NURS-3031 FINAL EXAM FULLY UPDATED.
Whenyisyfetalybradycardiaymostycommon?
a.yIntra-amnioticyinfection
b.yFetalyanemia
c.yProlongedyumbilicalycordycompression
d.yTreatmentywithyatropiney-yCORRECTyANSWER-C
Whileyevaluatingyanyexternalymonitorytracingyofyaywomanyinyactiveylabour,ytheynurs
eynotesythatytheyfetalyheartyratey(FHR)yforyfiveysequentialycontractionsybeginsytoydec
elerateylateyinytheycontraction,ywithytheynadiryofytheydecelerationsyoccurringyafteryth
eypeakyofytheycontraction.yWhatyisytheynurse'sypriorityyintervention?
a.yChangeytheywoman'syposition.
b.yNotifyytheycareyprovider.
c.yAssistywithyamnioinfusion.
d.yInsertyayscalpyelectrode.y-yCORRECTyANSWER-A
Whichyisyaycauseyofyearlyydecelerations?
a.yTransientyfetalyheadycompression
b.yUmbilicalycordycompression
c.yUteroplacentalyinsufficiency
d.ySpontaneousyruptureyofymembranesy-yCORRECTyANSWER-A
Whichyisytrueyinyrelationytoyaccelerationsywithyfetalymovement?
a.yTheyyareyconsideredynormal.
b.yTheyyareycausedybyyumbilicalycordycompression.
c.yTheyywarrantycloseyobservation.
d.yTheyyareycausedybyyuteroplacentalyinsufficiency.y-yCORRECTyANSWER-A
Whichyisyaycauseyofyvariableyfetalyheartyratey(FHR)ydecelerations?
a.yAlteredyfetalycerebralybloodyflow
b.yUmbilicalycordycompression
c.yUteroplacentalyinsufficiency
d.yFetalyhypoxemiay-yCORRECTyANSWER-B
Whatyshouldytheynurseywhoyisyprovidingycareyforytheylabouringywomanyunderstandy
aboutylateyfetalyheartyratey(FHR)ydecelerations?
a.yAlteredycerebralybloodyflow
,b.yUmbilicalycordycompression
c.yUteroplacentalyinsufficiency
d.yMeconiumyfluidy-yCORRECTyANSWER-C
Whenyprovidingycareyforytheylabouringywoman,ywhichyfetalyheartyratey(FHR)ydeviati
onyshouldytheynurseyunderstandythatyamnioinfusionyisyusedytoytreat?
a.yVariableydecelerations
b.yLateydecelerations
c.yFetalybradycardia
d.yFetalytachycardiay-yCORRECTyANSWER-A
Whatyshouldytheynurseyassessyforywhenycaringyforytheywomanyinylabourywhoyexperi
encesymaternalyhypotension?
a.yEarlyydecelerations
b.yFetalydysrhythmias
c.yFetalyhypoxemia
d.ySpontaneousyruptureyofymembranesy-yCORRECTyANSWER-C
Whenycaringyforyaylabouringywoman,ytheynurseyisyawareythatywhichycanyleadytoyanyi
ncreaseyinymaternalycardiacyoutput?
a.yChangeyinyposition
b.yOxytocinyadministration
c.yRegionalyanaesthesia
d.yIntravenousyanalgesicy-yCORRECTyANSWER-A
Whileyevaluatingyanyexternalymonitorytracingyofyaywomanyinyactiveylabourywhoseyla
bouryisybeingyinduced,ytheynurseynotesythatytheyfetalyheartyratey(FHR)ybeginsytoydece
lerateyatytheyonsetyofyseveralycontractionsyandyreturnsytoybaselineybeforeyeachycontr
actionyends.yWhatyshouldytheynurseydo?
a.yChangeytheywoman'syposition.
b.yDiscontinueytheyoxytocinyinfusion.
c.yInsertyanyinternalymonitor.
d.yDocumentytheyfindingyinytheypatient'syrecord.y-yCORRECTyANSWER-D
Whichyfetalyheartyratey(FHR)yfindingywouldyconcernytheynurseyduringylabour?
a.yAccelerationsywithyfetalymovement
b.yEarlyydecelerations
c.yAnyaverageyFHRyofy126ybeats/min
d.yLateydecelerationsy-yCORRECTyANSWER-D
Whichyisyaycommonycauseyofydecreasedyvariabilityyinytheyfetalyheartyratey(FHR)ythaty
lastsy30yminutesyoryless?
,a.yAlteredycerebralybloodyflow
b.yFetalyhypoxemia
c.yUmbilicalycordycompression
d.yFetalysleepycyclesy-yCORRECTyANSWER-D
Whichybestyassessesyfetalywell-beingyduringylabour?
a.yTheyresponseyofytheyfetalyheartyratey(FHR)ytoylabour
b.yMaternalypainycontrol
c.yAccelerationsyinytheyFHR
d.yAnyFHRyabovey110ybeats/miny-yCORRECTyANSWER-A
Theynurseyisyevaluatingytheyfetalymonitorytracingyofyaypatientywhoyisyinyactiveylabour
.ySuddenlyytheyfetalyheartyratey(FHR)ydropsyfromyitsybaselineyofy125ydownytoy80.yThe
ynurseyrepositionsytheymother,yprovidesyoxygen,yincreasesyintravenousy(IV)yfluid,yan
dyperformsyayvaginalyexamination.yTheycervixyhasynotychanged.yFiveyminutesyhaveyp
assed,yandytheyFHRyremainsyinythey80s.yWhatyadditionalynursingymeasuresyshouldyth
eynurseytake?
a.yCallyforyhelp.
b.yInsertyayFoleyycatheter.
c.yStartyoxytocin.
d.yNotifyytheycareyprovideryimmediately.y-yCORRECTyANSWER-D
Whatythreeymeasuresyshouldytheynurseyimplementytoyprovideyintrauterineyresuscita
tion?ySelectytheyresponseythatybestyindicatesytheypriorityyofyactionsythatyshouldybeyta
ken.
a.yCallytheyprovider,yrepositionytheymother,yandyperformyayvaginalyexamination.
b.yRepositionytheymother,yincreaseyintravenousy(IV)yfluid,yandypreformyayvaginalyexa
mination.
c.yAdministeryoxygenytoytheymother,yincreaseyIVyfluid,yandynotifyytheycareyprovider.
d.yPerformyayvaginalyexamination,yrepositionytheymother,yandyprovideyoxygenyviayfa
ceymask.y-yCORRECTyANSWER-B
Whichyisyaylegalyresponsibilityyofytheyperinatalynurse?
a.yCorrectlyyinterpretingyfetalyheartyratey(FHR)ypatterns,yinitiatingyappropriateynursi
ngyinterventions,yandydocumentingytheyoutcomes
b.yGreetingytheypatientyonyarrival,yassessingyher,yandystartingyanyintravenousy(IV)ylin
e
, c.yApplyingytheyexternalyfetalymonitoryandynotifyingytheycareyprovider
d.yMakingysureythatytheywomanyisycomfortableyandyorientatedytoytheyunity-
yCORRECTyANSWER-A
Asyayperinatalynurse,yyouyrealizeythatywhichyaccompaniesyayfetalyheartyrateythatydem
onstratesylateydecelerations?
a.yHypotension
b.yCordycompression
c.yMaternalydrugyuse
d.yHypoxemiay-yCORRECTyANSWER-D
Aynewypatientyandyherypartneryarriveyonytheylabour,ydelivery,yrecovery,yandypostpar
tumyunityforytheybirthyofytheiryfirstychild.yYouyapplyytheyelectronicyfetalymonitory(EF
M)ytoytheywoman.yHerypartneryasksyyouytoyexplainywhatyisyprintingyonytheygraph,yref
erringytoytheyEFMystrip.yHeywantsytoyknowywhatytheybaby'syheartyrateyshouldybe.yWh
atyisytheybasisyofytheynurse'syresponse?
a.yLabourysupportypeopleydoynotyneedytoyknowyaboutyEFMyinterpretation.
b.yTheytopylineygraphsytheybaby'syheartyrate,ywhichyisybetweeny110yandy160ybutyfluct
uatesysomewhat.
c.yTheytopylineygraphsytheybaby'syheartyrate,yandytheybottomylineyletsytheynurseykno
wyhowystrongytheycontractionsyare.
d.yArrangeyforytheyhealthycareyproviderytoyexplainyinterpretationytoytheypatient'sypar
tner.y-yCORRECTyANSWER-B
Whichycharacterizesyaynormalyuterineyactivityypatternyinylabour?
a.yContractionsyeveryy2ytoy5yminutes
b.yContractionsylastingyabouty2yminutes
c.yContractionsyabouty1yminuteyapart
d.yAycontractionyintensityyofyabouty1000ymmyHgywithyrelaxationyaty50ymmyHgy-
yCORRECTyANSWER-A
Accordingytoystandardyprofessionalythinking,yhowyoftenyshouldynursesyauscultateyth
eyfetalyheartyratey(FHR)?
a.yEveryyhouryinytheyactiveyphaseyofytheyfirstystageyofylabouryinytheyabsenceyofyriskyfa
ctors
Whenyisyfetalybradycardiaymostycommon?
a.yIntra-amnioticyinfection
b.yFetalyanemia
c.yProlongedyumbilicalycordycompression
d.yTreatmentywithyatropiney-yCORRECTyANSWER-C
Whileyevaluatingyanyexternalymonitorytracingyofyaywomanyinyactiveylabour,ytheynurs
eynotesythatytheyfetalyheartyratey(FHR)yforyfiveysequentialycontractionsybeginsytoydec
elerateylateyinytheycontraction,ywithytheynadiryofytheydecelerationsyoccurringyafteryth
eypeakyofytheycontraction.yWhatyisytheynurse'sypriorityyintervention?
a.yChangeytheywoman'syposition.
b.yNotifyytheycareyprovider.
c.yAssistywithyamnioinfusion.
d.yInsertyayscalpyelectrode.y-yCORRECTyANSWER-A
Whichyisyaycauseyofyearlyydecelerations?
a.yTransientyfetalyheadycompression
b.yUmbilicalycordycompression
c.yUteroplacentalyinsufficiency
d.ySpontaneousyruptureyofymembranesy-yCORRECTyANSWER-A
Whichyisytrueyinyrelationytoyaccelerationsywithyfetalymovement?
a.yTheyyareyconsideredynormal.
b.yTheyyareycausedybyyumbilicalycordycompression.
c.yTheyywarrantycloseyobservation.
d.yTheyyareycausedybyyuteroplacentalyinsufficiency.y-yCORRECTyANSWER-A
Whichyisyaycauseyofyvariableyfetalyheartyratey(FHR)ydecelerations?
a.yAlteredyfetalycerebralybloodyflow
b.yUmbilicalycordycompression
c.yUteroplacentalyinsufficiency
d.yFetalyhypoxemiay-yCORRECTyANSWER-B
Whatyshouldytheynurseywhoyisyprovidingycareyforytheylabouringywomanyunderstandy
aboutylateyfetalyheartyratey(FHR)ydecelerations?
a.yAlteredycerebralybloodyflow
,b.yUmbilicalycordycompression
c.yUteroplacentalyinsufficiency
d.yMeconiumyfluidy-yCORRECTyANSWER-C
Whenyprovidingycareyforytheylabouringywoman,ywhichyfetalyheartyratey(FHR)ydeviati
onyshouldytheynurseyunderstandythatyamnioinfusionyisyusedytoytreat?
a.yVariableydecelerations
b.yLateydecelerations
c.yFetalybradycardia
d.yFetalytachycardiay-yCORRECTyANSWER-A
Whatyshouldytheynurseyassessyforywhenycaringyforytheywomanyinylabourywhoyexperi
encesymaternalyhypotension?
a.yEarlyydecelerations
b.yFetalydysrhythmias
c.yFetalyhypoxemia
d.ySpontaneousyruptureyofymembranesy-yCORRECTyANSWER-C
Whenycaringyforyaylabouringywoman,ytheynurseyisyawareythatywhichycanyleadytoyanyi
ncreaseyinymaternalycardiacyoutput?
a.yChangeyinyposition
b.yOxytocinyadministration
c.yRegionalyanaesthesia
d.yIntravenousyanalgesicy-yCORRECTyANSWER-A
Whileyevaluatingyanyexternalymonitorytracingyofyaywomanyinyactiveylabourywhoseyla
bouryisybeingyinduced,ytheynurseynotesythatytheyfetalyheartyratey(FHR)ybeginsytoydece
lerateyatytheyonsetyofyseveralycontractionsyandyreturnsytoybaselineybeforeyeachycontr
actionyends.yWhatyshouldytheynurseydo?
a.yChangeytheywoman'syposition.
b.yDiscontinueytheyoxytocinyinfusion.
c.yInsertyanyinternalymonitor.
d.yDocumentytheyfindingyinytheypatient'syrecord.y-yCORRECTyANSWER-D
Whichyfetalyheartyratey(FHR)yfindingywouldyconcernytheynurseyduringylabour?
a.yAccelerationsywithyfetalymovement
b.yEarlyydecelerations
c.yAnyaverageyFHRyofy126ybeats/min
d.yLateydecelerationsy-yCORRECTyANSWER-D
Whichyisyaycommonycauseyofydecreasedyvariabilityyinytheyfetalyheartyratey(FHR)ythaty
lastsy30yminutesyoryless?
,a.yAlteredycerebralybloodyflow
b.yFetalyhypoxemia
c.yUmbilicalycordycompression
d.yFetalysleepycyclesy-yCORRECTyANSWER-D
Whichybestyassessesyfetalywell-beingyduringylabour?
a.yTheyresponseyofytheyfetalyheartyratey(FHR)ytoylabour
b.yMaternalypainycontrol
c.yAccelerationsyinytheyFHR
d.yAnyFHRyabovey110ybeats/miny-yCORRECTyANSWER-A
Theynurseyisyevaluatingytheyfetalymonitorytracingyofyaypatientywhoyisyinyactiveylabour
.ySuddenlyytheyfetalyheartyratey(FHR)ydropsyfromyitsybaselineyofy125ydownytoy80.yThe
ynurseyrepositionsytheymother,yprovidesyoxygen,yincreasesyintravenousy(IV)yfluid,yan
dyperformsyayvaginalyexamination.yTheycervixyhasynotychanged.yFiveyminutesyhaveyp
assed,yandytheyFHRyremainsyinythey80s.yWhatyadditionalynursingymeasuresyshouldyth
eynurseytake?
a.yCallyforyhelp.
b.yInsertyayFoleyycatheter.
c.yStartyoxytocin.
d.yNotifyytheycareyprovideryimmediately.y-yCORRECTyANSWER-D
Whatythreeymeasuresyshouldytheynurseyimplementytoyprovideyintrauterineyresuscita
tion?ySelectytheyresponseythatybestyindicatesytheypriorityyofyactionsythatyshouldybeyta
ken.
a.yCallytheyprovider,yrepositionytheymother,yandyperformyayvaginalyexamination.
b.yRepositionytheymother,yincreaseyintravenousy(IV)yfluid,yandypreformyayvaginalyexa
mination.
c.yAdministeryoxygenytoytheymother,yincreaseyIVyfluid,yandynotifyytheycareyprovider.
d.yPerformyayvaginalyexamination,yrepositionytheymother,yandyprovideyoxygenyviayfa
ceymask.y-yCORRECTyANSWER-B
Whichyisyaylegalyresponsibilityyofytheyperinatalynurse?
a.yCorrectlyyinterpretingyfetalyheartyratey(FHR)ypatterns,yinitiatingyappropriateynursi
ngyinterventions,yandydocumentingytheyoutcomes
b.yGreetingytheypatientyonyarrival,yassessingyher,yandystartingyanyintravenousy(IV)ylin
e
, c.yApplyingytheyexternalyfetalymonitoryandynotifyingytheycareyprovider
d.yMakingysureythatytheywomanyisycomfortableyandyorientatedytoytheyunity-
yCORRECTyANSWER-A
Asyayperinatalynurse,yyouyrealizeythatywhichyaccompaniesyayfetalyheartyrateythatydem
onstratesylateydecelerations?
a.yHypotension
b.yCordycompression
c.yMaternalydrugyuse
d.yHypoxemiay-yCORRECTyANSWER-D
Aynewypatientyandyherypartneryarriveyonytheylabour,ydelivery,yrecovery,yandypostpar
tumyunityforytheybirthyofytheiryfirstychild.yYouyapplyytheyelectronicyfetalymonitory(EF
M)ytoytheywoman.yHerypartneryasksyyouytoyexplainywhatyisyprintingyonytheygraph,yref
erringytoytheyEFMystrip.yHeywantsytoyknowywhatytheybaby'syheartyrateyshouldybe.yWh
atyisytheybasisyofytheynurse'syresponse?
a.yLabourysupportypeopleydoynotyneedytoyknowyaboutyEFMyinterpretation.
b.yTheytopylineygraphsytheybaby'syheartyrate,ywhichyisybetweeny110yandy160ybutyfluct
uatesysomewhat.
c.yTheytopylineygraphsytheybaby'syheartyrate,yandytheybottomylineyletsytheynurseykno
wyhowystrongytheycontractionsyare.
d.yArrangeyforytheyhealthycareyproviderytoyexplainyinterpretationytoytheypatient'sypar
tner.y-yCORRECTyANSWER-B
Whichycharacterizesyaynormalyuterineyactivityypatternyinylabour?
a.yContractionsyeveryy2ytoy5yminutes
b.yContractionsylastingyabouty2yminutes
c.yContractionsyabouty1yminuteyapart
d.yAycontractionyintensityyofyabouty1000ymmyHgywithyrelaxationyaty50ymmyHgy-
yCORRECTyANSWER-A
Accordingytoystandardyprofessionalythinking,yhowyoftenyshouldynursesyauscultateyth
eyfetalyheartyratey(FHR)?
a.yEveryyhouryinytheyactiveyphaseyofytheyfirstystageyofylabouryinytheyabsenceyofyriskyfa
ctors
