Question 1

When using intermittent auscultation (IA)to assess uterine activity,the nurse should be cognizant that:

Accepted Answer

A) The examiner's hand should be placed over the fundus before, during, and after contractions. 
B) The frequency and duration of contractions is measured in seconds for consistency. 
C) Contraction intensity is given a judgment number of 1 to 7 by the nurse and client together. 
D) The resting tone between contractions is described as either placid or turbulent. 
A) The examiner's hand should be placed over the fundus before, during, and after contractions. 
B) The frequency and duration of contractions is measured in seconds for consistency. 
C) Contraction intensity is given a judgment number of 1 to 7 by the nurse and client together. 
D) The resting tone between contractions is described as either placid or turbulent.

Question 2

The nurse providing care for the laboring woman realizes that variable fetal heart rate (FHR)decelerations are caused by:

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 3

The nurse providing care for the laboring woman should understand that amnioinfusion is used to treat:

Accepted Answer

A) Variable decelerations. 
B) Late decelerations. 
C) Fetal bradycardia. 
D) Fetal tachycardia. 
A) Variable decelerations. 
B) Late decelerations. 
C) Fetal bradycardia. 
D) Fetal tachycardia.

Question 4

During labor a fetus with an average heart rate of 135 beats/min over a 10-minute period would be considered to have:

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 5

Which deceleration of the fetal heart rate would not require the nurse to change the maternal position?

Accepted Answer

A) Early decelerations 
B) Late decelerations 
C) Variable decelerations 
D) It is always a good idea to change the woman's position. 
A) Early decelerations 
B) Late decelerations 
C) Variable decelerations 
D) It is always a good idea to change the woman's position.

Question 6

The nurse caring for the woman in labor should understand that maternal hypotension can result in:

Accepted Answer

A) Early decelerations. 
B) Fetal dysrhythmias. 
C) Uteroplacental insufficiency. 
D) Spontaneous rupture of membranes. 
A) Early decelerations. 
B) Fetal dysrhythmias. 
C) Uteroplacental insufficiency. 
D) Spontaneous rupture of membranes.

Question 7

The nurse caring for a laboring woman is aware that maternal cardiac output can be increased by:

Accepted Answer

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

Question 8

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.

-Generally ranging from two to five contractions per 10 minutes of labor

Accepted Answer

A) Frequency 
B) Duration 
C) Strength 
D) Resting tone 
E) Relaxation time 
A) Frequency 
B) Duration 
C) Strength 
D) Resting tone 
E) Relaxation time

Question 9

The nurse providing care for the laboring woman comprehends that accelerations with fetal movement:

Accepted Answer

A) Are reassuring. 
B) Are caused by umbilical cord compression. 
C) Warrant close observation. 
D) Are caused by uteroplacental insufficiency. 
A) Are reassuring. 
B) Are caused by umbilical cord compression. 
C) Warrant close observation. 
D) Are caused by uteroplacental insufficiency.

Question 10

According to standard professional thinking,nurses should auscultate the fetal heart rate (FHR):

Accepted Answer

A) Every 15 minutes in the active phase of the first stage of labor in the absence of risk factors. 
B) Every 20 minutes in the second stage, regardless of whether risk factors are present. 
C) Before and after ambulation and rupture of membranes. 
D) More often in a woman's first pregnancy. 
A) Every 15 minutes in the active phase of the first stage of labor in the absence of risk factors. 
B) Every 20 minutes in the second stage, regardless of whether risk factors are present. 
C) Before and after ambulation and rupture of membranes. 
D) More often in a woman's first pregnancy.

Question 11

You are evaluating the fetal monitor tracing of your client,who is in active labor.Suddenly you see the fetal heart rate (FHR)drop from its baseline of 125 down to 80.You reposition the mother,provide oxygen,increase intravenous (IV)fluid,and perform a vaginal examination.The cervix has not changed.Five minutes have passed,and the fetal heart rate remains in the 80s.What additional nursing measures should you take?

Accepted Answer

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

Question 12

The nurse caring for the woman in labor should understand that increased variability of the fetal heart rate may be caused by:

Accepted Answer

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

Question 13

The nurse providing care for the laboring woman should understand that late fetal heart rate (FHR)decelerations are the result of:

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 14

The nurse caring for the laboring woman should understand that early decelerations are caused by:

Accepted Answer

A) Altered fetal cerebral blood flow. 
B) Umbilical cord compression. 
C) Uteroplacental insufficiency. 
D) Spontaneous rupture of membranes. 
A) Altered fetal cerebral blood flow. 
B) Umbilical cord compression. 
C) Uteroplacental insufficiency. 
D) Spontaneous rupture of membranes.

Question 15

What is an advantage of external electronic fetal monitoring?

Accepted Answer

A) The ultrasound transducer can accurately measure short-term variability and beat-to-beat changes in the fetal heart rate. 
B) The tocotransducer can measure and record the frequency, regularity, intensity, and approximate duration of uterine contractions (UCs). 
C) The tocotransducer is especially valuable for measuring uterine activity during the first stage of labor. 
D) Once correctly applied by the nurse, the transducer need not be repositioned even when the woman changes positions. 
A) The ultrasound transducer can accurately measure short-term variability and beat-to-beat changes in the fetal heart rate. 
B) The tocotransducer can measure and record the frequency, regularity, intensity, and approximate duration of uterine contractions (UCs). 
C) The tocotransducer is especially valuable for measuring uterine activity during the first stage of labor. 
D) Once correctly applied by the nurse, the transducer need not be repositioned even when the woman changes positions.

Question 16

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 patient's most recent 10-minute segment on the monitor strip and notes a late deceleration.This is likely to be caused by which physiologic alteration (Select all that apply)?

Accepted Answer

A) Spontaneous fetal movement 
B) Compression of the fetal head 
C) Placental abruption 
D) Cord around the baby's neck 
E) Maternal supine hypotension 
A) Spontaneous fetal movement 
B) Compression of the fetal head 
C) Placental abruption 
D) Cord around the baby's neck 
E) Maternal supine hypotension

Question 17

What 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 18

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

Accepted Answer

A) Over the uterine fundus. 
B) On the fetal scalp. 
C) Inside the uterus. 
D) Over the mother's lower abdomen. 
A) Over the uterine fundus. 
B) On the fetal scalp. 
C) Inside the uterus. 
D) Over the mother's lower abdomen.

Question 19

The nurse caring for a woman in labor understands that prolonged decelerations:

Accepted Answer

A) Are a continuing pattern of benign decelerations that do not require intervention. 
B) Constitute a baseline change when they last longer than 5 minutes. 
C) Usually are isolated events that end spontaneously. 
D) Require the usual fetal monitoring by the nurse. 
A) Are a continuing pattern of benign decelerations that do not require intervention. 
B) Constitute a baseline change when they last longer than 5 minutes. 
C) Usually are isolated events that end spontaneously. 
D) Require the usual fetal monitoring by the nurse.

Question 20

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.

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

Accepted Answer

A) Frequency 
B) Duration 
C) Strength 
D) Resting tone 
E) Relaxation time 
A) Frequency 
B) Duration 
C) Strength 
D) Resting tone 
E) Relaxation time

Exam 15: Fetal Assessment During Labor

When using intermittent auscultation (IA)to assess uterine activity,the nurse should be cognizant that:

The nurse providing care for the laboring woman realizes that variable fetal heart rate (FHR)decelerations are caused by:

The nurse providing care for the laboring woman should understand that amnioinfusion is used to treat:

During labor a fetus with an average heart rate of 135 beats/min over a 10-minute period would be considered to have:

Which deceleration of the fetal heart rate would not require the nurse to change the maternal position?

The nurse caring for the woman in labor should understand that maternal hypotension can result in:

The nurse caring for a laboring woman is aware that maternal cardiac output can be increased by:

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. -Generally ranging from two to five contractions per 10 minutes of labor

The nurse providing care for the laboring woman comprehends that accelerations with fetal movement:

According to standard professional thinking,nurses should auscultate the fetal heart rate (FHR):

The nurse caring for the woman in labor should understand that increased variability of the fetal heart rate may be caused by:

The nurse providing care for the laboring woman should understand that late fetal heart rate (FHR)decelerations are the result of:

The nurse caring for the laboring woman should understand that early decelerations are caused by:

What is an advantage of external electronic fetal monitoring?

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

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

The nurse caring for a woman in labor understands that prolonged decelerations:

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

21st Century Maternity Nursing

Community Care: the Family and Culture

Assessment and Health Promotion

Reproductive System Concerns

Infertility,contraception,and Abortion

Genetics, conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care of the Family During Pregnancy

Maternal and Fetal Nutrition

Assessment of High Risk Pregnancy

Pregnancy at Risk: Preexisting Conditions

Pregnancy at Risk: Gestational Conditions

Labor and Birth Processes

Pain Management

Nursing Care of the Family During Labor and Birth

Labor and Birth Complications

Maternal Physiologic Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Postpartum Complications

Physiologic and Behavioral Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

The High Risk Newborn

21st Century Pediatric Nursing

Family, social, cultural, and Religious Influences on Child Health Promotion

Developmental and Genetic Influences on Child Health Promotion

Communication, history, and Physical Assessment

Pain Assessment and Management in Children

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Chronic Illness, disability, and End-Of-Life Care

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematologic and Immunologic Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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