EXAM 100 QUESTIONS AND CORRECT DETAILED
ANSWERS(GRADED A+)
Whenkiskfetalkbradycardiakmostkcommon?
a. Intra-amniotickinfection
b. Fetalkanemia
c. Prolongedkumbilicalkcordk compression
d. Treatmentkwithkatropinek-k CORRECTk ANSWER-C
Whilekevaluatingkankexternalkmonitorytracingkofkakwomankinkactiveklabour,ktheknurs
k eknoteskthatkthekfetalkheartyratek(FHR)kforyfiveksequentialkcontractionskbeginsktokd
eckelerateklatekinkthekcontraction,kwithktheknadirkofkthekdecelerationskoccurringkafte
rkthkekpeakkofkthekcontraction.kWhatyisktheknurse'skprioritykintervention?
a. Changekthekwoman'sk position.
b. Notifykthekcarek provider.
c. Assistkwithkamnioinfusion.
d. Insertkakscalpkelectrode.k-
kCORRECTkANSWER-
AkWhichkiskakcausekofkearlykdecelerations?
a. Transientkfetalkheadkcompression
b. Umbilicalk cordkcompression
c. Uteroplacentalkinsufficiency
d. Spontaneouskrupturek ofk membranesk -k CORRECTkANSWER-A
Whichkisktruekinkrelationktokaccelerationskwithkfetalkmovement?
a. Theykarekconsideredk normal.
b. Theykarek causedk bykumbilicalk cordk compression.
c. Theykwarrantkclosekobservation.
d. Theykarekcausedkbykuteroplacentalkinsufficiency.k-
kCORRECTkANSWER-
AkWhichkiskakcausekofkvariablekfetalkheartkratek(FHR)kdecelerations?
a. Alteredkfetalkcerebralkbloodkflow
b. Umbilicalk cordkcompression
c. Uteroplacentalkinsufficiency
d. Fetalkhypoxemiak -k CORRECTk ANSWER-B
Whatkshouldktheknursekwhokiskprovidingkcarekforktheklabouringkwomankunderstand
kaboutklatekfetalkheartkratek(FHR)kdecelerations?
,a. Alteredkcerebralkbloodkflow
b. Umbilicalk cordkcompression
,c. Uteroplacentalkinsufficiency
d. Meconiumkfluidk-kCORRECTkANSWER-C
Whenkprovidingkcarekforktheklabouringywoman,kwhichkfetalkheartkratek(FHR)kdevia
tikonkshouldktheknursekunderstandkthatkamnioinfusionkiskusedktoktreat?
a. Variablekdecelerations
b. Latekdecelerations
c. Fetalkbradycardia
d. Fetalktachycardiak-kCORRECTkANSWER-A
Whatkshouldktheknursekassesskforkwhenkcaringkforkthekwomankinklabourkwhokexpe
rikenceskmaternalkhypotension?
a. Earlyk decelerations
b. Fetalkdysrhythmias
c. Fetalkhypoxemia
d. Spontaneouskrupturek ofk membranesk -k CORRECTkANSWER-C
Whenkcaringkforkaklabouringkwoman,ktheknursekiskawarekthatywhichkcankleadktokank
ikncreasekinkmaternalkcardiackoutput?
a. Changekinkposition
b. Oxytocinkadministration
c. Regionalkanaesthesia
d. Intravenouskanalgesick-kCORRECTkANSWER-A
Whilekevaluatingkankexternalkmonitorytracingkofkakwomankinkactiveklabourkwhoseklak
bourkiskbeingkinduced,ktheknurseknoteskthatkthekfetalkheartyratek(FHR)kbeginsktokdec
ekleratekatkthekonsetkofkseveralkcontractionskandkreturnsktokbaselinekbeforekeachkco
ntrkactionkends.kWhatkshouldktheknursekdo?
a. Changekthekwoman'sk position.
b. Discontinuekthekoxytocinkinfusion.
c. Insertyankinternalkmonitor.
d. Documentkthekfindingk inkthekpatient'skrecord.k -kCORRECTkANSWER-D
Whichkfetalkheartkratek(FHR)kfindingkwouldkconcernktheknursekduringklabour?
a. Accelerationskwithkfetalkmovement
b. Earlyk decelerations
c. AnkaveragekFHRkofk126k beats/min
d. Latekdecelerationsk-kCORRECTkANSWER-D
Whichkiskakcommonkcausekofkdecreasedkvariabilitykinkthekfetalkheartyratek(FHR)kth
atklastsk30kminuteskorkless?
, a. Alteredkcerebralkbloodkflow
b. Fetalkhypoxemia
c. Umbilicalk cordkcompression
d. Fetalksleepkcyclesk-kCORRECTkANSWER-D
Whichkbestkassesseskfetalkwell-beingkduringklabour?
a. Thekresponsek ofkthekfetalkheartyratek (FHR)ktok labour
b. Maternalkpainkcontrol
c. Accelerationsk ink thekFHR
d. AnkFHRkabovek110kbeats/mink -kCORRECTkANSWER-A
Theknursekiskevaluatingk thekfetalkmonitorktracingkofk akpatientkwhokiskinkactiveklabour
.kSuddenlykthekfetalkheartkratek(FHR)kdropskfromkitskbaselinekofk125kdownktok80.kT
heknursekrepositionskthekmother,kprovideskoxygen,kincreaseskintravenousk(IV)kflui
d,kank dkperformskakvaginalkexamination.kThekcervixyhasknotychanged.kFivekminute
skhavekpkassed,kandkthekFHRkremainskinkthek80s.kWhatkadditionalknursingkmeasur
eskshouldkthkeknursektake?
a. Callkforkhelp.
b. Insertkak Foleykcatheter.
c. Startkoxytocin.
d. Notifykthek carekproviderkimmediately.k-k CORRECTkANSWER-D
Whatkthreekmeasureskshouldktheknursekimplementktokprovidekintrauterinekresuscit
aktion?kSelectkthekresponsekthatkbestyindicateskthekprioritykofkactionskthatkshouldkb
ektakken.
a. Callkthekprovider,krepositionk thekmother,kandkperformkakvaginalk examination.
b. Repositionkthekmother,kincreasekintravenousk(IV)kfluid,kandkpreformkakvaginalkex
akmination.
c. Administerkoxygenk tokthekmother,kincreasekIVkfluid,k andknotifyk thekcarek provider.
d. Performkakvaginalkexamination,krepositionkthekmother,kandkprovidekoxygenkviakf
akcekmask.k-kCORRECTkANSWER-B
Whichkiskaklegalkresponsibilitykofkthekperinatalknurse?
a. Correctlykinterpretingkfetalkheartyratek(FHR)kpatterns,kinitiatingkappropriateknursik
ngkinterventions,kandkdocumentingkthekoutcomes
b. Greetingkthekpatientyonkarrival,kassessingyher,kandkstartingkankintravenousk(IV)kli
nke