Exam 15: Fetal Assessment During Labor

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.)

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

You are evaluating the fetal monitor tracing of your patient,who is in active labor.Suddenly you see the fetal heart rate (FHR)drop from its baseline of 125 beats/min down to 80 beats/min.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?

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

A normal uterine activity pattern in labor is characterized by:

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

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

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

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

A new patient and her partner arrive in the labor,delivery,recovery,and after birth 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:

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

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

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:

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:

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

Perinatal nurses are legally responsible for:

MATCHING 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.

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

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.)

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.