N352 Chapter 9 Exam Questions With
Correct Answers
Category 1 Tracing - ANSWER 1. Baseline of 145, moderate variability, several
accelerations that are more than 15 seconds and more than 15 BPM increase
2. Baseline of 120, moderate variability, no acceleration, no deceleration
3. Baseline of 160, moderate variability, early deceleration
4. Baseline of 155, moderate variability, no decelerations, several accelerations
above 190 BPM for 40 seconds
Category 2 Tracing - ANSWER 1. Baseline of 105, moderate variability,
accelerations of 15x15
2. Baseline of 130, absent variability, no decelerations, no acelerations
3. Baseline of 175, moderate variability, accelerations above 200 bpm for 40
seconds
Category 3 Tracing - ANSWER 1. Baseline of 155, absent variability, recurrent
late decelerations
2. Baseline of 125, sinusoidal pattern, no decelerations
3. Baseline of 100, absent variability, recurrent variable decelerations
Tachysystole - ANSWER 1. Defines as more than 5 contractions in a 10 minute
period
2. contractions less than 1 minute apart
3. can be pharmacological induction of augmentation
4. may indicate abruption
Moderate variability, early decelerations, and a baseline of 115 would indicate -
ANSWER Category 1 tracing and a normal finding
A patient has ambulated to labor and delivery reporting bright red spotting for
the last hour. On the monitor, the nurse notes a baseline FHR of 165, minimal
variability, and recurrent late decelerations. She is a G3P2 at 39 weeks and 3
days. What are the nurse's next steps? - ANSWER Turn the patient on her left
side, call the provider, place her on O2, and start an IV in order to give a fluid
bolus.
A patient in labor asks the nurse how the monitors work. What is the nurse's
best response? - ANSWER The monitors help to let us know if your baby is
receiving enough oxygen through the umbilical cord and is doing ok.
, 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? - ANSWER 26 year old G4P3 at 39 weeks who is 3cm dilated with
category 1 tracing being induced for GDM
The OB nurse is assessing a patient utilizing structured intermittent auscultation
(SIA). Which intervention assists the nurse in identifying fetal heart tones (FHT)?
- ANSWER Auscultate FHT between contractions for at least 30-60 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? -
ANSWER Available O2 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? - ANSWER Category 1: strong 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? - ANSWER The frequency and
duration of the 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. - ANSWER 1. Frequency
2. Intensity
3. Duration
4. 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. - ANSWER 1. Palpation
2. Intrauterine pressure catheter
3. Tocodynamometer
The Labor and Delivery (L&D) educator has explained to a group of nurses how
the utero-placental unit functions. Which components are necessary for the
Correct Answers
Category 1 Tracing - ANSWER 1. Baseline of 145, moderate variability, several
accelerations that are more than 15 seconds and more than 15 BPM increase
2. Baseline of 120, moderate variability, no acceleration, no deceleration
3. Baseline of 160, moderate variability, early deceleration
4. Baseline of 155, moderate variability, no decelerations, several accelerations
above 190 BPM for 40 seconds
Category 2 Tracing - ANSWER 1. Baseline of 105, moderate variability,
accelerations of 15x15
2. Baseline of 130, absent variability, no decelerations, no acelerations
3. Baseline of 175, moderate variability, accelerations above 200 bpm for 40
seconds
Category 3 Tracing - ANSWER 1. Baseline of 155, absent variability, recurrent
late decelerations
2. Baseline of 125, sinusoidal pattern, no decelerations
3. Baseline of 100, absent variability, recurrent variable decelerations
Tachysystole - ANSWER 1. Defines as more than 5 contractions in a 10 minute
period
2. contractions less than 1 minute apart
3. can be pharmacological induction of augmentation
4. may indicate abruption
Moderate variability, early decelerations, and a baseline of 115 would indicate -
ANSWER Category 1 tracing and a normal finding
A patient has ambulated to labor and delivery reporting bright red spotting for
the last hour. On the monitor, the nurse notes a baseline FHR of 165, minimal
variability, and recurrent late decelerations. She is a G3P2 at 39 weeks and 3
days. What are the nurse's next steps? - ANSWER Turn the patient on her left
side, call the provider, place her on O2, and start an IV in order to give a fluid
bolus.
A patient in labor asks the nurse how the monitors work. What is the nurse's
best response? - ANSWER The monitors help to let us know if your baby is
receiving enough oxygen through the umbilical cord and is doing ok.
, 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? - ANSWER 26 year old G4P3 at 39 weeks who is 3cm dilated with
category 1 tracing being induced for GDM
The OB nurse is assessing a patient utilizing structured intermittent auscultation
(SIA). Which intervention assists the nurse in identifying fetal heart tones (FHT)?
- ANSWER Auscultate FHT between contractions for at least 30-60 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? -
ANSWER Available O2 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? - ANSWER Category 1: strong 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? - ANSWER The frequency and
duration of the 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. - ANSWER 1. Frequency
2. Intensity
3. Duration
4. 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. - ANSWER 1. Palpation
2. Intrauterine pressure catheter
3. Tocodynamometer
The Labor and Delivery (L&D) educator has explained to a group of nurses how
the utero-placental unit functions. Which components are necessary for the
