Mnemonic parts	Notes
DR: Determine risk	High, medium, or low risk (i.e., risk in terms of the clinical situation)
C: Contractions	Rate, rhythm, frequency, duration, intensity, and resting tone
BRA: Baseline rate	Bradycardia (< 110 bpm), normal (110 to 160 bpm), or tachycardia (> 160 bpm); rising baseline
V: Variability	Reflects central nervous system activity: absent, minimal, moderate, or marked
A: Accelerations	Spontaneous; stimulated; none
	Rises from the baseline of ≥ 15 bpm, lasting ≥ 15 seconds
	Preterm: ≥ 10 bpm, lasting ≥ 10 seconds
D: Decelerations	Absent, early, variable, late, or prolonged
O: Overall assessment and written plan	Stoplight algorithm (Figure 1) or National Institute of Child Health and Human Development categorization11
	Assessment includes implementing an appropriate management plan