Question 1

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

Accepted Answer

A)  Early deceleration-umbilical cord compression 
B)  Late deceleration-uteroplacental inefficiency 
C)  Variable deceleration-head compression 
D)  Prolonged deceleration-cause unknown 
A)  Early deceleration-umbilical cord compression 
B)  Late deceleration-uteroplacental inefficiency 
C)  Variable deceleration-head compression 
D)  Prolonged deceleration-cause unknown

Question 2

Which should nurses be aware of with regard to accelerations in the fetal heart rate?

Accepted Answer

A)  They are indications of fetal well-being when they are periodic. 
B)  They are greater and longer in preterm gestations. 
C)  They are usually seen with breech presentations when they are episodic. 
D)  They may visibly resemble the shape of the uterine contraction. 
A)  They are indications of fetal well-being when they are periodic. 
B)  They are greater and longer in preterm gestations. 
C)  They are usually seen with breech presentations when they are episodic. 
D)  They may visibly resemble the shape of the uterine contraction.

Question 3

When assessing the relative advantages and disadvantages of internal and external electronic fetal monitoring,nurses should be aware that which applies to both types?

Accepted Answer

A)  They can be used when membranes are intact. 
B)  They measure the frequency,duration,and intensity of uterine contractions. 
C)  They rely on the woman to indicate when uterine activity (U
A) is occurring. 
D)  They can be used during the antepartum and intrapartum periods. 
A)  They can be used when membranes are intact. 
B)  They measure the frequency,duration,and intensity of uterine contractions. 
C)  They rely on the woman to indicate when uterine activity (U
A) is occurring. 
D)  They can be used during the antepartum and intrapartum periods.

Question 4

What should the nurse who is providing care for the labouring woman understand about late fetal heart rate (FHR)decelerations?

Accepted Answer

A)  Altered cerebral blood flow 
B)  Umbilical cord compression 
C)  Uteroplacental insufficiency 
D)  Meconium fluid 
A)  Altered cerebral blood flow 
B)  Umbilical cord compression 
C)  Uteroplacental insufficiency 
D)  Meconium fluid

Question 5

How would the nurse chart a fetal heart rate (FHR)of 135 beats/min over a 10-minute period during labour?

Accepted Answer

A)  Bradycardia 
B)  A normal baseline heart rate 
C)  Tachycardia 
D)  Hypoxia 
A)  Bradycardia 
B)  A normal baseline heart rate 
C)  Tachycardia 
D)  Hypoxia

Question 6

What three measures should the nurse implement to provide intrauterine resuscitation? Select the response that best indicates the priority of actions that should be taken.

Accepted Answer

A)  Call the provider,reposition the mother,and perform a vaginal examination. 
B)  Reposition the mother,increase intravenous (IV)fluid,and preform a vaginal examination. 
C)  Administer oxygen to the mother,increase IV fluid,and notify the care provider. 
D)  Perform a vaginal examination,reposition the mother,and provide oxygen via face mask. 
A)  Call the provider,reposition the mother,and perform a vaginal examination. 
B)  Reposition the mother,increase intravenous (IV)fluid,and preform a vaginal examination. 
C)  Administer oxygen to the mother,increase IV fluid,and notify the care provider. 
D)  Perform a vaginal examination,reposition the mother,and provide oxygen via face mask.

Question 7

While evaluating an external monitor tracing of a woman in active labour,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 priority intervention?

Accepted Answer

A)  Change the woman's position. 
B)  Notify the care provider. 
C)  Assist with amnioinfusion. 
D)  Insert a scalp electrode. 
A)  Change the woman's position. 
B)  Notify the care provider. 
C)  Assist with amnioinfusion. 
D)  Insert a scalp electrode.

Question 8

When caring for a labouring woman,the nurse is aware that which can lead to an increase in maternal cardiac output?

Accepted Answer

A)  Change in position 
B)  Oxytocin administration 
C)  Regional anaesthesia 
D)  Intravenous analgesic 
A)  Change in position 
B)  Oxytocin administration 
C)  Regional anaesthesia 
D)  Intravenous analgesic

Question 9

Which is a legal responsibility of the perinatal nurse?

Accepted Answer

A)  Correctly interpreting fetal heart rate (FHR)patterns,initiating appropriate nursing interventions,and documenting the outcomes 
B)  Greeting the patient on arrival,assessing her,and starting an intravenous (IV)line 
C)  Applying the external fetal monitor and notifying the care provider 
D)  Making sure that the woman is comfortable and orientated to the unit 
A)  Correctly interpreting fetal heart rate (FHR)patterns,initiating appropriate nursing interventions,and documenting the outcomes 
B)  Greeting the patient on arrival,assessing her,and starting an intravenous (IV)line 
C)  Applying the external fetal monitor and notifying the care provider 
D)  Making sure that the woman is comfortable and orientated to the unit

Question 10

Which is a cause of variable fetal heart rate (FHR)decelerations?

Accepted Answer

A)  Altered fetal cerebral blood flow 
B)  Umbilical cord compression 
C)  Uteroplacental insufficiency 
D)  Fetal hypoxemia 
A)  Altered fetal cerebral blood flow 
B)  Umbilical cord compression 
C)  Uteroplacental insufficiency 
D)  Fetal hypoxemia

Question 11

The nurse is evaluating the fetal monitor tracing of a patient who is in active labour.Suddenly the fetal heart rate (FHR)drops from its baseline of 125 down to 80.The nurse repositions the mother,provides oxygen,increases intravenous (IV)fluid,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?

Accepted Answer

A)  Call for help. 
B)  Insert a Foley catheter. 
C)  Start oxytocin. 
D)  Notify the care provider immediately. 
A)  Call for help. 
B)  Insert a Foley catheter. 
C)  Start oxytocin. 
D)  Notify the care provider immediately.

Question 12

As a perinatal nurse,you realize that which accompanies a fetal heart rate that demonstrates late decelerations?

Accepted Answer

A)  Hypotension 
B)  Cord compression 
C)  Maternal drug use 
D)  Hypoxemia 
A)  Hypotension 
B)  Cord compression 
C)  Maternal drug use 
D)  Hypoxemia

Question 13

The nurse caring for the woman in labour knows that which medication may increase fetal tachycardia?

Accepted Answer

A)  Narcotics 
B)  Barbiturates 
C)  Methamphetamines 
D)  Tranquilizers 
A)  Narcotics 
B)  Barbiturates 
C)  Methamphetamines 
D)  Tranquilizers

Exam 19: Fetal Health Surveillance During Labour

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

Which should nurses be aware of with regard to accelerations in the fetal heart rate?

When assessing the relative advantages and disadvantages of internal and external electronic fetal monitoring,nurses should be aware that which applies to both types?

What should the nurse who is providing care for the labouring woman understand about late fetal heart rate (FHR)decelerations?

How would the nurse chart a fetal heart rate (FHR)of 135 beats/min over a 10-minute period during labour?

What three measures should the nurse implement to provide intrauterine resuscitation? Select the response that best indicates the priority of actions that should be taken.

When caring for a labouring woman,the nurse is aware that which can lead to an increase in maternal cardiac output?

Which is a legal responsibility of the perinatal nurse?

Which is a cause of variable fetal heart rate (FHR)decelerations?

As a perinatal nurse,you realize that which accompanies a fetal heart rate that demonstrates late decelerations?

The nurse caring for the woman in labour knows that which medication may increase fetal tachycardia?

Contemporary Perinatal and Pediatric Nursing in Canada

The Family and Culture

Community Care

Perinatal Nursing in Canada

Health Promotion

Health Assessment

Reproductive Health

Infertility, Contraception, and Abortion

Preconception, Genetics, Conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care During Pregnancy

Maternal and Fetal Nutrition

Pregnancy Risk Factors and Assessment

Pregnancy at Risk: Gestational Conditions

Pregnancy at Risk: Pre-Existing Conditions

Labour and Birth Processes

Nursing Care of the Family During Labour and Birth

Pain Management During Labour

Labour and Birth at Risk

Maternal Physiological Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Postpartum Complications

Physiological Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

Infants with Gestational Age Related Problems

The Newborn at Risk: Acquired and Congenital Problems

Pediatric Nursing in Canada

Family, Social, Cultural, and Religious Influences on Children’s Health

Developmental Influences on Child Health Promotion

Communication, History, Physical, and Developmental Assessment

Pain Assessment and Management

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Chronic Illness, Complex Conditions, and End-of-Life Care

Cognitive and Sensory Impairment

Family-Centred Home Care

Reaction to Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematological or Immunological Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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