Chapter 18 Fetal Assessment During Labor Lowdermilk Study Guide Test.

Chapter 18 Fetal Assessment During Labor Lowdermilk Study Guide Test. 1. The nurse is monitoring the fetal heart rate (FHR) of a client in term labor. The FHR varies between 120 and 130 beats/minute over a 10-minute period. How does the nurse record the baseline? Record your answer using a whole number. beats/minute 2. The nurse is caring for a client with electronic fetal 125 4. It is used after the mem- monitoring using a spiral electrode. How is the use of a branes have ruptured spiral electrode different from the use of an ultrasound transducer? 1. It is used only during the antepartum period. 2. It is used when the cervix has not yet dilated. 3. It is applied firmly to the maternal abdomen. 4. It is used after the membranes have ruptured. 3. The nurse is monitoring the fetal heart rate (FHR) of a client and notices late decelerations, including a gradual decrease in and return to baseline, associated with uterine contractions. To which condition does the nurse attribute this? 1. Fundal pressure 2. Uteroplacental insufficiency 3. Vaginal examination 4. Fetal scalp stimulation 4. The nurse is monitoring the fetal heart rate (FHR) of a client. When would the nurse observe early decelera- tions? 1. During uterine contractions 2. When external sound is applied 3. When the abdomen is palpated 4. During regular fetal movement 2. Uteroplacental insufl- ciency 1. During uterine contrac- tions 5. You are evaluating the fetal monitor tracing of your client, who is in active labor. Suddenly you see the fetal heart rate (FHR) drop from its baseline of 125 down to 80. You reposition the mother, provide oxy- gen, increase IV fluid, and perform a vaginal exam. The cervix has not changed. Five minutes have passed, and the FHR remains in the 80s. What additional nursing measures should you take? 1. Call for help. 2. Insert a Foley catheter. 3. Start oxytocin (Pitocin). 4. Notify the primary health care provider immediately. 6. The nurse caring for a laboring woman is aware that maternal cardiac output can be increased by what? 1. Change in position 2. Oxytocin administration 3. Regional anesthesia 4. Intravenous analgesic 7. Which laboring client does the nurse expect to be a likely candidate for amnioinfusion? 4. Notify the primary health care provider im- mediately. 1. Change in position 1.A client with heavily meconium-stained amni- 1. A client with heavily meconium-stained amniotic flu- otic fluid (or a low amniotic id (or a low amniotic fluid index [AFI]) 2. A client with an increase in uterine activity 3. A client with hypertension and diabetes 4. A client with an overdistended uterine cavity 8. While monitoring the fetal heart rate (FHR) of a client, fluid index [AFI]) 1. Early signs of fetal dis- the nurse notes tachycardia. What is a probable cause tress for this condition? 1. Early signs of fetal distress