100% Correct answers.
The nursing instructor has just completed a lecture on fetal surveillance and the use of structured
intermittent auscultation (SIA). The instructor knows that teaching was effective when the
students recognize which contradiction to the use of SIA? correct answers 26-year-old G4P3 at
39 weeks who is 3 cm dilated with a Category I tracing, being induced for gestational diabetes
mellitus (GDM)
The OB nurse is assessing a patient utilizing structured intermittent auscultation (SIA). Which
intervention assists the nurse in identifying fetal heart tones (FHT)? correct answers Auscultate
FHT's between contractions for at least 30 to 60 seconds.
The nurse is caring for a patient whose fetus has been diagnosed with Intrauterine Growth
Restriction (IUGR). The patient asks the nurse how this could have happened. Which does the
nurse recognize as a possible cause? correct answers Available oxygen chronically falls below
50% of normal levels and there is a redistribution of blood to vital organs.
While assessing a pregnant patient, the nurse notes the fetal heart rate (FHR) is 125 with
moderate variability, no accelerations and no decelerations. Using the National Institute of Child
Health and Human Development (NICHD) Criteria, which would the nurse record as the
appropriate category related to the assessment findings? correct answers Category I: Strongly
predictive of a well- oxygenated, non-acidotic fetus. No action required.
The nurse is assessing a pregnant patient who is externally monitored and contracting every 3 to
4 minutes with each contraction lasting 40 to 60 seconds. The peak of the contraction reads 90 on
the graph paper with a resting tone of 20. The patient rates her contractions as 10/10 and is
crying. Which can the nurse document, based on these findings? correct answers The frequency
and duration of contractions.
Which assessments of uterine activity are obtained by the nurse when the patient has an
intrauterine pressure catheter (IUPC) placed? Select all that apply. correct answers Frequency
Intensity
Duration
Resting Tone
The instructor is teaching the modes of fetal heart rate and contraction assessment to a class of
nursing students. What are the modes of uterine monitoring? Select all that apply. correct
answers Palpation
Intrauterine pressure catheter