Advanced Fetal Monitoring EXAM 2024 |
ALL CURRENT EXAM VERSIONS 2024 |
ACCURATE REAL EXAM QUESTIONS AND
ANSWERS | ACCURATE AND VERIFIED FOR
GUARANTEED PASS | GRADED A WITH
100+ QUESTIONS
When using Intermittent Auscultation, FHR should be assessed when?
- ANSWER Before and after admission, any interventions (augmentation, ambulation, medication
administration, analgesia/anesthesia), SROM, SVE, and recognition of abnormal contraction pattern.
True or False: When performing Intermittent Auscultation, you should listen immediately after a
contraction for at least 30 seconds.
- ANSWER False. Should listen for 30-60 seconds. If any changes in FHR are noted, further evaluation is
critical (increased frequency of IA or continuous EFM)
Electronic Fetal Monitoring for FHR is performed using either..?
- ANSWER Ultrasound or Fetal Scalp Electrode.
True or False: EFM via ultrasound is a precise method of monitoring.
- ANSWER False. The signal is not precise due to multiple reflections of the sound wave. The machine will
choose what sound it listens to.
True or False: EFM via FSE is a precise method of monitoring.
- ANSWER True. The signal is precise and received from the peak of the R from the QRS complex. The
monitor counts the R to R interval.
,In a breech presentation, external EFM may count the maternal heart rate. What action should the RN
perform to confirm FHR vs MHR?
- ANSWER Take maternal pulse, compare rates, and document.
In EFM, the monitor counts the interval from one heartbeat to the next and converts it into FHR using
the formula...
- ANSWER 60/T (Time) (Time is measured in milliseconds per minute ms/min) The short the interval the
higher the rate.
In a twin gestation, EFM may be difficult due to...
- ANSWER Similarity in the FHR range
Limitations to internal EFM include:
A. Required ROM
B. SVE required
C. Slight increased risk of infection
D. May half FHR <180
E. May record MHR in the case of a fetal demise
F. All of the above
G. All except D.
- ANSWER F. All of the above
External Fetal Monitoring for uterine activity includes..?
- ANSWER Tocodynamometer and Intrauterine Pressure Catheter
Limitations of a TOCO include...
- ANSWER May need readjusting and cannot determine intensity or resting tone
Limitations of IUPC include...
, - ANSWER ROM required, slight increased risk of infection, and (rare) risk of causing placental
separation/uterine trauma
What does legal standard of care mean?
- ANSWER What any professional with the same or similar background, education, and training would
do under the same or similar circumstances.
Position Statement: FHR monitoring requires ___________________ and __________________ skills. -
ANSWER advanced assessment and clinical judgement
Position Statement: FHR monitoring should ___ be delegated to ____________________ or others that
do not possess the appropriate licensure, education, and skill validation.
- ANSWER not, unlicensed personnel
Position Statement: Women's __________ and _____________________ should guide selection of FHR
monitoring techniques.
- ANSWER preference, and clinical presentation
Position Statement: Avoid describing the FHR patterns. Use _____ terminology.
- ANSWER NICHD
Position Statement: It is within the scope of practice of the nurse to implement customary
_____________ in response to FHR ____________ and ___________________.
- ANSWER interventions, monitoring data and clinical assessment
Position Statement: Interprofessional policies should support the RN in making decisions regarding fetal
monitoring practice and _________________________ when appropriate to maternal and fetal
conditions.
- ANSWER intervening independently
Position Statement: Chain of Authority (command) is used to _________ the best interests of the _____,
____, and members of the ________________.
ALL CURRENT EXAM VERSIONS 2024 |
ACCURATE REAL EXAM QUESTIONS AND
ANSWERS | ACCURATE AND VERIFIED FOR
GUARANTEED PASS | GRADED A WITH
100+ QUESTIONS
When using Intermittent Auscultation, FHR should be assessed when?
- ANSWER Before and after admission, any interventions (augmentation, ambulation, medication
administration, analgesia/anesthesia), SROM, SVE, and recognition of abnormal contraction pattern.
True or False: When performing Intermittent Auscultation, you should listen immediately after a
contraction for at least 30 seconds.
- ANSWER False. Should listen for 30-60 seconds. If any changes in FHR are noted, further evaluation is
critical (increased frequency of IA or continuous EFM)
Electronic Fetal Monitoring for FHR is performed using either..?
- ANSWER Ultrasound or Fetal Scalp Electrode.
True or False: EFM via ultrasound is a precise method of monitoring.
- ANSWER False. The signal is not precise due to multiple reflections of the sound wave. The machine will
choose what sound it listens to.
True or False: EFM via FSE is a precise method of monitoring.
- ANSWER True. The signal is precise and received from the peak of the R from the QRS complex. The
monitor counts the R to R interval.
,In a breech presentation, external EFM may count the maternal heart rate. What action should the RN
perform to confirm FHR vs MHR?
- ANSWER Take maternal pulse, compare rates, and document.
In EFM, the monitor counts the interval from one heartbeat to the next and converts it into FHR using
the formula...
- ANSWER 60/T (Time) (Time is measured in milliseconds per minute ms/min) The short the interval the
higher the rate.
In a twin gestation, EFM may be difficult due to...
- ANSWER Similarity in the FHR range
Limitations to internal EFM include:
A. Required ROM
B. SVE required
C. Slight increased risk of infection
D. May half FHR <180
E. May record MHR in the case of a fetal demise
F. All of the above
G. All except D.
- ANSWER F. All of the above
External Fetal Monitoring for uterine activity includes..?
- ANSWER Tocodynamometer and Intrauterine Pressure Catheter
Limitations of a TOCO include...
- ANSWER May need readjusting and cannot determine intensity or resting tone
Limitations of IUPC include...
, - ANSWER ROM required, slight increased risk of infection, and (rare) risk of causing placental
separation/uterine trauma
What does legal standard of care mean?
- ANSWER What any professional with the same or similar background, education, and training would
do under the same or similar circumstances.
Position Statement: FHR monitoring requires ___________________ and __________________ skills. -
ANSWER advanced assessment and clinical judgement
Position Statement: FHR monitoring should ___ be delegated to ____________________ or others that
do not possess the appropriate licensure, education, and skill validation.
- ANSWER not, unlicensed personnel
Position Statement: Women's __________ and _____________________ should guide selection of FHR
monitoring techniques.
- ANSWER preference, and clinical presentation
Position Statement: Avoid describing the FHR patterns. Use _____ terminology.
- ANSWER NICHD
Position Statement: It is within the scope of practice of the nurse to implement customary
_____________ in response to FHR ____________ and ___________________.
- ANSWER interventions, monitoring data and clinical assessment
Position Statement: Interprofessional policies should support the RN in making decisions regarding fetal
monitoring practice and _________________________ when appropriate to maternal and fetal
conditions.
- ANSWER intervening independently
Position Statement: Chain of Authority (command) is used to _________ the best interests of the _____,
____, and members of the ________________.
