NU 333 Exam 2 Chamberlain College of Nursing Detailed Study Guide & Practice
Questions (2025)
Varibality |- |answersirregular |waves |or |fluctuations |in |baseline |FHR. |does |not |include
|accelerations/decelerations. |quantified |in |bpm. |measured |from |peak |to |trough
absent |variability |- |answersAmplitude |range |of |the |FHR |fluctuations |not |detectable |to |the |unaided |
eye.
minimal |variability |- |answersAmplitude |range |less |than |or |equal |to |5 |bpm
moderate |variability |- |answersamplitude |range |6-25 |bpm
marked |variability |- |answersamplitude |range |greater |than |25 |bpm
Sinusodial |Pattern |- |answerswavelike |pattern, |uncommon |but |occurs |with |severe |fetal |anemia
clinical |significance |of |fetal |bradycardia |- |answersdepends |on |the |underlying |cause |and |the |
accompanying |FHR |patterns, |including |variability, |accelerations |or |decelerations
clinical |significance |of |fetal |tachycardia |- |answersonly |abnormal |when |associated |with |late |
decelerations, |severe |variable |decelerations |or |absent |variability
Periodic |changes |in |FHR |- |answersAssociated |with |uterine |contractions
episodic |changes |in |FHR |- |answersnot |associated |with |uterine |contractions
accelerations |- |answersPeriodic |increases |in |the |baseline |fetal |heart |rate
clinical |significance |of |accelerations |- |answersnormal |pattern; |signifies |fetal |well-being
decelerations |- |answersperiodic |decrease |in |the |baseline |fetal |heart |rate
can |be |early, |late, |variable, |prolonged
early |decelerations |- |answers*safe* |Begin |prior |to |peak |of |the |contraction |and |end |by |the |end |of |it. |
they |are |caused |by |HEAD |COMPRESSION. |no |need |for |intervention |if |variability |is |within |normal |range
|(6-10) |and |the |FHR |is |within |normal |range.
late |decelration |- |answersvisually |apparent |gradual |decrease |(onset |to |nadir |is |greater |or |equal |to |30 |
sec) |of |the |FHR |and |return |to |baseline |associated |with |a |uterine |contraction
disruption |of |OXYGEN |transfer
Variable |decelerations |- |answersHR |up |or |down, |cord |compression |= |VERY |BAD
, Prolapsed |cord= |push |head |up, |change |mom |position
nursing |management |of |abnormal |patterns |- |answers- |Supplemental |oxygen
- |Maternal |position |changes
- |Increasing |intravenous |fluids
nursing |management |for |prolonged |decelerations |- |answers1. |Discontinue |oxytocin |if |infusing.
2. |Assist |woman |to |lateral |(side-lying) |position.
3. |Administer |oxygen |at |10 |L/min |by |nonrebreather |face |mask.
4. |Correct |maternal |hypotension |by |elevating |legs.
5. |Increase |rate |of |maintenance |intravenous |solution.
6. |Palpate |uterus |to |assess |for |tachysystole.
7. |Notify |physician |or |nurse-midwife.
8. |Consider |internal |monitoring |for |more |accurate |fetal |and |uterine |assessment.
9. |Assist |with |birth |(vaginal-assisted |or |cesarean) |if |pattern |cannot |be |corrected.
nursing |management |for |variable |decelerations |- |answers1. |Discontinue |oxytocin |if |infusing.
2. |Change |maternal |position |(side |to |side, |knee |chest).
3. |Administer |oxygen |at |10 |L/min |by |nonrebreather |face |mask.
4. |Notify |physician |or |nurse-midwife.
5. |Assist |with |vaginal |or |speculum |examination |to |assess |for |cord |prolapse.
6. |Assist |with |amnioinfusion |if |ordered.
7. |Assist |with |birth |(vaginal-assisted |or |cesarean) |if |pattern |cannot |be |corrected
Category |1 |FHR |- |answers-Baseline |110-160
-moderate |variability |no |late |or |variable
-early |decells |or |accels |ok
-Normal |FHR |tracing
Category |2 |FHR |- |answersCharacterized |by |intermediate |FHR |patterns |of |tachy |or |bradycardia, |
minimal |or |absent |baseline |variability |not |accompanied |by |recurrent |decelerations, |marked |baseline |
variability, |no |accelerations, |and |periodic |or |episodic |decelerations.
Category |3 |FHR |- |answersAbnormal!
Predictive |of |abnormal |fetal |acid-base |status
Questions (2025)
Varibality |- |answersirregular |waves |or |fluctuations |in |baseline |FHR. |does |not |include
|accelerations/decelerations. |quantified |in |bpm. |measured |from |peak |to |trough
absent |variability |- |answersAmplitude |range |of |the |FHR |fluctuations |not |detectable |to |the |unaided |
eye.
minimal |variability |- |answersAmplitude |range |less |than |or |equal |to |5 |bpm
moderate |variability |- |answersamplitude |range |6-25 |bpm
marked |variability |- |answersamplitude |range |greater |than |25 |bpm
Sinusodial |Pattern |- |answerswavelike |pattern, |uncommon |but |occurs |with |severe |fetal |anemia
clinical |significance |of |fetal |bradycardia |- |answersdepends |on |the |underlying |cause |and |the |
accompanying |FHR |patterns, |including |variability, |accelerations |or |decelerations
clinical |significance |of |fetal |tachycardia |- |answersonly |abnormal |when |associated |with |late |
decelerations, |severe |variable |decelerations |or |absent |variability
Periodic |changes |in |FHR |- |answersAssociated |with |uterine |contractions
episodic |changes |in |FHR |- |answersnot |associated |with |uterine |contractions
accelerations |- |answersPeriodic |increases |in |the |baseline |fetal |heart |rate
clinical |significance |of |accelerations |- |answersnormal |pattern; |signifies |fetal |well-being
decelerations |- |answersperiodic |decrease |in |the |baseline |fetal |heart |rate
can |be |early, |late, |variable, |prolonged
early |decelerations |- |answers*safe* |Begin |prior |to |peak |of |the |contraction |and |end |by |the |end |of |it. |
they |are |caused |by |HEAD |COMPRESSION. |no |need |for |intervention |if |variability |is |within |normal |range
|(6-10) |and |the |FHR |is |within |normal |range.
late |decelration |- |answersvisually |apparent |gradual |decrease |(onset |to |nadir |is |greater |or |equal |to |30 |
sec) |of |the |FHR |and |return |to |baseline |associated |with |a |uterine |contraction
disruption |of |OXYGEN |transfer
Variable |decelerations |- |answersHR |up |or |down, |cord |compression |= |VERY |BAD
, Prolapsed |cord= |push |head |up, |change |mom |position
nursing |management |of |abnormal |patterns |- |answers- |Supplemental |oxygen
- |Maternal |position |changes
- |Increasing |intravenous |fluids
nursing |management |for |prolonged |decelerations |- |answers1. |Discontinue |oxytocin |if |infusing.
2. |Assist |woman |to |lateral |(side-lying) |position.
3. |Administer |oxygen |at |10 |L/min |by |nonrebreather |face |mask.
4. |Correct |maternal |hypotension |by |elevating |legs.
5. |Increase |rate |of |maintenance |intravenous |solution.
6. |Palpate |uterus |to |assess |for |tachysystole.
7. |Notify |physician |or |nurse-midwife.
8. |Consider |internal |monitoring |for |more |accurate |fetal |and |uterine |assessment.
9. |Assist |with |birth |(vaginal-assisted |or |cesarean) |if |pattern |cannot |be |corrected.
nursing |management |for |variable |decelerations |- |answers1. |Discontinue |oxytocin |if |infusing.
2. |Change |maternal |position |(side |to |side, |knee |chest).
3. |Administer |oxygen |at |10 |L/min |by |nonrebreather |face |mask.
4. |Notify |physician |or |nurse-midwife.
5. |Assist |with |vaginal |or |speculum |examination |to |assess |for |cord |prolapse.
6. |Assist |with |amnioinfusion |if |ordered.
7. |Assist |with |birth |(vaginal-assisted |or |cesarean) |if |pattern |cannot |be |corrected
Category |1 |FHR |- |answers-Baseline |110-160
-moderate |variability |no |late |or |variable
-early |decells |or |accels |ok
-Normal |FHR |tracing
Category |2 |FHR |- |answersCharacterized |by |intermediate |FHR |patterns |of |tachy |or |bradycardia, |
minimal |or |absent |baseline |variability |not |accompanied |by |recurrent |decelerations, |marked |baseline |
variability, |no |accelerations, |and |periodic |or |episodic |decelerations.
Category |3 |FHR |- |answersAbnormal!
Predictive |of |abnormal |fetal |acid-base |status
