Test Bank For Mosby-s® Pocket Guide to Fetal Monitoring 9th Edition by Lisa A. Miller CNM 2025 UPDATE

Test Bank For Mosby's® Pocket Guide to
Fetal Monitoring
by Lisa A. Miller CNM, JD, David A. Miller, Rebecca L. Cypher




@2024

,Chapter 1: A Brief History of Fetal Monitoring

Test Bank

Multiple Choice

1. Which of the following historical developments significantly improved fetal
monitoring techniques?
a. The introduction of ultrasound technology
b. The use of fetal scalp electrodes
c. The development of electronic fetal monitoring systems
d. All of the above
ANS: D
The introduction of ultrasound technology, fetal scalp electrodes, and
electronic fetal monitoring systems collectively advanced the ability to
monitor fetal well-being during labor.
DIF: Cognitive Level: Comprehension
REF: p. 1
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Health
Promotion and Maintenance
2. What was one of the earliest methods of fetal monitoring?
a. External fetal monitoring
b. Palpation of fetal movements
c. Fetal heart rate auscultation
d. Continuous electronic monitoring
ANS: C
Fetal heart rate auscultation has been one of the earliest methods used to
monitor fetal well-being, providing valuable information about the fetus's
condition during pregnancy and labor.
DIF: Cognitive Level: Knowledge
REF: p. 2
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Health
Promotion and Maintenance
3. Which technological advancement allowed for continuous monitoring of the
fetal heart rate?
a. Fetal scalp electrodes
b. Doppler ultrasound
c. Electronic fetal monitoring systems

, d. All of the above
ANS: D
Fetal scalp electrodes, Doppler ultrasound, and electronic fetal monitoring
systems all facilitate continuous monitoring of the fetal heart rate,
enhancing the assessment of fetal status.
DIF: Cognitive Level: Comprehension
REF: p. 3
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Health
Promotion and Maintenance
4. In what decade did electronic fetal monitoring (EFM) become widely
adopted in labor and delivery units?
a. 1960s
b. 1970s
c. 1980s
d. 1990s
ANS: B
Electronic fetal monitoring became widely adopted in the 1970s,
revolutionizing the way healthcare providers monitored fetal well-being
during labor.
DIF: Cognitive Level: Knowledge
REF: p. 4
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Health
Promotion and Maintenance
5. What was a significant criticism of electronic fetal monitoring when it was
first introduced?
a. High cost of equipment
b. Increased cesarean delivery rates
c. Inaccuracy of fetal heart rate readings
d. Complexity of use
ANS: B
One significant criticism of electronic fetal monitoring was that it led to
increased cesarean delivery rates, often due to the interpretation of non-
reassuring fetal heart rate patterns.
DIF: Cognitive Level: Comprehension
REF: p. 5
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Health
Promotion and Maintenance

, 6. What does the term "fetal heart rate baseline" refer to?
a. The average heart rate over a 10-minute period
b. The lowest heart rate recorded during labor
c. The highest heart rate recorded during labor
d. The heart rate during contractions
ANS: A
The fetal heart rate baseline is defined as the average heart rate over a 10-
minute period, excluding any accelerations or decelerations.
DIF: Cognitive Level: Knowledge
REF: p. 6
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Health
Promotion and Maintenance
7. Which fetal monitoring method involves placing an electrode directly on the
fetal scalp?
a. External monitoring
b. Fetal scalp electrode monitoring
c. Doppler ultrasound
d. Telemetry monitoring
ANS: B
Fetal scalp electrode monitoring involves placing an electrode directly on
the fetal scalp to provide continuous heart rate data.
DIF: Cognitive Level: Knowledge
REF: p. 7
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Health
Promotion and Maintenance
8. What is one of the primary purposes of fetal monitoring during labor?
a. To determine the exact gestational age
b. To assess fetal well-being
c. To predict delivery complications
d. To measure maternal vital signs
ANS: B
The primary purpose of fetal monitoring during labor is to assess fetal well-
being and identify any signs of distress.
DIF: Cognitive Level: Comprehension
REF: p. 8
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Health
Promotion and Maintenance