Maternal Exam 2
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1. What is the normal range for baseline fetal heart rate B
(FHR)?
A. 100-160 bpm
B. 110-160 bpm
C. 120-180 bpm
D. 130-150 bpm
2. How is baseline FHR defined? C
A. Average FHR during contractions
B. Mean FHR rounded to increments of 10 bpm over 5
minutes
C. Mean FHR rounded to 5 bpm over 10 minutes ex-
cluding accelerations/decelerations
D. FHR measured for 15 seconds between contrac-
tions
3. Which of the following best predicts adequate fetal C
oxygenation?
A. Moderate baseline rate
B. Accelerations
C. Moderate variability
D. Early decelerations
4. What amplitude defines moderate FHR variability? C
A. Undetectable
B. <5 bpm
C. 6-25 bpm
D. >25 bpm
5. What is a likely cause of absent variability? C
A. Active labor
B. Hydration
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C. Magnesium sulfate administration
D. Fetal movement
6. Which of the following is true about FHR accelerations B
in a fetus e
32 weeks?
A. Increase e10 bpm lasting e10 seconds
B. Increase e15 bpm lasting 15 seconds to <2 minutes
C. Decrease e 15 bpm with contractions
D. Always abnormal in labor
7. What defines a late deceleration? C
A. Nadir occurs at peak of contraction
B. Decrease in FHR lasting more than 10 minutes
C. Nadir occurs after peak of contraction
D. FHR increases abruptly with contractions
8. What deceleration pattern is associated with cord C
compression?
A. Early decelerations
B. Late decelerations
C. Variable decelerations
D. Sinusoidal pattern
9. A Category III tracing includes: B
A. Tachycardia and early decelerations
B. Absent variability with recurrent late decelerations
C. Moderate variability with accelerations
D. Bradycardia with moderate variability
10. Which feature is consistent with a Category I tracing? C
A. Absent variability and recurrent decels
B. Bradycardia
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C. Moderate variability
D. Sinusoidal pattern
11. A nurse is caring for a client who is 2 hours postpar- D
tum. Which of the following findings should the nurse
recognize as an indication of postpartum hemorrhage
(PPH)?
A. Blood loss of 250 mL with firm fundus
B. Blood loss of 500 mL after vaginal delivery
C. Blood loss of 1,000 mL following cesarean birth
D. Blood loss exceeding 1,000 mL
12. First nursing action for Category III tracing? C
A. Apply fetal scalp electrode
B. Perform vaginal exam
C. Reposition mother and stop oxytocin
D. Call NICU
13. When would you consider administering terbutaline? B
A. For late decelerations with tachycardia
B. For uterine tachysystole not relieved by reposition-
ing
C. For absent variability with accelerations
D. For sinusoidal pattern
14. What is the priority nursing action when variability is C
absent?
A. Start oxytocin
B. Delay delivery
C. Perform scalp stimulation and notify provider
D. Begin fundal massage
15. C
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1. What is the normal range for baseline fetal heart rate B
(FHR)?
A. 100-160 bpm
B. 110-160 bpm
C. 120-180 bpm
D. 130-150 bpm
2. How is baseline FHR defined? C
A. Average FHR during contractions
B. Mean FHR rounded to increments of 10 bpm over 5
minutes
C. Mean FHR rounded to 5 bpm over 10 minutes ex-
cluding accelerations/decelerations
D. FHR measured for 15 seconds between contrac-
tions
3. Which of the following best predicts adequate fetal C
oxygenation?
A. Moderate baseline rate
B. Accelerations
C. Moderate variability
D. Early decelerations
4. What amplitude defines moderate FHR variability? C
A. Undetectable
B. <5 bpm
C. 6-25 bpm
D. >25 bpm
5. What is a likely cause of absent variability? C
A. Active labor
B. Hydration
, Maternal Exam 2
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C. Magnesium sulfate administration
D. Fetal movement
6. Which of the following is true about FHR accelerations B
in a fetus e
32 weeks?
A. Increase e10 bpm lasting e10 seconds
B. Increase e15 bpm lasting 15 seconds to <2 minutes
C. Decrease e 15 bpm with contractions
D. Always abnormal in labor
7. What defines a late deceleration? C
A. Nadir occurs at peak of contraction
B. Decrease in FHR lasting more than 10 minutes
C. Nadir occurs after peak of contraction
D. FHR increases abruptly with contractions
8. What deceleration pattern is associated with cord C
compression?
A. Early decelerations
B. Late decelerations
C. Variable decelerations
D. Sinusoidal pattern
9. A Category III tracing includes: B
A. Tachycardia and early decelerations
B. Absent variability with recurrent late decelerations
C. Moderate variability with accelerations
D. Bradycardia with moderate variability
10. Which feature is consistent with a Category I tracing? C
A. Absent variability and recurrent decels
B. Bradycardia
, Maternal Exam 2
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C. Moderate variability
D. Sinusoidal pattern
11. A nurse is caring for a client who is 2 hours postpar- D
tum. Which of the following findings should the nurse
recognize as an indication of postpartum hemorrhage
(PPH)?
A. Blood loss of 250 mL with firm fundus
B. Blood loss of 500 mL after vaginal delivery
C. Blood loss of 1,000 mL following cesarean birth
D. Blood loss exceeding 1,000 mL
12. First nursing action for Category III tracing? C
A. Apply fetal scalp electrode
B. Perform vaginal exam
C. Reposition mother and stop oxytocin
D. Call NICU
13. When would you consider administering terbutaline? B
A. For late decelerations with tachycardia
B. For uterine tachysystole not relieved by reposition-
ing
C. For absent variability with accelerations
D. For sinusoidal pattern
14. What is the priority nursing action when variability is C
absent?
A. Start oxytocin
B. Delay delivery
C. Perform scalp stimulation and notify provider
D. Begin fundal massage
15. C
