Question 1

Which nursing action is correct when initiating electronic fetal monitoring?

Accepted Answer

A)  Lubricate the tocotransducer with an ultrasound gel. 
B)  Inform the patient that she should remain in the semi-Fowler's position. 
C)  Securely apply the tocotransducer with a strap or belt. 
D)  Determine the position of the fetus before attaching the electrode. 
A)  Lubricate the tocotransducer with an ultrasound gel. 
B)  Inform the patient that she should remain in the semi-Fowler's position. 
C)  Securely apply the tocotransducer with a strap or belt. 
D)  Determine the position of the fetus before attaching the electrode.

Question 2

Which maternal condition is considered a contraindication for the application of internal monitoring devices?

Accepted Answer

A)  Unruptured membranes 
B)  Cervix is dilated to 4 cm 
C)  External monitors are currently being used 
D)  Fetus has a known heart defect 
A)  Unruptured membranes 
B)  Cervix is dilated to 4 cm 
C)  External monitors are currently being used 
D)  Fetus has a known heart defect

Question 3

Why is continuous electronic fetal monitoring usually used when oxytocin is administered?

Accepted Answer

A)  The mother may become hypotensive. 
B)  Uteroplacental exchange may be compromised. 
C)  Maternal fluid volume deficit may occur. 
D)  Fetal chemoreceptors are stimulated. 
A)  The mother may become hypotensive. 
B)  Uteroplacental exchange may be compromised. 
C)  Maternal fluid volume deficit may occur. 
D)  Fetal chemoreceptors are stimulated.

Question 4

The nurse sees this pattern on the fetal monitor.
 
What action by the nurse is most appropriate?

Accepted Answer

A)  Apply oxygen via face mask, and position the woman on her left side. 
B)  Document the findings in the chart along with maternal vital signs. 
C)  Prepare to start an infusion of oxytocin per unit protocol. 
D)  Decrease the rate of the woman's IV maintenance fluids. 
A)  Apply oxygen via face mask, and position the woman on her left side. 
B)  Document the findings in the chart along with maternal vital signs. 
C)  Prepare to start an infusion of oxytocin per unit protocol. 
D)  Decrease the rate of the woman's IV maintenance fluids.

Question 5

The nurse-midwife is concerned that a woman's uterine activity is too intense and that her obesity is preventing accurate assessment of the actual intrauterine pressure.On the basis of this information,the nurse should obtain a(n)

Accepted Answer

A)  tocotransducer. 
B)  scalp electrode. 
C)  intrauterine pressure catheter. 
D)  Doppler transducer. 
A)  tocotransducer. 
B)  scalp electrode. 
C)  intrauterine pressure catheter. 
D)  Doppler transducer.

Question 6

The nurse notes a pattern of late decelerations on the fetal monitor.The most appropriate action is to

Accepted Answer

A)  continue observation of this reassuring pattern. 
B)  notify the physician or nurse-midwife. 
C)  give the woman oxygen by face mask. 
D)  place the woman in a Trendelenburg position. 
A)  continue observation of this reassuring pattern. 
B)  notify the physician or nurse-midwife. 
C)  give the woman oxygen by face mask. 
D)  place the woman in a Trendelenburg position.

Question 7

A student nurse is preparing to administer misoprostol (Cytotec).What action by the student seen by the registered nurse demonstrates adequate knowledge about this medication?

Accepted Answer

A)  Assesses maternal blood pressure 30 minutes after administration 
B)  Assesses fetal heart tones prior to administering the medication 
C)  Documents the drug administration in the woman's chart 
D)  Takes and records an apical pulse for 1 minute prior to administration 
A)  Assesses maternal blood pressure 30 minutes after administration 
B)  Assesses fetal heart tones prior to administering the medication 
C)  Documents the drug administration in the woman's chart 
D)  Takes and records an apical pulse for 1 minute prior to administration

Exam 17: Intrapartum Fetal Surveillance

Which nursing action is correct when initiating electronic fetal monitoring?

Which maternal condition is considered a contraindication for the application of internal monitoring devices?

Why is continuous electronic fetal monitoring usually used when oxytocin is administered?

The nurse sees this pattern on the fetal monitor. What action by the nurse is most appropriate?

The nurse-midwife is concerned that a woman's uterine activity is too intense and that her obesity is preventing accurate assessment of the actual intrauterine pressure.On the basis of this information,the nurse should obtain a(n)

The nurse notes a pattern of late decelerations on the fetal monitor.The most appropriate action is to

A student nurse is preparing to administer misoprostol (Cytotec).What action by the student seen by the registered nurse demonstrates adequate knowledge about this medication?

Foundations of Maternity, Women’s Health, and Child Health Nursing

The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing

The Childbearing and Child-Rearing Family

Communicating with Children and Families

Health Promotion for the Developing Child

Health Promotion for the Infant

Health Promotion During Early Childhood

Health Promotion for the School-Age Child

Health Promotion for the Adolescent

Hereditary and Environmental Influences on Development

Reproductive Anatomy and Physiology

Conception and Prenatal Development

Adaptations to Pregnancy

Nutrition for Childbearing

Prenatal Diagnostic Tests

Giving Birth

Pain Management for Childbirth

Nursing Care during Obstetric Procedures

Postpartum Adaptations

The Normal Newborn: Adaptation and Assessment

The Normal Newborn: Nursing Care

Newborn Feeding

The Childbearing Family with Special Needs

Pregnancy-Related Complications

Concurrent Disorders during Pregnancy

The Woman with an Intrapartum Complication

The Woman with a Postpartum Complication

The High-Risk Newborn: Problems Related to Gestational Age and Development

The High-Risk Newborn: Acquired and Congenital Conditions

Management of Fertility and Infertility

Women’s HealthCare

Physical Assessment of Children

Emergency Care of the Child

The Ill Child in the Hospital and Other Care Settings

The Child with a Chronic Condition or Terminal Illness

Principles and Procedures for Nursing Care of Children

Medication Administration and Safety for Infants and Children

Pain Management for Children

The Child with a Fluid and Electrolyte Alteration

The Child with an Infectious Disease

The Child with an Immunologic Alteration

The Child with a Gastrointestinal Alteration

The Child with a Genitourinary Alteration

The Child with a Respiratory Alteration

The Child with a Cardiovascular Alteration

The Child with a Hematologic Alteration

The Child with Cancer

The Child with an Alteration in Tissue Integrity

The Child with a Musculoskeletal Alteration

The Child with an Endocrine or Metabolic Alteration

The Child with a Neurologic Alteration

Psychosocial Problems in Children and Families

The Child With an Intellectual Disability or Developmental Disability

The Child with a Sensory Alteration

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