NSG 3500/ NSG3500 Exam 2 (New 2026/ 2027 Update) Maternal Health Guide | Questions & Answers | Grade A| 100% Correct (Verified Solutions)- Galen

NSGl 3500/l NSG3500l Examl 2l (Newl 2026/l
2027l Update)l Maternall Healthl Guidel |l
Questionsl &l Answersl |l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-l Galen


QUESTION
Earlyl Decelerations

Answer:
Visuallyl apparent,l usuallyl symmetrical,l graduall decreasel andl returnl ofl thel FHRl
associatedl withl al uterinel contraction
-l They'rel characterizedl byl al decelerationl inl thel FHRl thatl resemblesl al mirrorl imagel tol
thel contraction
-l Thel onsetl ofl thel decelerationl beginsl nearl thel onsetl ofl thel contraction,l thel lowestl partl
ofl thel decelerationl occursl atl thel peakl ofl thel contraction,l andl thel FHRl returnsl tol
baselinel byl thel endl ofl thel contraction
-l repetitivel andl arel commonlyl observedl duringl activel laborl andl descentl ofl thel fetus



QUESTION
Earlyl decelerationsl interventions:

Answer:
None!l Documentl andl preparel forl delivery.



QUESTION
Variablel Decelerations

Answer:

,-l Visuallyl abruptl decreasel inl FHRl belowl thel baselinel inl 15l bpml orl more,l lastsl atl
leastl 15l seconds,l andl returnsl tol thel baselinel inl lessl thanl 2l minutesl froml thel timel ofl
onset
-l Occurl atl anyl timel duringl thel uterinel contractingl phasel andl mayl appearl inl thel shapel
ofl al "U",l "W,"l orl "V"
-l Thoughtl tol resultl froml umbilicall cordl compression,l whichl triggersl vagall responsel thatl
slowsl thel FHR



QUESTION
Variablel Decelerationsl Nursingl Actions

Answer:
-l Changel thel maternall position
-l Discontinuel thel Pitocinl ->l al tocolyticl (terbutaline)l mayl bel given
-l Administerl oxygenl (8-10l L/minl vial tightl facel mask)
-l Assistl withl anl amnioinfusionl (ifl ordered)
-l Fluids



QUESTION
Latel Decelerations

Answer:
-l Latel Onset,l andl beginsl aroundl thel peakl ofl thel contraction.l Thisl typel ofl decelerationl
doesl notl resolvel untill afterl thel contractionl hasl ended
-l Indicatedl thel presencel ofl uteroplacentall insufficiency,l al declinel inl placentall perfusion
-l Al decreasel inl bloodl flowl froml thel uterusl tol thel placental resultsl inl fetall hypoxial andl
____l decelerations
-l REQUIRESl PROMPTl ATTENTIONl ANDl REPORTING



QUESTION
Latel Decelerationsl Nursingl Actions

Answer:
-l SHUTl THEl PITOCINl OFF!!!!
-l Positionl changesl

, -l Assessl forl maternall hypotensionl ->l IVFl Bolus!!!
-l Administerl oxygenl (8-10l L/minl vial tightl facel mask)



QUESTION
HOPP

Answer:
HYDRATE,l OXYGENATE,l POSITIONl CHANGE,l PITOCINl OFF



QUESTION
Prolongedl Decelerations

Answer:
Thesel decelerationsl arel anl abruptl FHRl decreasesl ofl atl leastl 15l bpml froml baselinel thatl
lastl longerl thanl 2l minutesl butl lessl thanl 10l minutes;l fatal



QUESTION
Prolongedl decelerationsl Nursingl interventions

Answer:
-l Changel thel sides
-l Discontinuel thel pitocin
-l Administerl oxygenl (8-10l L/minl vial tightl facel mask)
-l Assistl withl amnioinfusionl ifl ordered
-l Preparel forl birth



QUESTION
VEALl CHOP

Answer:
V-l Variablel C-l Cordl Compressionl :(
E-l Earlyl Decelsl H-l Headl Compressionl :)
A-l Accelerationsl Ol -l OKl :)
L-Latel Decelsl Pl -l Placental :(