Exam 17: Intrapartum Fetal Surveillance

The nurse explains to the student that increasing the infusion rate of non-additive intravenous fluids can increase fetal oxygenation primarily by

A woman has a history of hypertension during pregnancy.What method of intrapartum fetal monitoring does the nurse initiate?

A new nurse notes a fetal heart rate pattern of late deceleration with minimal variability in a laboring woman with vaginal bleeding.Which action by the new nurse warrants intervention by the charge nurse?

The precepting nurse explains to the newly hired nurse that when using IA for FHR which situation is unit protocol?

The new nurse learns that which condition related to decreased variability is considered benign?

The nurse assesses the fetal monitor and sees the following strip.What action by the nurse is most appropriate?

The nursing student is planning to assess a fetal heart rate.The registered nurse reminds the student to get gel.Which method of assessing the fetal heart rate is the student planning on conducting?

In the low-risk patient assessments for variability and periodic changes if using the fetal monitor should be done how often?

A Labor and Delivery nurse knows that four of the five fetal factors that interact to regulate the heart rate are which of the following? (Select all that apply.)

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 alterations? (Select all that apply.)

Which statement correctly describes the nurse's responsibility related to electronic monitoring?

The fetal heart rate baseline increases 15 beats per minute after vibroacoustic stimulation.What action by the nurse is most appropriate?

In which situation is a baseline fetal heart rate of 160 to 170 beats per minute considered a normal finding?

A student nurse is placing a tocotransducer on a woman for electronic fetal monitoring.What action by the student indicates to the registered nurse that the student understands the procedure?

A nurse might be called on to stimulate the fetal scalp

Which of the following factors place the intrapartum woman at risk for complications during labor and delivery? (Select all that apply.)

A nurse manager plans staffing for the Labor and Delivery unit.How does the available staff influence the selection of either continuous electronic or intermittent auscultation as the fetal monitoring method?

When the mother's membranes rupture during active labor,the fetal heart rate should be observed for the occurrence of which periodic pattern?

A new nurse to Labor and Delivery learns about the three categories of fetal heart rate patterns.Which characteristics of the fetal heart belong in Category III? (Select all that apply.)

The nurse notes a nonreassuring pattern of the fetal heart rate.The mother is already lying on her left side.What nursing action is indicated?