Exam 18: Fetal Assessment During Labor

Which information related to a prolonged deceleration is important for the labor nurse to understand?

A nurse caring for a woman in labor should understand that absent or minimal variability is classified as either abnormal or indeterminate.Which condition related to decreased variability is considered benign?

The nurse is evaluating the electronic feta monitoring (EFM)tracing of the client who is in active labor.Suddenly,the fetal heart rate (FHR)drops from its baseline of 125 down to 80 beats per minute.The mother is repositioned,and the nurse provides oxygen,increased IV fluids,and performs a vaginal examination.The cervix has not changed.Five minutes have passed,and the FHR remains in the 80s.What additional nursing measures should the nurse take next?

What physiologic change occurs as the result of increasing the infusion rate of nonadditive IV fluids?

While evaluating an external monitor tracing of a woman in active labor,the nurse notes that the fetal heart rate (FHR)for five sequential contractions begins to decelerate late in the contraction,with the nadir of the decelerations occurring after the peak of the contraction.What is the nurse's first priority?

Fetal well-being in labor can be measured by the response of the fetal heart rate (FHR)to uterine contractions.Match the characteristic of normal uterine activity during labor with the correct description. -Generally ranging from two to five contractions per 10 minutes of labor

What are the legal responsibilities of the perinatal nurses?

Which client would not be a suitable candidate for internal electronic fetal monitoring (EFM)?

The nurse who provides care to clients in labor must have a thorough understanding of the physiologic processes of maternal hypotension.Which outcome might occur if the interventions for maternal hypotension are inadequate?

What is a distinct advantage of external electronic fetal monitoring (EFM)?

What is the correct placement of the tocotransducer for effective electronic fetal monitoring (EFM)?

A new client and her partner arrive on the labor,delivery,recovery,and postpartum (LDRP)unit for the birth of their first child.The nurse applies the electronic fetal monitor (EFM)to the woman.Her partner asks you to explain what is printing on the graph,referring to the EFM strip.He wants to know what the baby's heart rate should be.What is the nurse's best response?

In which clinical situation would the nurse most likely anticipate a fetal bradycardia?

Fetal well-being in labor can be measured by the response of the fetal heart rate (FHR)to uterine contractions.Match the characteristic of normal uterine activity during labor with the correct description. -Peaking at 40 to 70 mm Hg in the first stage of labor

The nurse providing care for a high-risk laboring woman is alert for late fetal heart rate (FHR)decelerations.Which clinical finding might be the cause for these late decelerations?

Fetal well-being in labor can be measured by the response of the fetal heart rate (FHR)to uterine contractions.Match the characteristic of normal uterine activity during labor with the correct description. -Remaining fairly stable throughout the first and second stages

In which situation would the nurse be called on to stimulate the fetal scalp?

The client has delivered by urgent caesarean birth for fetal compromise.Umbilical cord gases were obtained for acid-base determination.The pH is 6.9,partial pressure of carbon dioxide (PCO₂)is elevated,and the base deficit is 11 mmol/L.What type of acidemia is displayed by the infant?

The nurse observes a sudden increase in variability on the electronic fetal monitoring (EFM)tracing.Which class of medications may cause this finding?

Which fetal heart rate (FHR)decelerations would require the nurse to change the maternal position? (Select all that apply. )