Name: Score:
49 Multiple choice questions
Term 1 of 49
Evaluate Robin’s tracing 5 minutes later:
What is the correct interpretation of the tracing?
Minimal variability
Maximize oxygenation
Sinusoidal pattern
Fetal bradycardia
Term 2 of 49
What do you observe in the tracing that rules out metabolic acidemia at the time of assessment?
prolonged bradycardia lasting more than 10 minutes
decelerations occurring with every contraction
flat baseline heart rate with minimal variability
15x15 accelerations
Term 3 of 49
if the nurse does not get the appropriate response from the provider, the next step is
Wait for the provider to respond before taking any further action
Document the lack of response and move on to other tasks
Activate the chain of communication (command)
Consult with another nurse for advice on how to proceed
,Term 4 of 49
Shelby delivers a male infant with Apgar scores of 2 and 3. Umbilical arterial cord blood gas
results are:
pH: 6.92
pCO2: 79
pO2: 11
BE: -7.6
What is the correct interpretation of the cord blood gas?
Respiratory acidemia
Yes, the presence of moderate variability rules out metabolic acidemia
Variable decelerations
late decelerations
Term 5 of 49
Robin’s nurse notifies the provider about the vital signs, EFM tracing and vaginal exam. The nurse
also reports Robin’s pain level. The provider orders an IV fluid bolus, continuous EFM, and
butorphanol tartrate for pain.
This is Robin’s tracing 1 hour later. She reports that her pain is now a 5 on a 1–10 scale. She also
states that the pain is constant.
Describe the type of variability seen in the majority of the tracing
Moderate
Absent
Placental Abruption
Present
, Term 6 of 49
Robin has a cesarean birth. Umbilical arterial cord blood gas results are as follows
pH: 6.86
pCO2: 48
pO2: 4.2
BE: -23.7
These results meet the criteria for:
Metabolic acidemia
Respiratory acidemia
amplitude and frequency
Variable decelerations
Term 7 of 49
What extrinsic factor can you identify as a possible cause for the observed pattern?
postpartum hemorrhage
aging placenta
variable decelerations
placental abruption
Term 8 of 49
Which statement most accurately reflects the EFM tracing?
Fetal heart rate is irrelevant to maternal health.
The tracing indicates a need for immediate surgery.
Maternal and fetal heart rates should be verified.
Only fetal heart rate should be monitored during labor.
49 Multiple choice questions
Term 1 of 49
Evaluate Robin’s tracing 5 minutes later:
What is the correct interpretation of the tracing?
Minimal variability
Maximize oxygenation
Sinusoidal pattern
Fetal bradycardia
Term 2 of 49
What do you observe in the tracing that rules out metabolic acidemia at the time of assessment?
prolonged bradycardia lasting more than 10 minutes
decelerations occurring with every contraction
flat baseline heart rate with minimal variability
15x15 accelerations
Term 3 of 49
if the nurse does not get the appropriate response from the provider, the next step is
Wait for the provider to respond before taking any further action
Document the lack of response and move on to other tasks
Activate the chain of communication (command)
Consult with another nurse for advice on how to proceed
,Term 4 of 49
Shelby delivers a male infant with Apgar scores of 2 and 3. Umbilical arterial cord blood gas
results are:
pH: 6.92
pCO2: 79
pO2: 11
BE: -7.6
What is the correct interpretation of the cord blood gas?
Respiratory acidemia
Yes, the presence of moderate variability rules out metabolic acidemia
Variable decelerations
late decelerations
Term 5 of 49
Robin’s nurse notifies the provider about the vital signs, EFM tracing and vaginal exam. The nurse
also reports Robin’s pain level. The provider orders an IV fluid bolus, continuous EFM, and
butorphanol tartrate for pain.
This is Robin’s tracing 1 hour later. She reports that her pain is now a 5 on a 1–10 scale. She also
states that the pain is constant.
Describe the type of variability seen in the majority of the tracing
Moderate
Absent
Placental Abruption
Present
, Term 6 of 49
Robin has a cesarean birth. Umbilical arterial cord blood gas results are as follows
pH: 6.86
pCO2: 48
pO2: 4.2
BE: -23.7
These results meet the criteria for:
Metabolic acidemia
Respiratory acidemia
amplitude and frequency
Variable decelerations
Term 7 of 49
What extrinsic factor can you identify as a possible cause for the observed pattern?
postpartum hemorrhage
aging placenta
variable decelerations
placental abruption
Term 8 of 49
Which statement most accurately reflects the EFM tracing?
Fetal heart rate is irrelevant to maternal health.
The tracing indicates a need for immediate surgery.
Maternal and fetal heart rates should be verified.
Only fetal heart rate should be monitored during labor.
