NM 704 Exam 1 Graded A+
According to the ACOG bulletin on FHR monitoring, for a woman without complications,
which is the best choice for fetal assessment? - ANSWER-Either continuous electronic
fetal monitoring or intermittent auscultation is acceptable
Can the inlet be assessed through vaginal exam? - ANSWER-No
Continuous electronic fetal heart monitoring is associated with what? - ANSWER-
Increased cesearean births
Does continuous fetal monitoring make a difference in cerebral palsy? - ANSWER-No
Flexion of the fetal head during labor results in what? - ANSWER-Presentation of a
smaller diameter
How do you determine the attitude of the fetus? - ANSWER-Identify the cephalic
prominence
How do you determine the station of the fetus? - ANSWER-Palpate the ischial spines
How is the position of the fetus determined vaginally? - ANSWER-Posterior and anterior
fontanel
How should you listen for a baseline FHR with intermittent auscultation? - ANSWER-
Listen in between contractions with fetus movement
https://quizlet.com/305168123/nm704-exam-1-modules-1-3-flash-cards/ - ANSWER-
In nulliparous women, _______ typically proceeds dilation? - ANSWER-Effacement
Per ACOG, how often should you use fetal monitoring during the first stage of higher
risk pregnancy? - ANSWER-Every 15 minutes
Per ACOG, how often should you use fetal monitoring during the first stage of low risk
pregnancy? - ANSWER-Every 30 minutes
Per ACOG, how often should you use fetal monitoring during the second stage of higher
risk pregnancy? - ANSWER-Every 5 minutes
Per ACOG, how often should you use fetal monitoring during the second stage of low
risk pregnancy? - ANSWER-Every 5-15 minutes
Propagation of contractions wave of fundal dominance? - ANSWER-(1) start in the
fundus (2) last longer in the fundus (3) progress from the fundus toward the isthmus
, Restitution occurs as a result of the: - ANSWER-untwisting of the neck after birth of the
head
The passing of the mucus plug often indicates that labor will start within when? -
ANSWER-48 hours
The presence of accelerations in the FHR generally indicates? - ANSWER-The fetus is
not acidotic
To ascertain the fetal position via vaginal exam, the ________ is identified then used to
locate the fontanelle in the anterior portion of the pelvis. - ANSWER-Sagittal suture
What are 2 parts of the gravid uterus? - ANSWER-(1) fundus (2) isthmus
What are 2 ways that Nelson suggests reaching a more evidence-based approached to
cerebral palsy? - ANSWER-(1) start a task force to come up with consensus (2) create
a consensus document with relevant information on fetal monitoring for judges
What are 3 components of shared decision making? - ANSWER-(1) incorporating
preferences and values (2) collaboration (3) providing information
What are decelerations that occur with at least 50% of contractions in a 20 minute
period? - ANSWER-Recurrent decelerations
What are examples of breech presentation? - ANSWER-(1) footing (2) frank
What are examples of cephalic presentation? - ANSWER-(1) vertex (2) sinciput (3) brow
(4) face
What are hormones that cause an effect on the inducing uterine contractions, such as
oxytocin and prostaglandins? - ANSWER-Uterotonins
What are hormones that cause an effect on the uterus, such as estrogen and
progesterone? - ANSWER-Uterotropins
What are inhibitors of uterine contractions? - ANSWER-(1) progesterone (2)
prostacyclin (3) relaxin (4) nitric oxide (5) other hormones
What are strategies to limit liability exposure with fetal assessment and FHR? -
ANSWER-(1) call consult in timely manner (2) establish a mutually agreed upon set of
criteria (3) establish guidelines for assigning risk to specific FHR patterns (4) considered
decreasing oxytocin or turning it off (5) consider regular meetings with consultants to
improve practice (6) monitor the FHR in second-stage of labor frequently (7) establish
agreed upon time frames for consultant response
According to the ACOG bulletin on FHR monitoring, for a woman without complications,
which is the best choice for fetal assessment? - ANSWER-Either continuous electronic
fetal monitoring or intermittent auscultation is acceptable
Can the inlet be assessed through vaginal exam? - ANSWER-No
Continuous electronic fetal heart monitoring is associated with what? - ANSWER-
Increased cesearean births
Does continuous fetal monitoring make a difference in cerebral palsy? - ANSWER-No
Flexion of the fetal head during labor results in what? - ANSWER-Presentation of a
smaller diameter
How do you determine the attitude of the fetus? - ANSWER-Identify the cephalic
prominence
How do you determine the station of the fetus? - ANSWER-Palpate the ischial spines
How is the position of the fetus determined vaginally? - ANSWER-Posterior and anterior
fontanel
How should you listen for a baseline FHR with intermittent auscultation? - ANSWER-
Listen in between contractions with fetus movement
https://quizlet.com/305168123/nm704-exam-1-modules-1-3-flash-cards/ - ANSWER-
In nulliparous women, _______ typically proceeds dilation? - ANSWER-Effacement
Per ACOG, how often should you use fetal monitoring during the first stage of higher
risk pregnancy? - ANSWER-Every 15 minutes
Per ACOG, how often should you use fetal monitoring during the first stage of low risk
pregnancy? - ANSWER-Every 30 minutes
Per ACOG, how often should you use fetal monitoring during the second stage of higher
risk pregnancy? - ANSWER-Every 5 minutes
Per ACOG, how often should you use fetal monitoring during the second stage of low
risk pregnancy? - ANSWER-Every 5-15 minutes
Propagation of contractions wave of fundal dominance? - ANSWER-(1) start in the
fundus (2) last longer in the fundus (3) progress from the fundus toward the isthmus
, Restitution occurs as a result of the: - ANSWER-untwisting of the neck after birth of the
head
The passing of the mucus plug often indicates that labor will start within when? -
ANSWER-48 hours
The presence of accelerations in the FHR generally indicates? - ANSWER-The fetus is
not acidotic
To ascertain the fetal position via vaginal exam, the ________ is identified then used to
locate the fontanelle in the anterior portion of the pelvis. - ANSWER-Sagittal suture
What are 2 parts of the gravid uterus? - ANSWER-(1) fundus (2) isthmus
What are 2 ways that Nelson suggests reaching a more evidence-based approached to
cerebral palsy? - ANSWER-(1) start a task force to come up with consensus (2) create
a consensus document with relevant information on fetal monitoring for judges
What are 3 components of shared decision making? - ANSWER-(1) incorporating
preferences and values (2) collaboration (3) providing information
What are decelerations that occur with at least 50% of contractions in a 20 minute
period? - ANSWER-Recurrent decelerations
What are examples of breech presentation? - ANSWER-(1) footing (2) frank
What are examples of cephalic presentation? - ANSWER-(1) vertex (2) sinciput (3) brow
(4) face
What are hormones that cause an effect on the inducing uterine contractions, such as
oxytocin and prostaglandins? - ANSWER-Uterotonins
What are hormones that cause an effect on the uterus, such as estrogen and
progesterone? - ANSWER-Uterotropins
What are inhibitors of uterine contractions? - ANSWER-(1) progesterone (2)
prostacyclin (3) relaxin (4) nitric oxide (5) other hormones
What are strategies to limit liability exposure with fetal assessment and FHR? -
ANSWER-(1) call consult in timely manner (2) establish a mutually agreed upon set of
criteria (3) establish guidelines for assigning risk to specific FHR patterns (4) considered
decreasing oxytocin or turning it off (5) consider regular meetings with consultants to
improve practice (6) monitor the FHR in second-stage of labor frequently (7) establish
agreed upon time frames for consultant response
