Assessment Quiz 5

A nurse notes the following fetal heart rate pattern on the external fetal monitor. FHR baseline of 120-130 with V shaped decelerations to 100 noted before and after contractions. The nurse understands that this pattern is related to which of the following? Head compression Fetal movement Placental insufficiency Cord compression

Cord compression

The nurse is administering a contraction stress test and notes the presence of late decelerations corresponding to three contractions in a ten-minute period of time. The nurse understands that the test will be read as which of the following? Negative Equivocal Unsatisfactory Positive

Positive

A woman has just received pain medication in labor. Which of the following fetal heart responses would the nurse expect to see on the internal monitor tracing? Variable decelerations Late decelerations Decreased variability Accelerations

Decreased variability

The nurse notes a prolonged deceleration of the FHR to 80 bpm and begins intrauterine resuscitation. Which of the following steps are included in this intervention? (SELECT ALL THAT APPLY). Provide oxygen per nasal cannula at 2L/min Place mom on her back with a wedge under her right hip Increase mainline IV Turn off oxytocin (Pitocin) Turn mother to her left side

Increase mainline IV Turn off oxytocin (Pitocin) Turn mother to her left side

The FHR baseline is 120-130 bpm. The nurse will chart the variability as which of the following? Absent Moderate Minimal Marked

Moderate

The nurse is instructing a new staff nurse on reassuring FHR patterns. Which of the following information should be included? (SELECT ALL THAT APPLY) Baseline rate of 110-160 bpm Moderate variability Late decelerations are present Early decelerations are present or absent Accelerations are either present or absent

Baseline rate of 110-160 bpm Moderate variability Early decelerations are present or absent Accelerations are either present or absent

The nurse is caring for a patient in labor when repetitive late decelerations are noted on the external fetal monitor. The nurse's action after turning the patient to her left side should be: Applying oxygen per nasal cannula Increase the mainline IV Applying oxygen per face mask at 8-10 L/min Turn the patient to her right side after 5 minutes on the left side

Applying oxygen per face mask at 8-10 L/min

The nurse notes that the fetal heart rate baseline is 120-130 with an increase in FHR to 145 bpm lasting 15 seconds. The nurse would chart this change in baseline as which of the following? Acceleration Early deceleration Variable deceleration Late deceleration

Acceleration

The nurse is assessing the fetal monitor tracings of a patient in labor. Which of the following heart rate patterns would the nurse interpret as normal during the transitional phase of stage one? Baseline of 140 - 150 with decelerations to 120 noted beginning with the contraction and returning to baseline by the end of the contraction. Baseline of 140-150 with decelerations to 120 noted after the start of the contraction with return to baseline after the end of the contraction. Baseline of 140-145 with V-shaped decelerations to 120 bpm unrelated to contractions. Baseleine of 140-141 with decelerations to 105 noted after the start of the contracton and returning to baseline after the end of the contraction.

Baseline of 140 - 150 with decelerations to 120 noted beginning with the contraction and returning to baseline by the end of the contraction.

A woman in active labor has just received an epidural. The nurse understands that that if the woman has hypotension the fetal monitor tracing would indicate which of the following? Early decelerations Late decelerations Accelerations Variable decelerations

Late decelerations

The nurse notes that the fetal heart rate is 140-170 bpm and charts that the variability is which of the following? Marked Minimal Absent Moderate

Marked

The patient in labor is having multiple deep variable decelerations down to 60-70 bpm. The health care provider has ordered an amnioinfusion. The nurse understands that the primary intervention is to: Monitor the uterine resting tone Monitor for accelerations Cool the intravenous fluid prior to infusion Administer the infusion per gravity

Monitor the uterine resting tone

The nurse is reviewing a non-stress test (NST) and notes the following: FHR baseline of 120-130 bpm with increase in FHR noted to 150 for 15 seconds and an increase of FHR noted to 135 for 10 seconds over a 20 minute time frame. The nurse understands that this NST will be read as: Reactive Negative Nonreactive Positive

Nonreactive

The patient is scheduled for an amniocentesis at 16 weeks gestation. The nurse understands that this is being done for which of the following reasons? To check lung maturity To determine the sex of the fetus To check for genetic abnormalities To determine EDD

To check for genetic abnormalities

The nurse is assessing a fetal monitor tracing and notes that the FHR baseline is 140-150 bpm with decreases to 120 bpm noted beginning after the contraction begins with return to baseline after the contraction ends. The nurse's first action should be which of the following? Document the findings Turn the patient to her left side Call the health care provider Turn the mainline intravenous fluid rate up

Turn the patient to her left side