Luna Morales Focused Exam: Non-
Reassuring Fetal Status Results | Completed
Course
HCM 312 (HCM312)
✅ 1. Upon assessing Luna Morales, the fetal heart rate strip shows late
decelerations. What is the nurse’s first priority?
A. Increase IV fluids
B. Apply oxygen via face mask
C. Turn the patient onto her left side
D. Notify the provider immediately
✔ Correct Answer: C. Turn the patient onto her left side
Rationale: Position change is the first-line intervention for late decelerations caused by
uteroplacental insufficiency. Left lateral position improves blood flow to the placenta.
✅ 2. Luna's fetal monitoring strip shows minimal variability with recurrent
variable decelerations. What intervention should the nurse prepare to initiate?
A. Administer a tocolytic
B. Start an amnioinfusion
C. Prepare for an immediate cesarean
D. Administer magnesium sulfate
✔ Correct Answer: B. Start an amnioinfusion
Rationale: Variable decelerations often result from cord compression. Amnioinfusion can
cushion the cord, reducing decels and improving fetal oxygenation.
✅ 3. Luna Morales is 6 cm dilated and contracting every 2 minutes. Her fetal
tracing reveals recurrent late decelerations. Which provider order is most
appropriate?
A. Increase Pitocin rate
B. Discontinue oxytocin infusion
C. Administer IV morphine
D. Prepare for epidural placement
, ✔ Correct Answer: B. Discontinue oxytocin infusion
Rationale: Uterine tachysystole can reduce oxygen to the fetus, contributing to late decels.
Stopping oxytocin helps reduce contractions and restore perfusion.
✅ 4. Luna is anxious after hearing the fetal monitor alarm. What is the best
nursing response?
A. “Try to relax; we are watching everything.”
B. “The monitor is just doing a routine check.”
C. “Your baby’s heart rate is being closely watched. I’ll explain everything.”
D. “This is normal during labor.”
✔ Correct Answer: C. “Your baby’s heart rate is being closely watched. I’ll explain
everything.”
Rationale: Therapeutic communication requires honesty, reassurance, and clarity, helping the
patient feel informed and safe.
✅ 5. Which fetal monitoring finding is most concerning in Luna Morales’s case?
A. Accelerations with fetal movement
B. Moderate baseline variability
C. Recurrent late decelerations
D. Baseline rate of 140 bpm
✔ Correct Answer: C. Recurrent late decelerations
Rationale: Late decelerations signal uteroplacental insufficiency and possible fetal hypoxia,
requiring prompt nursing and provider intervention.
✅ 6. Luna is placed on oxygen. What is the correct flow rate and delivery
method?
A. 2 L/min via nasal cannula
B. 10 L/min via non-rebreather mask
C. 6 L/min via simple face mask
D. 4 L/min via venturi mask
✔ Correct Answer: B. 10 L/min via non-rebreather mask
Rationale: High-flow oxygen via non-rebreather mask delivers nearly 100% O₂, improving
fetal oxygenation during distress.
Reassuring Fetal Status Results | Completed
Course
HCM 312 (HCM312)
✅ 1. Upon assessing Luna Morales, the fetal heart rate strip shows late
decelerations. What is the nurse’s first priority?
A. Increase IV fluids
B. Apply oxygen via face mask
C. Turn the patient onto her left side
D. Notify the provider immediately
✔ Correct Answer: C. Turn the patient onto her left side
Rationale: Position change is the first-line intervention for late decelerations caused by
uteroplacental insufficiency. Left lateral position improves blood flow to the placenta.
✅ 2. Luna's fetal monitoring strip shows minimal variability with recurrent
variable decelerations. What intervention should the nurse prepare to initiate?
A. Administer a tocolytic
B. Start an amnioinfusion
C. Prepare for an immediate cesarean
D. Administer magnesium sulfate
✔ Correct Answer: B. Start an amnioinfusion
Rationale: Variable decelerations often result from cord compression. Amnioinfusion can
cushion the cord, reducing decels and improving fetal oxygenation.
✅ 3. Luna Morales is 6 cm dilated and contracting every 2 minutes. Her fetal
tracing reveals recurrent late decelerations. Which provider order is most
appropriate?
A. Increase Pitocin rate
B. Discontinue oxytocin infusion
C. Administer IV morphine
D. Prepare for epidural placement
, ✔ Correct Answer: B. Discontinue oxytocin infusion
Rationale: Uterine tachysystole can reduce oxygen to the fetus, contributing to late decels.
Stopping oxytocin helps reduce contractions and restore perfusion.
✅ 4. Luna is anxious after hearing the fetal monitor alarm. What is the best
nursing response?
A. “Try to relax; we are watching everything.”
B. “The monitor is just doing a routine check.”
C. “Your baby’s heart rate is being closely watched. I’ll explain everything.”
D. “This is normal during labor.”
✔ Correct Answer: C. “Your baby’s heart rate is being closely watched. I’ll explain
everything.”
Rationale: Therapeutic communication requires honesty, reassurance, and clarity, helping the
patient feel informed and safe.
✅ 5. Which fetal monitoring finding is most concerning in Luna Morales’s case?
A. Accelerations with fetal movement
B. Moderate baseline variability
C. Recurrent late decelerations
D. Baseline rate of 140 bpm
✔ Correct Answer: C. Recurrent late decelerations
Rationale: Late decelerations signal uteroplacental insufficiency and possible fetal hypoxia,
requiring prompt nursing and provider intervention.
✅ 6. Luna is placed on oxygen. What is the correct flow rate and delivery
method?
A. 2 L/min via nasal cannula
B. 10 L/min via non-rebreather mask
C. 6 L/min via simple face mask
D. 4 L/min via venturi mask
✔ Correct Answer: B. 10 L/min via non-rebreather mask
Rationale: High-flow oxygen via non-rebreather mask delivers nearly 100% O₂, improving
fetal oxygenation during distress.
