Intrapartum Fetal Surveillance

This question bank verified by Studydeets

Questions Bank

Maternity and Women’s Health Care Today
Social, Ethical, and Legal Issues
Reproductive Anatomy and Physiology
Hereditary and Environmental Influences on Childbearing
Conception and Prenatal Development
Maternal Adaptations to Pregnancy
Antepartum Assessment, Care, and Education
Nutrition for Childbearing
Assessing the Fetus
Complications of Pregnancy
The Childbearing Family with Special Needs
Processes of Birth
Pain Management During Childbirth
Intrapartum Fetal Surveillance
Nursing Care During Labor and Birth
Intrapartum Complications
Postpartum Adaptations and Nursing Care
Postpartum Maternal Complications
Normal Newborn: Processes of Adaptation
Assessment of the Normal Newborn
Care of the Normal Newborn
Infant Feeding
High-Risk Newborn: Complications Associated with Gestational Age and Development
High-Risk Newborn: Acquired and Congenital Conditions
Family Planning
Infertility
Women’s Health

All Questions

Question 1

Free

Multiple Choice

The nurse evaluates a pattern on the fetal monitor that appears similar to early decelerations. The deceleration begins near the acme of the contraction and continues well beyond the end of the contraction. Which nursing action indicates the proper evaluation of this situation?

Choose correct answer/s

This pattern reflects variable decelerations. No interventions are necessary at this time.

Document this Category I fetal heart rate pattern and decrease the rate of the intravenous (IV) fluid.

Continue to monitor these early decelerations, which occur as the fetal head is compressed during a contraction.

This deceleration pattern is associated with uteroplacental insufficiency. The nurse must act quickly to improve placental blood flow and fetal oxygen supply.

Check answer

Question 2

Free

Multiple Choice

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

Choose correct answer/s

Unruptured membranes

Cervix dilated to 4 cm

Fetus has known heart defect

Maternal HIV

Check answer

Question 3

Free

Multiple Choice

The nurse is instructing a nursing student on the application of fetal monitoring devices. Which method of assessing the fetal heart rate requires the use of a gel?

Choose correct answer/s

Doppler

Fetoscope

Scalp electrode

Tocodynamometer

Check answer

Question 4

Free

Multiple Choice

Proper placement of the tocotransducer for electronic fetal monitoring is

Choose correct answer/s

Inside the uterus.

On the fetal scalp.

Over the uterine fundus.

Over the mother's lower abdomen.

Check answer

Question 5

Free

Multiple Choice

Which clinical finding can be determined only by electronic fetal monitoring?

Choose correct answer/s

Variability

Tachycardia

Bradycardia

Fetal response to contractions

Check answer

Question 6

Multiple Choice

Which method of intrapartum fetal monitoring is the most appropriate when a woman has a history of hypertension during pregnancy?

Choose correct answer/s

Continuous auscultation with a fetoscope

Continuous electronic fetal monitoring

Intermittent assessment with a Doppler transducer

Intermittent electronic fetal monitoring for 15 minutes each hour

To unlock the question

Question 7

Multiple Choice

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

Choose correct answer/s

Fetal chemoreceptors are stimulated.

The mother may become hypotensive.

Maternal fluid volume deficit may occur.

Uteroplacental exchange may be compromised.

To unlock the question

Question 8

Multiple Choice

The nurse is concerned that a patient's uterine activity is too intense and that her obesity is preventing accurate assessment of the actual intrauterine pressure. Based on this information, which action should the nurse take?

Choose correct answer/s

Reposition the tocotransducer.

Reposition the Doppler transducer.

Obtain an order from the health care provider for a spiral electrode.

Obtain an order from the health care provider for an intrauterine pressure catheter.

To unlock the question

Question 9

Multiple Choice

If the position of a fetus in a cephalic presentation is right occiput anterior, the nurse should assess the fetal heart rate in which quadrant of the maternal abdomen?

Choose correct answer/s

Right upper

Left upper

Right lower

Left lower

To unlock the question

Question 10

Multiple Choice

In which situation would a baseline fetal heart rate of 160 to 170 bpm be considered a normal finding?

Choose correct answer/s

The fetus is at 30 weeks of gestation.

The mother has a history of fast labors.

The mother has been given an epidural block.

The mother has mild preeclampsia but is not in labor.

To unlock the question

Question 11

Multiple Choice

When the deceleration pattern of the fetal heart rate mirrors the uterine contraction, which nursing action is indicated?

Choose correct answer/s

Reposition the patient.

Apply a fetal scalp electrode.

Record this normal pattern.

Administer oxygen by nasal cannula.

To unlock the question

Question 12

Multiple Choice

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

Choose correct answer/s

Early decelerations

Variable decelerations

Nonperiodic accelerations

Increase in baseline variability

To unlock the question

Question 13

Multiple Choice

The fetal heart rate baseline increases 20 bpm after vibroacoustic stimulation. The best interpretation of this is that the fetus is showing

Choose correct answer/s

a worsening hypoxia.

progressive acidosis.

an expected response.

parasympathetic stimulation.

To unlock the question

Question 14

Multiple Choice

When a Category II pattern of the fetal heart rate is noted and the patient is lying on her left side, which nursing action is indicated?

Choose correct answer/s

Lower the head of the bed.

Place a wedge under the left hip.

Change her position to the right side.

Place the mother in Trendelenburg position.

To unlock the question

Question 15

Multiple Choice

Which nursing action is correct when initiating electronic fetal monitoring?

Choose correct answer/s

Lubricate the tocotransducer with an ultrasound gel.

Securely apply the tocotransducer with a strap or belt.

Inform the patient that she should remain in the semi-Fowler position.

Determine the position of the fetus before attaching the electrode to the maternal abdomen.

To unlock the question

Question 16

Multiple Choice

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

Choose correct answer/s

Report abnormal findings to the physician before initiating corrective actions.

Teach the woman and her support person about the monitoring equipment and discuss any of their questions.

Document the frequency, duration, and intensity of contractions measured by the external device.

Inform the support person that the nurse will be responsible for all comfort measures when the electronic equipment is in place.

To unlock the question

Question 17

Multiple Choice

Observation of a fetal heart rate pattern indicates an increase in heart rate from the prior baseline rate of 152 bpm. Which physiologic mechanisms would account for this situation?

Choose correct answer/s

Inhibition of epinephrine

Inhibition of norepinephrine

Stimulation of the vagus nerve

Sympathetic stimulation

To unlock the question

Question 18

Multiple Choice

Which of the following therapeutic applications provides the most accurate information related to uterine contraction strength?

Choose correct answer/s

External fetal monitoring (EFM)

Internal fetal monitoring

Intrauterine pressure catheter (IUPC)

Maternal comments based on perception

To unlock the question

Question 19

Multiple Choice

What is the most likely cause for this fetal heart rate pattern?

Choose correct answer/s

Administration of an epidural for pain relief during labor

Cord compression

Breech position of fetus

Administration of meperidine (Demerol) for pain relief during labor

To unlock the question

Question 20

Multiple Choice

The patient presenting at 38 weeks' gestation, gravida 1, para 0, vaginal exam 4 cm, 100% effaced, +1 station vertex. What is the most likely intervention for this fetal heart rate pattern?

Choose correct answer/s

Continue oxytocin (Pitocin) infusion.

Contact the anesthesia department for epidural administration.

Change maternal position.

Administer Narcan to patient and prepare for immediate vaginal delivery.

To unlock the question