Question 1

Perinatal nurses are legally responsible for which of the following?

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 A

Question 2

Which statement is true in relation to accelerations with fetal movement?

Accepted Answer

A)  They are considered normal. 
B)  They are caused by umbilical cord compression. 
C)  They warrant close observation. 
D)  They are caused by uteroplacental insufficiency. 
A)  They are considered normal. 
B)  They are caused by umbilical cord compression. 
C)  They warrant close observation. 
D)  They are caused by uteroplacental insufficiency. A

Question 3

The nurse caring for the labouring woman should understand that early decelerations are caused by which of the following?

Accepted Answer

A)  Transient fetal head compression 
B)  Umbilical cord compression 
C)  Uteroplacental insufficiency 
D)  Spontaneous rupture of membranes 
A)  Transient fetal head compression 
B)  Umbilical cord compression 
C)  Uteroplacental insufficiency 
D)  Spontaneous rupture of membranes A

Question 4

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

Accepted Answer

A)  Accelerations with fetal movement 
B)  Early decelerations 
C)  An average FHR of 126 beats/min 
D)  Late decelerations 
A)  Accelerations with fetal movement 
B)  Early decelerations 
C)  An average FHR of 126 beats/min 
D)  Late decelerations

Question 5

Which of the following characterizes a normal uterine activity pattern in labour?

Accepted Answer

A)  Contractions every 2 to 5 minutes 
B)  Contractions lasting about 2 minutes 
C)  Contractions about 1 minute apart 
D)  A contraction intensity of about 1000 mm Hg with relaxation at 50 mm Hg 
A)  Contractions every 2 to 5 minutes 
B)  Contractions lasting about 2 minutes 
C)  Contractions about 1 minute apart 
D)  A contraction intensity of about 1000 mm Hg with relaxation at 50 mm Hg

Question 6

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 7

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 provide oxygen via face mask. 
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 provide oxygen via face mask. 
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 8

When using intermittent auscultation ( IA )for fetal heart rate,what should the nurse be aware of?

Accepted Answer

A)  They can be expected to cover only two or three patients when IA is the primary method of fetal assessment. 
B)  The best course is to use the descriptive terms associated with electronic fetal monitoring ( EFM ) when documenting results. 
C)  If the heartbeat cannot be found immediately, a shift must be made to EFM. 
D)  A doptone can be used to find the fetal heart. 
A)  They can be expected to cover only two or three patients when IA is the primary method of fetal assessment. 
B)  The best course is to use the descriptive terms associated with electronic fetal monitoring ( EFM ) when documenting results. 
C)  If the heartbeat cannot be found immediately, a shift must be made to EFM. 
D)  A doptone can be used to find the fetal heart.

Question 9

The nurse caring for the woman in labour should understand that increased fetal tachycardia may occur with which medication?

Accepted Answer

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

Question 10

Which of the following is a common cause of decreased variability in the fetal heart rate (FHR)that lasts 30 minutes or less?

Accepted Answer

A)  Altered cerebral blood flow 
B)  Fetal hypoxemia 
C)  Umbilical cord compression 
D)  Fetal sleep cycles 
A)  Altered cerebral blood flow 
B)  Fetal hypoxemia 
C)  Umbilical cord compression 
D)  Fetal sleep cycles

Question 11

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 labour. 
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 labour. 
D)  Once correctly applied by the nurse, the transducer need not be repositioned even when the woman changes positions.

Question 12

A new patient and her partner arrive on the labour,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.What is the nurse's best response?

Accepted Answer

A)  "Don't worry about that machine; that's my job." 
B)  "The top line graphs the baby's heart rate, which is between 110 and 160 but fluctuates somewhat." 
C)  "The top line graphs the baby's heart rate, and the bottom line lets me know how strong the contractions are." 
D)  "Your doctor will explain all of that later." 
A)  "Don't worry about that machine; that's my job." 
B)  "The top line graphs the baby's heart rate, which is between 110 and 160 but fluctuates somewhat." 
C)  "The top line graphs the baby's heart rate, and the bottom line lets me know how strong the contractions are." 
D)  "Your doctor will explain all of that later."

Question 13

Which of the following 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 14

Which of the following 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 15

The nurse providing care for the labouring woman should understand that variable fetal heart rate (FHR)decelerations are caused by which of the following?

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 16

Which of the following is recommended for routine use during labour by the Society of Obstetricians & Gynaecologists of Canada ( SOGC )?

Accepted Answer

A)  Intermittent auscultation 
B)  Continuous external monitoring 
C)  Fetal pulse oximetry 
D)  Fetal scalp blood pH 
A)  Intermittent auscultation 
B)  Continuous external monitoring 
C)  Fetal pulse oximetry 
D)  Fetal scalp blood pH

Question 17

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 18

Fetal well-being during labour is assessed by which of the following?

Accepted Answer

A)  The response of the fetal heart rate (FHR) to labour 
B)  Maternal pain control 
C)  Accelerations in the FHR 
D)  An FHR above 110 beats/min 
A)  The response of the fetal heart rate (FHR) to labour 
B)  Maternal pain control 
C)  Accelerations in the FHR 
D)  An FHR above 110 beats/min

Question 19

What should the nurse know when assisting a patient with pushing and positioning during labour?

Accepted Answer

A)  Encourage the woman's cooperation in avoiding the supine position. 
B)  Advise the woman to avoid the semi-Fowler position. 
C)  Encourage the woman to hold her breath and tighten her abdominal muscles to produce a vaginal response. 
D)  Instruct the woman to open her mouth and close her glottis, letting air escape after the push. 
A)  Encourage the woman's cooperation in avoiding the supine position. 
B)  Advise the woman to avoid the semi-Fowler position. 
C)  Encourage the woman to hold her breath and tighten her abdominal muscles to produce a vaginal response. 
D)  Instruct the woman to open her mouth and close her glottis, letting air escape after the push.

Question 20

The nurse providing care for the labouring woman should understand that amnioinfusion is used to treat which of the following?

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

Exam 17: Fetal Health Surveillance During Labour

Perinatal nurses are legally responsible for which of the following?

Which statement is true in relation to accelerations with fetal movement?

The nurse caring for the labouring woman should understand that early decelerations are caused by which of the following?

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

Which of the following characterizes a normal uterine activity pattern in 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 using intermittent auscultation ( IA )for fetal heart rate,what should the nurse be aware of?

The nurse caring for the woman in labour should understand that increased fetal tachycardia may occur with which medication?

Which of the following is a common cause of decreased variability in the fetal heart rate (FHR)that lasts 30 minutes or less?

What is an advantage of external electronic fetal monitoring?

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

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

The nurse providing care for the labouring woman should understand that variable fetal heart rate (FHR)decelerations are caused by which of the following?

Which of the following is recommended for routine use during labour by the Society of Obstetricians & Gynaecologists of Canada ( SOGC )?

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

Fetal well-being during labour is assessed by which of the following?

What should the nurse know when assisting a patient with pushing and positioning during labour?

The nurse providing care for the labouring woman should understand that amnioinfusion is used to treat which of the following?

Contemporary Perinatal Nursing in Canada

The Family and Culture

Community Care

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: Maternal and Fetal

Pregnancy at Risk: Gestational Conditions

Pregnancy at Risk: Pre-Existing Conditions

Labour and Birth Processes

Comfort Measures for Labour

Nursing Care During Labour and Birth

Labour and Birth at Risk

Maternal Physiological Changes

Nursing Care During the Fourth Trimester

Transition to Parenthood

Postpartum Complications

Physiological Adaptations of the Newborn

Nursing Care of the Newborn

Newborn Nutrition and Feeding

Infants With Gestational Age-Related Problems

The Newborn at Risk: Acquired and Congenital Problems

Contemporary Pediatric Nursing in Canada

Community-Based Nursing Care of the Child and Family

Family Influences on Child Health Promotion

Social, cultural, and Religious Influences on Child Health Promotion

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, disability, 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 and Immunological Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

Filters