N4410 OB Practice Questions with complete
solutions
what does this describe
palpating moms abdomen to change fetal position, performed before external monitoring
leopold maneuvers
cloudy/foul odor amniotic fluid indicates ...
infection
green amniotic fluid indicates ...
meconium stool in utero
what is the biggest complication of a fetus passing meconium stool in utero?
respiratory distress
* sticky stool gets stuck in the lungs and they can't open their airway
what does AROM mean?
artificial rupture of membranes (amnio-hook)
for ______ positioning, place continuous FHR monitor, place the monitor above the
umbilicus
breech
for ________ positioning, place the continuous FHR monitor on the LQ below umbilicus
,cephalic
for external monitoring, use ________ positioning, this enabled the monitor to be on the
fetal back
leopold
a pregnant mother has just entered the labor/birth unit, how long will the initial continuous
FHR be monitoring?
10-20 minutes
intermittent auscultation should be done every ___ minutes during active labor for low risk
women and every ___ minutes for high risk women
30 minutes, 15 minutes
once advanced to the second stage of labor, intermittent auscultation is done every ___
minutes for low risk women and every ___ minutes for high risk women
15 minutes, 5 minutes
the ______ measures contractions on the higher part of stomach on the fundus, and the
lower monitor is for FHR
TOCO
_________ is the most common cause of fetal injury
hypoxia
the use of an internal monitoring device is contraindicated if the mother is positive for
,hepatitis C, group B strep, and HIV
* IUPC breaks the barrier between mom and baby
what are the requirements for the use of IUPC?
water must be broken
2cm dilated
cephalic vertex presentation
fetus engaged (0 station)
the _____ _____ is placed by the RN and gives direct readings on the baby, while the
_________ is placed by an OBGYN and measures contraction strength
scalp electrode, IUPC
variability is an indicator of adequate ___________ to baby
oxygenation
what does absent variability indicate?
uteroplacental insufficiency
what kind of variability does this describe?
fluctuation range at < 5 beats per minute
minimal variability
, what kind of variability does this describe?
fluctuation range from 6-25 beats per minute
moderate (normal) variability
what kind of variability does this describe?
fluctuation range > 25 beats per minute
marked variability
what are some causes of marked variability?
cord prolapse/compression, HTN, hyperstimulated uterus, placental abruption
there is minimal/absent fetal heart tracings visualized on the FHR monitor, what
interventions are immediately performed by the nurse?
1. reposition mom
2. administer oxygen via face mask at 10L/min
3 fluids, labs, call provider
there is marked variability on the FHR monitor, besides the previously listed interventions,
what else will the nurse do?
1. stop pictocin infusion
2. vaginal exam (cord prolapse or surgery needed?
what is normal fetal heart rate?
solutions
what does this describe
palpating moms abdomen to change fetal position, performed before external monitoring
leopold maneuvers
cloudy/foul odor amniotic fluid indicates ...
infection
green amniotic fluid indicates ...
meconium stool in utero
what is the biggest complication of a fetus passing meconium stool in utero?
respiratory distress
* sticky stool gets stuck in the lungs and they can't open their airway
what does AROM mean?
artificial rupture of membranes (amnio-hook)
for ______ positioning, place continuous FHR monitor, place the monitor above the
umbilicus
breech
for ________ positioning, place the continuous FHR monitor on the LQ below umbilicus
,cephalic
for external monitoring, use ________ positioning, this enabled the monitor to be on the
fetal back
leopold
a pregnant mother has just entered the labor/birth unit, how long will the initial continuous
FHR be monitoring?
10-20 minutes
intermittent auscultation should be done every ___ minutes during active labor for low risk
women and every ___ minutes for high risk women
30 minutes, 15 minutes
once advanced to the second stage of labor, intermittent auscultation is done every ___
minutes for low risk women and every ___ minutes for high risk women
15 minutes, 5 minutes
the ______ measures contractions on the higher part of stomach on the fundus, and the
lower monitor is for FHR
TOCO
_________ is the most common cause of fetal injury
hypoxia
the use of an internal monitoring device is contraindicated if the mother is positive for
,hepatitis C, group B strep, and HIV
* IUPC breaks the barrier between mom and baby
what are the requirements for the use of IUPC?
water must be broken
2cm dilated
cephalic vertex presentation
fetus engaged (0 station)
the _____ _____ is placed by the RN and gives direct readings on the baby, while the
_________ is placed by an OBGYN and measures contraction strength
scalp electrode, IUPC
variability is an indicator of adequate ___________ to baby
oxygenation
what does absent variability indicate?
uteroplacental insufficiency
what kind of variability does this describe?
fluctuation range at < 5 beats per minute
minimal variability
, what kind of variability does this describe?
fluctuation range from 6-25 beats per minute
moderate (normal) variability
what kind of variability does this describe?
fluctuation range > 25 beats per minute
marked variability
what are some causes of marked variability?
cord prolapse/compression, HTN, hyperstimulated uterus, placental abruption
there is minimal/absent fetal heart tracings visualized on the FHR monitor, what
interventions are immediately performed by the nurse?
1. reposition mom
2. administer oxygen via face mask at 10L/min
3 fluids, labs, call provider
there is marked variability on the FHR monitor, besides the previously listed interventions,
what else will the nurse do?
1. stop pictocin infusion
2. vaginal exam (cord prolapse or surgery needed?
what is normal fetal heart rate?
