Question 1

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 2

A number of methods to assist 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:

Accepted Answer

A) A fetal acoustic stimulator. 
B) Fetal blood sampling. 
C) Fetal pulse oximetry. 
D) Umbilical cord acid-base determination. 
A) A fetal acoustic stimulator. 
B) Fetal blood sampling. 
C) Fetal pulse oximetry. 
D) Umbilical cord acid-base determination.

Question 3

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:

Accepted Answer

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

Question 4

Fetal well-being during labor is assessed by:

Accepted Answer

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

Question 5

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

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 6

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 7

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 8

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 9

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

Accepted Answer

A) Can be used when membranes are intact. 
B) Measure the frequency,duration,and intensity of uterine contractions. 
C) May need to rely on the woman to indicate when uterine activity (U
A)  is occurring. 
D) Can be used during the antepartum and intrapartum periods. 
A) Can be used when membranes are intact. 
B) Measure the frequency,duration,and intensity of uterine contractions. 
C) May need to rely on the woman to indicate when uterine activity (U
A)  is occurring. 
D) Can be used during the antepartum and intrapartum periods.

Question 10

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

Accepted Answer

A) Are indications of fetal well-being when they are periodic. 
B) Are greater and longer in preterm gestations. 
C) Are usually seen with breech presentations when they are episodic. 
D) May visibly resemble the shape of the uterine contraction. 
A) Are indications of fetal well-being when they are periodic. 
B) Are greater and longer in preterm gestations. 
C) Are usually seen with breech presentations when they are episodic. 
D) May visibly resemble the shape of the uterine contraction.

Question 11

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:

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 12

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 13

Fetal bradycardia is most common during:

Accepted Answer

A) Intraamniotic infection. 
B) Fetal anemia. 
C) Prolonged umbilical cord compression. 
D) Tocolytic treatment using ritodrine. 
A) Intraamniotic infection. 
B) Fetal anemia. 
C) Prolonged umbilical cord compression. 
D) Tocolytic treatment using ritodrine.

Question 14

The nurse providing care for the laboring woman should understand 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.

Exam 17: Fetal Assessment During Labor

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

Fetal well-being during labor is assessed by:

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

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.

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

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

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

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

What is an advantage of external electronic fetal monitoring?

Fetal bradycardia is most common during:

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

Contemporary Maternity Nursing

The Family and Culture

Community and Home Care

Health Promotion and Illness Prevention

Health Assessment

Common Health Problems

Infertility,Contraception,and Abortion

Genetics,Conception,and Fetal Development

Assessment for Risk Factors

Anatomy and Physiology of Pregnancy

Nursing Care During Pregnancy

Maternal and Fetal Nutrition

Pregnancy at Risk: Preexisting Conditions

Pregnancy at Risk: Gestational Conditions

Labor and Birth Processes

Management of Discomfort

Nursing Care During Labor and Birth

Labor and Birth at Risk

Maternal Physiologic Changes

Nursing Care During the Fourth Trimester

Transition to Parenthood

Postpartum Complications

Physiologic 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

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

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Home Care

Reaction to Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematologic and Immunologic Dysfunction

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Integumentary Dysfunction

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