Exam 11: Fetal Assessment During Labor

A number of methods for assisting in the assessment of fetal well-being have been developed for use in conjunction with electronic fetal monitoring. These various technologies assist in supporting interventions for a nonreassuring fetal heart rate pattern when necessary. The labor and delivery nurse should be aware that one of these modalities, fetal oxygen saturation monitoring, includes the use of:

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

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

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

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:

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

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, 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:

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

Perinatal nurses are legally responsible for:

What is an advantage of external electronic fetal monitoring?

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:

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

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

Nurses should be aware that accelerations in the fetal heart rate:

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

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

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

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.

A new patient 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: