CHAPTER 19 - FETAL HEALTH SURVEILLANCE DURING LABOUR EXAM QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026

CHAPTER 19 - FETAL HEALTH SURVEILLANCE DURING LABOUR EXAM QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026 When is fetal bradycardia most common? a. Intra-amniotic infection b. Fetal anemia c. Prolonged umbilical cord compression d. Treatment with atropine - Answers C While evaluating an external monitor tracing of a woman in active labour, the nurse notes that the fetal heart rate (FHR) for five sequential contractions begins to decelerate late in the contraction, with the nadir of the decelerations occurring after the peak of the contraction. What is the nurse's priority intervention? a. Change the woman's position. b. Notify the care provider. c. Assist with amnioinfusion. d. Insert a scalp electrode. - Answers A Which is a cause of early decelerations? a. Transient fetal head compression b. Umbilical cord compression c. Uteroplacental insufficiency d. Spontaneous rupture of membranes - Answers A Which is true in relation to accelerations with fetal movement? a. They are considered normal. b. They are caused by umbilical cord compression. c. They warrant close observation. d. They are caused by uteroplacental insufficiency. - Answers A Which is a cause of variable fetal heart rate (FHR) decelerations? a. Altered fetal cerebral blood flow b. Umbilical cord compression c. Uteroplacental insufficiency d. Fetal hypoxemia - Answers B What should the nurse who is providing care for the labouring woman understand about late fetal heart rate (FHR) decelerations? a. Altered cerebral blood flow b. Umbilical cord compression c. Uteroplacental insufficiency d. Meconium fluid - Answers C When providing care for the labouring woman, which fetal heart rate (FHR) deviation should the nurse understand that amnioinfusion is used to treat? a. Variable decelerations b. Late decelerations c. Fetal bradycardia d. Fetal tachycardia - Answers A What should the nurse assess for when caring for the woman in labour who experiences maternal hypotension? a. Early decelerations b. Fetal dysrhythmias c. Fetal hypoxemia d. Spontaneous rupture of membranes - Answers C When caring for a labouring woman, the nurse is aware that which can lead to an increase in maternal cardiac output? a. Change in position b. Oxytocin administration c. Regional anaesthesia d. Intravenous analgesic - Answers A While evaluating an external monitor tracing of a woman in active labour whose labour is being induced, the nurse notes that the fetal heart rate (FHR) begins to decelerate at the onset of several contractions and returns to baseline before each contraction ends. What should the nurse do? a. Change the woman's position. b. Discontinue the oxytocin infusion. c. Insert an internal monitor. d. Document the finding in the patient's record. - Answers D Which fetal heart rate (FHR) finding would concern the nurse during labour? a. Accelerations with fetal movement b. Early decelerations c. An average FHR of 126 beats/min d. Late decelerations - Answers D Which is a common cause of decreased variability in the fetal heart rate (FHR) that lasts 30 minutes or less? a. Altered cerebral blood flow b. Fetal hypoxemia c. Umbilical cord compression d. Fetal sleep cycles - Answers D Which best assesses fetal well-being during labour? a. The response of the fetal heart rate (FHR) to labour b. Maternal pain control c. Accelerations in the FHR d. An FHR above 110 beats/min - Answers A The nurse is evaluating the fetal monitor tracing of a patient who is in active labour. Suddenly the fetal heart rate (FHR) drops from its baseline of 125 down to 80. The nurse repositions the mother, provides oxygen, increases intravenous (IV) fluid, and performs a vaginal examination. The cervix has not changed. Five minutes have passed, and the FHR remains in the 80s. What additional nursing measures should the nurse take? a. Call for help. b. Insert a Foley catheter. c. Start oxytocin. d. Notify the care provider immediately. - Answers D What three measures should the nurse implement to provide intrauterine resuscitation? Select the response that best indicates the priority of actions that should be taken. a. Call the provider, reposition the mother, and perform a vaginal examination. b. Reposition the mother, increase intravenous (IV) fluid, and preform a vaginal examination. c. Administer oxygen to the mother, increase IV fluid, and notify the care provider. d. Perform a vaginal examination, reposition the mother, and provide oxygen via face mask. - Answers B Which is a legal responsibility of the perinatal nurse? a. Correctly interpreting fetal heart rate (FHR) patterns, initiating appropriate nursing interventions, and documenting the outcomes b. Greeting the patient on arrival, assessing her, and starting an intravenous (IV) line c. Applying the external fetal monitor and notifying the care provider d. Making sure that the woman is comfortable and orientated to the unit - Answers A