1|Page
NUR 327 Chamberlain Advanced Study Guide Exam
2 2026
normal fetal HR ......ANSWER......110-160 beat/min
Accelerations in FHR ......ANSWER......■ Temporary increase -
■ Reassuring - no interventions
Early decelerations ......ANSWER......■ Normal - no interventions,
expected finding
■ Cause: compression of head on the pelvis
Late deceleration: response after contraction ......ANSWER......■Non-
reassuring - needs intervention
■ Interventions: side-lying position, fluids, d/c oxytocin, O2, notify the
provider, palpate uterus for tachysystole
■ Cause: uteroplacental insufficiency
Variable decelerations ......ANSWER......■ Requires intervention
■ Intervention: knee to chest position or side-side reposition, d/c
oxytocin, O2,
notify provider
■ Cause: cord compression
pg. 1
,2|Page
VEAL CHOP MINE ......ANSWER......Menomic for decelerations
■ Variable Cord compression Move the patient
■ Early Head compression Identify labor progress
■ Accelearate Okay No action
■ Late Placental insufficiency Execute "STOP"
(stop
Pitocin, turn patient on side, O2 via face mask, plain IV fluid increased)
Fetal bradycardia ......ANSWER......FHR drops below 110 for at least 10
minutes
Fetal Bradycardia - Cause & Intervention ......ANSWER......■ Causes:
uteroplacental insufficiency, umbilical cord prolapses, maternal
hypotension, anesthetic meds mom received
■ Interventions: stop oxytocin, left side position, O2, notify provider
Fetal tachycardia ......ANSWER......FHR increases above 160 for over 10
minutes
pg. 2
,3|Page
Fetal tachycardia - Cause & Intervention ......ANSWER......■ Causes:
infection, cocaine use, dehydration
■ Interventions: antipyretics, oxygen, IV fluid bolus
(B)UBBLE ......ANSWER......Breasts
(size, contour, asymmetry, engorgement, redness, nipples: cracking,
inverted,
bleeding)
B(U)BBLE ......ANSWER......Uterus
(Fundal Height, Uterine Placement, and Consistency)
■ 2 hrs after birth- Fundus is between the umbilicus and the symphysis
pubis
■ 6-12 hrs after birth the fundus usually is at the level of the umbilicus
■ The fundus progresses downward at a rate of 1 fingerbreadth (or 1
cm) per day
after childbirth
■ If the fundus is not firm gently message the uterus using a circular
motion until it
becomes firm
pg. 3
, 4|Page
BUB(B)LE ......ANSWER......Bladder
■ Assess the bladder for distention and adequate emptying after efforts
to void
■ Note the location and condition of the fundus , a full bladder tends to
displace
the uterus up and to the right
■ Be alert for signs of infection, including infrequent or insufficient
voiding (less
than 200 ml)
BU(B)BLE ......ANSWER......Bowels and GI function
■ Spontaneous bowel movements may NOT occur for 2-3 days after
giving birth b/c
of a decrease in muscle tone in the intestines during labor
■ Normal patterns of bowel elimination usually return within 8-14 days
after birth
■ Inspect the woman's abdomen for distention, auscultate for bowel
sounds in all 4
quadrants, & palpate for tenderness
■ Ask the woman if she has had a bowel movement or has passed gas
since giving
pg. 4
NUR 327 Chamberlain Advanced Study Guide Exam
2 2026
normal fetal HR ......ANSWER......110-160 beat/min
Accelerations in FHR ......ANSWER......■ Temporary increase -
■ Reassuring - no interventions
Early decelerations ......ANSWER......■ Normal - no interventions,
expected finding
■ Cause: compression of head on the pelvis
Late deceleration: response after contraction ......ANSWER......■Non-
reassuring - needs intervention
■ Interventions: side-lying position, fluids, d/c oxytocin, O2, notify the
provider, palpate uterus for tachysystole
■ Cause: uteroplacental insufficiency
Variable decelerations ......ANSWER......■ Requires intervention
■ Intervention: knee to chest position or side-side reposition, d/c
oxytocin, O2,
notify provider
■ Cause: cord compression
pg. 1
,2|Page
VEAL CHOP MINE ......ANSWER......Menomic for decelerations
■ Variable Cord compression Move the patient
■ Early Head compression Identify labor progress
■ Accelearate Okay No action
■ Late Placental insufficiency Execute "STOP"
(stop
Pitocin, turn patient on side, O2 via face mask, plain IV fluid increased)
Fetal bradycardia ......ANSWER......FHR drops below 110 for at least 10
minutes
Fetal Bradycardia - Cause & Intervention ......ANSWER......■ Causes:
uteroplacental insufficiency, umbilical cord prolapses, maternal
hypotension, anesthetic meds mom received
■ Interventions: stop oxytocin, left side position, O2, notify provider
Fetal tachycardia ......ANSWER......FHR increases above 160 for over 10
minutes
pg. 2
,3|Page
Fetal tachycardia - Cause & Intervention ......ANSWER......■ Causes:
infection, cocaine use, dehydration
■ Interventions: antipyretics, oxygen, IV fluid bolus
(B)UBBLE ......ANSWER......Breasts
(size, contour, asymmetry, engorgement, redness, nipples: cracking,
inverted,
bleeding)
B(U)BBLE ......ANSWER......Uterus
(Fundal Height, Uterine Placement, and Consistency)
■ 2 hrs after birth- Fundus is between the umbilicus and the symphysis
pubis
■ 6-12 hrs after birth the fundus usually is at the level of the umbilicus
■ The fundus progresses downward at a rate of 1 fingerbreadth (or 1
cm) per day
after childbirth
■ If the fundus is not firm gently message the uterus using a circular
motion until it
becomes firm
pg. 3
, 4|Page
BUB(B)LE ......ANSWER......Bladder
■ Assess the bladder for distention and adequate emptying after efforts
to void
■ Note the location and condition of the fundus , a full bladder tends to
displace
the uterus up and to the right
■ Be alert for signs of infection, including infrequent or insufficient
voiding (less
than 200 ml)
BU(B)BLE ......ANSWER......Bowels and GI function
■ Spontaneous bowel movements may NOT occur for 2-3 days after
giving birth b/c
of a decrease in muscle tone in the intestines during labor
■ Normal patterns of bowel elimination usually return within 8-14 days
after birth
■ Inspect the woman's abdomen for distention, auscultate for bowel
sounds in all 4
quadrants, & palpate for tenderness
■ Ask the woman if she has had a bowel movement or has passed gas
since giving
pg. 4
