EXAM QUESTIONS AND ANSWERS
Fetal bradycardia can result during
A. The sleep state
B. Umbilical vein compression
C. Vagal stimulation
C. Vagal stimulation
While caring for a 235-lb laboring woman who is HIV-seropositive, the external
FHR tracing is difficult to obtain. An appropriate nursing action would be to
A. Apply a fetal scalp electrode
B. Auscultate for presence of FHR variability
C. Notify the attending midwife or physician
C. Notify the attending midwife or physician
FHR decelerations that are benign and do not require intervention are
A. Early
B. Late
C. Variable
A. Early
FHR decelerations that results from decreased uteroplacental blood flow are
A. Early
B. Late
C. Variable
B. Late
FHR decelerations that results from umbilical cord compression are
A. Early
B. Late
C. Variable
C. Variable
An FHR pattern associated with severe fetal anemia is
A. Lambda
, B. Saltatory
C. Sinusoidal
C. Sinusoidal
A workup for maternal systemic lupus erythematosus would likely be ordered in
the presence of
A. Complete fetal heart block
B. Premature ventricular contractions
C. Fetal supraventricular tachycardia
A. Complete fetal heart block
Which IV fluid is most appropriate for maternal administration for intrauterine
resuscitation?
A. Lactated Ringer's solution
B. D5L/R
C. Normal saline
C. Normal saline
The position that best promotes maternal-fetal exchange is
A. Left lateral
B. Right lateral
C. Either right or left lateral
C. Either right or left lateral
The most appropriate equipment for administration of maternal oxygen for
intrauterine resuscitation at 10 L/min is a
A. Nasal cannula
B. Simple face mask
C. Nonrebreather face mask
C. Nonrebreather face mask
Accurate determination of baseline rate requires
A. At least 2 contiguous minutes of FHR in a 10-min window
B. Evaluation of the FHR over at least a 10-min window
C. Averaging the FHR over 30 min
B. Evaluation of the FHR over at least a 10-min window