Exam 18: Fetal Assessment During Labor

In assessing the immediate condition of the newborn after birth,a sample of cord blood may be a useful adjunct to the Apgar score.Cord blood is then tested for pH,carbon dioxide,oxygen,and base deficit or excess.Which clinical situation warrants this additional testing? (Select all that apply. )

Part of the nurse's role is assisting with pushing and positioning.Which guidance should the nurse provide to her client in active labor?

Which definition of an acceleration in the fetal heart rate (FHR)is accurate?

The baseline fetal heart rate (FHR)is the average rate during a 10-minute segment.Changes in FHR are categorized as periodic or episodic.These patterns include both accelerations and decelerations.The labor nurse is evaluating the client's most recent 10-minute segment on the monitor strip and notes a late deceleration.Which is likely to have caused this change? (Select all that apply. )

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. -Commonly 45 seconds or more in the second stage of labor

What is the most likely cause for early decelerations in the fetal heart rate (FHR)pattern?

Which fetal heart rate (FHR)finding is the most concerning to the nurse who is providing care to a laboring client?

During labor a fetus displays an average fetal heart rate (FHR)of 135 beats per minute over a 10-minute period.Which statement best describes the status of this fetus?

What is the most likely cause for variable fetal heart rate (FHR)decelerations?

A tiered system of categorizing fetal heart rate (FHR)has been recommended by professional organizations.Nurses,midwives,and physicians who care for women in labor must have a working knowledge of fetal monitoring standards and understand the significance of each category.What is the correct nomenclature for these categories? (Select all that apply. )

Which nursing intervention would result in an increase in maternal cardiac output?

Which characteristic correctly matches the type of deceleration with its likely cause?

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. -Average of 10 mm Hg

Which clinical finding or intervention might be considered the rationale for fetal tachycardia to occur?