Exam 15: Fetal Assessment During Labor

Which fetal heart rate (FHR)finding would concern the nurse during labor?

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.

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

The most common cause of decreased variability in the fetal heart rate (FHR)that lasts 30 minutes or less is:

When using intermittent auscultation (IA)for fetal heart rate,nurses should be aware that:

While evaluating an external monitor tracing of a woman in active labor whose labor is being induced,the nurse notes that the fetal heart rate (FHR)begins to decelerate at the onset of several contractions and returns to baseline before each contraction ends.The nurse should:

In assisting with the two factors that have an effect on fetal status (i.e.,pushing and positioning),nurses should:

When assessing the relative advantages and disadvantages of internal and external electronic fetal monitoring,nurses comprehend that both:

A tiered system of categorizing FHR has been recommended by regulatory agencies.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.These categories include (Select all that apply):

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

Fetal well-being in labor can be measured by the response of the FHR to uterine contractions. Please match the characteristic of normal uterine activity during labor with the correct description. -Average of 10 mm Hg

A new client and her partner arrive on the labor,delivery,recovery,and postpartum unit for the birth of their first child.You apply 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.Your best response is:

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.The nurse's first priority is to:

Fetal bradycardia is most common during:

As a perinatal nurse you realize that a fetal heart rate that is tachycardic,is bradycardic,or has late decelerations or loss of variability is nonreassuring and is associated with:

Fetal well-being during labor is assessed by:

Perinatal nurses are legally responsible for:

A nurse may be called on to stimulate the fetal scalp:

The uterine contractions of a woman early in the active phase of labor are assessed by an internal uterine pressure catheter (IUPC).The nurse notes that the intrauterine pressure at the peak of the contraction ranges from 65 to 70 mm Hg and the resting tone range is 6 to 10 mm Hg.The uterine contractions occur every 3 to 4 minutes and last an average of 55 to 60 seconds.On the basis of this information,the nurse should:

Which maternal condition is considered a contraindication for the application of internal monitoring devices?