Fetal Monitoring | Set 1 Questions and Answers with 100% Correct Answers | Latest Version

Fetal Monitoring | Set 1 Questions and Answers with 100%
Correct Answers | Latest Version

Question 1.
Identify fetal well-being Identify the fetus who may be having hypoxic stress Two
approaches to intrapartum fetal monitoring Intermittent auscultation with palpation of
uterine activity Electronic fetal monitoring

Correct Answer: Purposes of Fetal Surveillance


Question 2.
Normal flow of oxygenated maternal blood into the placenta Normal exchange within the
placenta Patent umbilical cord vessels Normal fetal circulation Oxygen caring function

Correct Answer: Fetal Oxygenation


Question 3.
Mechanisms that influence fetal heart rate

Correct Answer: Stimulation of the sympathetic nervous system: Increases the
fetal heart rate Strengthens the heart contraction Stimulation of the
parasympathetic nervous system: Slows the heart rate


Question 4.
Pathologic Influences on Fetal Oxygenation

Correct Answer: Maternal cardiopulmonary alterations Uterine activity Placental
disruptions - can separate Interruptions in umbilical flow Fetal alterations


Question 5.
Intermittent Auscultation and Palpation

Correct Answer: Advantages Mobility is the primary advantage of auscultation
of the fetus in low-risk women The woman is free to change position and walk
The atmosphere is more natural Limitations 1-1 nursing care Uterine activity is
assessed for a small part of the total labor


Question 6.
Electronic Fetal Monitoring Pros/Cons

Correct Answer: Advantages Supplies more data about the fetus than
auscultation Provides a permanent record that may be printed or stored
electronically Gradual trends in FHR and uterine activity are apparent
Limitations Reduced mobility is the major limitation

, Question 7.
Remote surveillance Ultrasound transducer Secured on the mothers abdomen with straps
Less accurate than internal devices but are noninvasive and suitable for most women in
labor Toco transducer - top one A pressure sensitive area detects changes and abdominal
contour to measure uterine activity

Correct Answer: External Fetal Monitoring


Question 8.
Accuracy is the main advantage of using internal devices Requires ruptured membranes
and about 2 cm of cervical dilation Slightly increased risk for infection Fetal scalp electrode
(FSE) The FSE detects electrical signals from the fetal heart Intrauterine pressure catheter
(IUPC) 2 kinds of IUPCs can be used to measure uterine activity

Correct Answer: Internal Fetal Monitoring


Question 9.
Baseline Fetal Heart Rate

Correct Answer: Rate: Normal 120-160 Bradycardia <120 Tachycardia >160
Variability:


Question 10.
Temporary increase in FHR 15 bpm increase for 15 seconds Associated with fetal
movement Reassuring :)

Correct Answer: Accelerations


Question 11.
Mirror images of contraction Return to baseline fetal heart rate by end of contraction
Maternal position changes usually have no effect on pattern Associated with fetal head
compression Not associated with fetal compromise

Correct Answer: Early Decelerations


Question 12.
Begin after contraction begins (often near peak) Nadir occurs after peak of contraction
May remain in normal range and not fall far from baseline Reflect possible impaired
placental exchange Occasional late decelerations accompanied by moderate variability
Require nursing intervention to improve placetal blood flow and fetal oxygen supply Uterus
placental insuffiency!!!!!

Correct Answer: Late Decelerations


Question 13.
(cord compression!!) Caused by reduced flow through umbilical cord Shape, duration, and
degree of fall below baseline rate are variable Fall and rise in rate is abrupt Require
nursing intervention