N352 EXAM 1 REVIEW QUESTIONS & ANSWERS
What are late fhr decelerations caused by?
1. Altered cerebral blood flow
2. Umbilical cord compression
3. Placental insufficiency
4. Meconium fluid - answers-3. Placental insufficiency
A patient in labor is undergoing an epidural block and is given iv fluid. What is the
purpose of this?
1. To treat hypotension that results from hemorrhage
2. To increase urine output
3. To treat insensible fluid losses
4. To treat hypotension that results from sympathetic blockade - answers-4. To treat
hypotension that results from sympathetic blockade
Members of the labor and delivery unit are reviewing principles of electronic fetal
monitoring. Which facts are regarded as accurate? (select all that apply)
1. The normal fhr is 110-160 bpm
2. A fhr of 130 is considered tachycardia
3. An acceleration of fhr are considered a sign of fetal well being
4. A deceleration of fhr may be benign, depending on when it occurs in relation to
uterine contractions - answers-1. The normal fhr is 110-160 bpm
3. An acceleration of fhr are considered a sign of fetal well being
4. A deceleration of fhr may be benign, depending on when it occurs in relation to
uterine contractions
An early deceleration is usually a result of descent and pressure on the fetal head.
Assessment of descent may be assessed by:
1. Palpation of the abdomen
2. Vaginal exam
3. Ultrasound
4. Auscultation of uterus - answers-2. Vaginal exam
The nurse is caring for a 34-year old g4p3 experiencing a prolonged labor. The
physician performed an amniotomy 3 hours ago to stimulate the progression of labor.
The patient's most recent vaginal exam was 8/80/0. Which assessment finding should
the nurse be most concerned about?
1. Pain score of 7/10
2. Fhr baseline of 165
3. Mild variable decelerations
What are late fhr decelerations caused by?
1. Altered cerebral blood flow
2. Umbilical cord compression
3. Placental insufficiency
4. Meconium fluid - answers-3. Placental insufficiency
A patient in labor is undergoing an epidural block and is given iv fluid. What is the
purpose of this?
1. To treat hypotension that results from hemorrhage
2. To increase urine output
3. To treat insensible fluid losses
4. To treat hypotension that results from sympathetic blockade - answers-4. To treat
hypotension that results from sympathetic blockade
Members of the labor and delivery unit are reviewing principles of electronic fetal
monitoring. Which facts are regarded as accurate? (select all that apply)
1. The normal fhr is 110-160 bpm
2. A fhr of 130 is considered tachycardia
3. An acceleration of fhr are considered a sign of fetal well being
4. A deceleration of fhr may be benign, depending on when it occurs in relation to
uterine contractions - answers-1. The normal fhr is 110-160 bpm
3. An acceleration of fhr are considered a sign of fetal well being
4. A deceleration of fhr may be benign, depending on when it occurs in relation to
uterine contractions
An early deceleration is usually a result of descent and pressure on the fetal head.
Assessment of descent may be assessed by:
1. Palpation of the abdomen
2. Vaginal exam
3. Ultrasound
4. Auscultation of uterus - answers-2. Vaginal exam
The nurse is caring for a 34-year old g4p3 experiencing a prolonged labor. The
physician performed an amniotomy 3 hours ago to stimulate the progression of labor.
The patient's most recent vaginal exam was 8/80/0. Which assessment finding should
the nurse be most concerned about?
1. Pain score of 7/10
2. Fhr baseline of 165
3. Mild variable decelerations
