Exam 17: Intrapartum Fetal Surveillance

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Which is the most appropriate method of intrapartum fetal monitoring when a woman has a history of hypertension during pregnancy?

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B

The labor and delivery nurse is using a well-known method to quantify the intensity of labor contractions with internal monitoring.This method is known as MVUs,or ______________.

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Montevideo units
The baseline intrauterine pressure for each contraction within a 10-minute period is subtracted from the peak pressure.The resulting pressures (peak subtract baseline)are added together to calculate the Montevideo units.

The nurse-midwife is concerned that a woman's uterine activity is too intense and that her obesity is preventing accurate assessment of the actual intrauterine pressure.On the basis of this information,the nurse should obtain a(n)

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C

The nurse knows that proper placement of the tocotransducer for electronic fetal monitoring is

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The nurse sees a pattern on the fetal monitor that looks similar to early decelerations,but the deceleration begins near the acme of the contraction and continues well beyond the end of the contraction.Which nursing action indicates the proper evaluation of this situation?

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In which situation is a baseline fetal heart rate of 160 to 170 beats per minute be considered a normal finding?

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The nurse notes a pattern of late decelerations on the fetal monitor.The most appropriate action is to

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Why is continuous electronic fetal monitoring usually used when oxytocin is administered?

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Which statement correctly describes the nurse's responsibility related to electronic monitoring?

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The fetal heart rate baseline increases 15 beats per minute after vibroacoustic stimulation.The best interpretation of this is that the fetus is showing

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The nurse caring for the 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?

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A nurse might be called on to stimulate the fetal scalp

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Which nursing action is correct when initiating electronic fetal monitoring?

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Perinatal nurses are legally responsible for

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An important part of fetal surveillance is assessment and documentation of the fetal heart rate during the first stage of labor.In the low-risk patient assessments for variability and periodic changes if using the fetal monitor should be done

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Increasing the infusion rate of nonadditive intravenous fluids can increase fetal oxygenation primarily by

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Labor is very stressful for the fetus.It is important for the intrapartum nurse to be knowledgeable regarding the mechanisms that regulate the fetal heart rate and keep the brain well oxygenated.When evaluating the patient's progress,the nurse knows that four of the five fetal factors that interact to regulate the heart rate are the

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Which method of assessing the fetal heart rate requires the use of a gel?

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When the mother's membranes rupture during active labor,the fetal heart rate should be observed for the occurrence of which periodic pattern?

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According to the 2008 National Institute of Child Health and Human Development (NICHD)nomenclature,there are four categories of fetal heart rate variability: absent,minimal,moderate,and marked.Is this statement true or false?

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