sim) (60 min)
Incompetent Cervix
Infections in Pregnancy
Initial Care of the Newborn (APGAR)
Intra Uterine Device – Potential Problems Nursing Mnemonic (PAINS)
Labor Progression Case Study (45 min)
Leopold Maneuvers
Lung Surfactant for Newborns
Magnesium Sulfate (MgSO4) Nursing Considerations
Magnesium Sulfate in Pregnancy
Mastitis
Maternal Risk Factors
Mechanisms of Labor
Meconium Aspiration
Meds for Postpartum Hemorrhage (PPH)
Menstrual Cycle
Newborn of HIV+ Mother
Newborn Physical Exam
Newborn Reflexes
Nursing Care Plan (NCP) for Abortion, Spontaneous Abortion, Miscarriage
Nursing Care Plan (NCP) for Abruptio Placentae / Placental abruption
Nursing Care Plan (NCP) for Chorioamnionitis
Nursing Care Plan (NCP) for Dystocia
Nursing Care Plan (NCP) for Ectopic Pregnancy
Nursing Care Plan (NCP) for Gestational Diabetes (GDM)
Nursing Care Plan (NCP) for Gestational Hypertension, Preeclampsia, Eclampsia
Nursing Care Plan (NCP) for Hyperemesis Gravidarum
Nursing Care Plan (NCP) for Incompetent Cervix
Nursing Care Plan (NCP) for Mastitis
Nursing Care Plan (NCP) for Maternal-Fetal Dyad Using GTPAL
Nursing Care Plan (NCP) for Meconium Aspiration
Nursing Care Plan (NCP) for Neonatal Jaundice | Hyperbilirubinemia
Nursing Care Plan (NCP) for Newborns
Nursing Care Plan (NCP) for Placenta Previa
Nursing Care Plan (NCP) for Postpartum Hemorrhage (PPH)
Nursing Care Plan (NCP) for Premature Rupture of Membranes (PROM) / Preterm Premature Rupture of Membranes (PPROM)
Nursing Care Plan (NCP) for Preterm Labor / Premature Labor
Nursing Care Plan (NCP) for Process of Labor
Nursing Care Plan for (NCP) Fetal Alcohol Syndrome (FAS)
Nursing Care Plan (NCP) for Transient Tachypnea of Newborn
Nursing Case Study for Maternal Newborn
Nutrition in Pregnancy
OB (Labor) Nurse Report to OB (Postpartum) Nurses
OB Non-Stress Test Results Nursing Mnemonic (NNN)
Obstetric Trauma for Certified Emergency Nursing (CEN)
Obstetrical Procedures
Opioid Analgesics in Pregnancy
Oral Birth Control Pills – Serious Complications Nursing Mnemonic (Aches)
Oxytocin (Pitocin) Nursing Considerations
Pediatric Vital Signs (VS)
Phytonadione (Vitamin K) for Newborn
Placenta Previa for Certified Emergency Nursing (CEN)
Possible Infections During Pregnancy Nursing Mnemonic (TORCH)
Post-Partum Assessment Nursing Mnemonic (BUBBLE)
Postpartum Discomforts
Postpartum Hematoma
Postpartum Interventions
Postpartum Physiological Maternal Changes
Preeclampsia (45 min)
Postpartum Thrombophlebitis
Precipitous Labor
Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate
Pregnancy Labs
Pregnancy Outcomes Nursing Mnemonic (GTPAL)
Preterm Labor for Certified Emergency Nursing (CEN)
Process of Labor – Mom Nursing Mnemonic (4 P’s)
Process of Labor – Baby Nursing Mnemonic (ALPPPS)
Prolapsed Umbilical Cord
Prostaglandins in Pregnancy
Rh Immune Globulin in Pregnancy
Signs of Pregnancy (Presumptive, Probable, Positive)
Stages of Fetal Development Nursing Mnemonic (Proficiently Expanding Fetus)
Tips & Advice for Newborns (Neonatal IV Insertion)
Threatened/Spontaneous Abortion for Certified Emergency Nursing (CEN)
Tocolytics
Uterine Stimulants (Oxytocin, Pitocin) Nursing Considerations
VEAL CHOP Nursing Mnemonic (Fetal Accelerations and Decelerations) (VEAL CHOP)