Question 1

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

Accepted Answer

A)  Every hour in the active phase of the first stage of labour 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 hour in the active phase of the first stage of labour 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 2

Which deceleration pattern is considered a normal finding in fetal heart monitoring?

Accepted Answer

A)  Early decelerations 
B)  Late decelerations 
C)  Variable decelerations 
D)  Prolonged decelerations 
A)  Early decelerations 
B)  Late decelerations 
C)  Variable decelerations 
D)  Prolonged decelerations

Question 3

While evaluating an external monitor tracing of a woman in active labour,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.What is the nurse's priority intervention?

Accepted Answer

A)  Change the woman's position. 
B)  Notify the care provider. 
C)  Assist with amnioinfusion. 
D)  Insert a scalp electrode. 
A)  Change the woman's position. 
B)  Notify the care provider. 
C)  Assist with amnioinfusion. 
D)  Insert a scalp electrode.

Question 4

The nurse caring for a labouring woman is aware that maternal cardiac output can be increased by which of the following?

Accepted Answer

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

Question 5

What should the nurse assess for when caring for the woman in labour who experiences maternal hypotension?

Accepted Answer

A)  Early decelerations 
B)  Fetal dysrhythmias 
C)  Fetal hypoxemia 
D)  Spontaneous rupture of membranes 
A)  Early decelerations 
B)  Fetal dysrhythmias 
C)  Fetal hypoxemia 
D)  Spontaneous rupture of membranes

Question 6

When is fetal bradycardia most common?

Accepted Answer

A)  Intra-amniotic infection 
B)  Fetal anemia 
C)  Prolonged umbilical cord compression 
D)  Tocolytic treatment with ritodrine 
A)  Intra-amniotic infection 
B)  Fetal anemia 
C)  Prolonged umbilical cord compression 
D)  Tocolytic treatment with ritodrine

Question 7

How would the nurse chart a fetal heart rate (FHR)of 135 beats/min over a 10-minute period during labour?

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 8

While evaluating an external monitor tracing of a woman in active labour whose labour 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.What should the nurse do?

Accepted Answer

A)  Change the woman's position. 
B)  Discontinue the oxytocin infusion. 
C)  Insert an internal monitor. 
D)  Document the finding in the patient's record. 
A)  Change the woman's position. 
B)  Discontinue the oxytocin infusion. 
C)  Insert an internal monitor. 
D)  Document the finding in the patient's record.

Question 9

As a perinatal nurse,you realize that which of the following accompanies a fetal heart rate that demonstrates late decelerations?

Accepted Answer

A)  Hypotension 
B)  Cord compression 
C)  Maternal drug use 
D)  Hypoxemia 
A)  Hypotension 
B)  Cord compression 
C)  Maternal drug use 
D)  Hypoxemia

Question 10

The nurse caring for a woman in labour understands that which of the following is related to prolonged decelerations?

Accepted Answer

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

Question 11

When assessing the relative advantages and disadvantages of internal and external electronic fetal monitoring,nurses should be aware that which of the following applies to both types?

Accepted Answer

A)  They can be used when membranes are intact. 
B)  They measure the frequency, duration, and intensity of uterine contractions. 
C)  They rely on the woman to indicate when uterine activity ( UA ) is occurring. 
D)  They can be used during the antepartum and intrapartum periods. 
A)  They can be used when membranes are intact. 
B)  They measure the frequency, duration, and intensity of uterine contractions. 
C)  They rely on the woman to indicate when uterine activity ( UA ) is occurring. 
D)  They can be used during the antepartum and intrapartum periods.

Question 12

A nurse might be called on to stimulate the fetal scalp for which of the following reasons?

Accepted Answer

A)  As part of fetal scalp blood sampling 
B)  In preparation for tocolysis 
C)  To implement fetal oxygen saturation monitoring 
D)  To elicit an acceleration in the fetal heart rate (FHR) 
A)  As part of fetal scalp blood sampling 
B)  In preparation for tocolysis 
C)  To implement fetal oxygen saturation monitoring 
D)  To elicit an acceleration in the fetal heart rate (FHR)

Question 13

When using intermittent auscultation ( IA )to record the fetal heart rate,nurses should be aware of which of the following?

Accepted Answer

A)  The uterus is palpated for absence of activity. 
B)  The frequency and duration of contractions are measured in seconds for consistency. 
C)  Contraction intensity is given a number of 1 to 7 by the nurse and patient together. 
D)  The resting tone between contractions is described as either placid or turbulent. 
A)  The uterus is palpated for absence of activity. 
B)  The frequency and duration of contractions are measured in seconds for consistency. 
C)  Contraction intensity is given a number of 1 to 7 by the nurse and patient together. 
D)  The resting tone between contractions is described as either placid or turbulent.

Exam 17: Fetal Health Surveillance During Labour

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

Which deceleration pattern is considered a normal finding in fetal heart monitoring?

The nurse caring for a labouring woman is aware that maternal cardiac output can be increased by which of the following?

What should the nurse assess for when caring for the woman in labour who experiences maternal hypotension?

When is fetal bradycardia most common?

How would the nurse chart a fetal heart rate (FHR)of 135 beats/min over a 10-minute period during labour?

While evaluating an external monitor tracing of a woman in active labour whose labour 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.What should the nurse do?

As a perinatal nurse,you realize that which of the following accompanies a fetal heart rate that demonstrates late decelerations?

The nurse caring for a woman in labour understands that which of the following is related to prolonged decelerations?

When assessing the relative advantages and disadvantages of internal and external electronic fetal monitoring,nurses should be aware that which of the following applies to both types?

A nurse might be called on to stimulate the fetal scalp for which of the following reasons?

When using intermittent auscultation ( IA )to record the fetal heart rate,nurses should be aware of 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

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