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, NR327 – Maternal Health Nursing
W4 Exam 1 & W8 Exam 2 | Questions, Answers & Rationale
Q1 | NR327 W8 Exam 2 — Drop-Down / Complete the Sentence
Complete the sentence. The nurse is caring for a client in labor with the fetal heart
monitor strip shown above. The nurse identifies this as (1) and should investigate
further for (2) .
Options for (1): early decelerations | late decelerations | variable decelerations
Options for (2): uteroplacental insufficiency / fetal hypoxia | cord compression |
head compression
✔ Correct Answers:
(1) Late decelerations (2) Uteroplacental insufficiency / fetal hypoxia
■ Rationale:
The strip shows decelerations that begin after the peak of the uterine contraction and
return to baseline after the contraction ends — the defining characteristic of late
decelerations. The FHR nadir lags behind the contraction peak.
Late decelerations are always non-reassuring and indicate uteroplacental
insufficiency — reduced O■ delivery to the fetus during contractions. Causes:
maternal hypotension, uterine tachysystole, placental abruption, chronic
placental insufficiency
_
, NR327 – Maternal Health Nursing
W4 Exam 1 & W8 Exam 2 | Questions, Answers & Rationale
Q1 | NR327 W8 Exam 2 — Drop-Down / Complete the Sentence
Complete the sentence. The nurse is caring for a client in labor with the fetal heart
monitor strip shown above. The nurse identifies this as (1) and should investigate
further for (2) .
Options for (1): early decelerations | late decelerations | variable decelerations
Options for (2): uteroplacental insufficiency / fetal hypoxia | cord compression |
head compression
✔ Correct Answers:
(1) Late decelerations (2) Uteroplacental insufficiency / fetal hypoxia
■ Rationale:
The strip shows decelerations that begin after the peak of the uterine contraction and
return to baseline after the contraction ends — the defining characteristic of late
decelerations. The FHR nadir lags behind the contraction peak.
Late decelerations are always non-reassuring and indicate uteroplacental
insufficiency — reduced O■ delivery to the fetus during contractions. Causes:
maternal hypotension, uterine tachysystole, placental abruption, chronic
placental insufficiency.
_
, NR327 – Maternal Health Nursing
W4 Exam 1 & W8 Exam 2 | Questions, Answers & Rationale
Q1 | NR327 W8 Exam 2 — Drop-Down / Complete the Sentence
Complete the sentence. The nurse is caring for a client in labor with the fetal heart
monitor strip shown above. The nurse identifies this as (1) and should investigate
further for (2) .
Options for (1): early decelerations | late decelerations | variable decelerations
Options for (2): uteroplacental insufficiency / fetal hypoxia | cord compression |
head compression
✔ Correct Answers:
(1) Late decelerations (2) Uteroplacental insufficiency / fetal hypoxia
■ Rationale:
The strip shows decelerations that begin after the peak of the uterine contraction and
return to baseline after the contraction ends — the defining characteristic of late
decelerations. The FHR nadir lags behind the contraction peak.
Late decelerations are always non-reassuring and indicate uteroplacental
insufficiency — reduced O■ delivery to the fetus during contractions. Causes:
maternal hypotension, uterine tachysystole, placental abruption, chronic
placental insufficiency
_
, NR327 – Maternal Health Nursing
W4 Exam 1 & W8 Exam 2 | Questions, Answers & Rationale
Q1 | NR327 W8 Exam 2 — Drop-Down / Complete the Sentence
Complete the sentence. The nurse is caring for a client in labor with the fetal heart
monitor strip shown above. The nurse identifies this as (1) and should investigate
further for (2) .
Options for (1): early decelerations | late decelerations | variable decelerations
Options for (2): uteroplacental insufficiency / fetal hypoxia | cord compression |
head compression
✔ Correct Answers:
(1) Late decelerations (2) Uteroplacental insufficiency / fetal hypoxia
■ Rationale:
The strip shows decelerations that begin after the peak of the uterine contraction and
return to baseline after the contraction ends — the defining characteristic of late
decelerations. The FHR nadir lags behind the contraction peak.
Late decelerations are always non-reassuring and indicate uteroplacental
insufficiency — reduced O■ delivery to the fetus during contractions. Causes:
maternal hypotension, uterine tachysystole, placental abruption, chronic
placental insufficiency.
_
