Maternal Health (NSG 3500) EXAM 2 Practice
Guide 2024-2025 Test
1. Fetal Heart Rate 110-160
(FHR)
2. Variation of fetal Absent (no fluctuations/flat),minimal (5 bpm variation), moderate (6-25
heart bpm variation), marked (>25 bpm variation)
you want to see moderate
3. A sedated baby could minimal variability
show
4. marked variability in >25 bpm
FHR
indication of distress
5. Accelerations in FHR Transient increase in FHR (15x15) for term and 10x 10 minimum for PT
32 weeks and lower should be about 10x10
32 weeks and higher should be about 15x15
6. What happens if Distressed baby
there are no acceler-
ations
7. Decelerations in FHR Periodic decrease in FHR
could be an indication of a problem
8. VEAL CHOP V- Variable C- Cord Comphression
E- Early Decels H- Head Compression
A- Accelerations O - OK
L-Late Decels P - Placenta
, Maternal Health (NSG 3500) EXAM 2 Practice
Guide 2024-2025 Test
9. Periodic decelera- Decelerations of fetal heart rate associated with uterine contractions.
tions
10. episodic decelera- drops in the FHR not associated with uterine contractions
tions
11. causes for accelera- - spontaneous fetal movement
tions - during a vaginal exam
- electrode application
- fetal reaction to external sounds
- fetal scalp stimulation
- breech presentation
- occiputposterior position
- uterine contractions
- fundal pressure
- abdominal palpation
12. accelerations are normal and signifies fetal well being
13. Types of decelera- early, late, variable
tions
14. Early decelerations everything lines up perfectly
head is being compressed on.
the baby is in the canal and is ready to come out
PREPARE FOR DELIVERY
15. Late decelerations at peak of contraction, baby's heart rate start to drop. Shifted to the right of
the contraction.
Placental insuflciency.
, Maternal Health (NSG 3500) EXAM 2 Practice
Guide 2024-2025 Test
Not giving the baby oxygen
baby's "oxygen supply" starts running out if continual late decels occur
16. Variable decelera- Sharp decline and incline
tions
cord compression
baby can press on their own cord
prolapsed cord through the cervix (emergency situation) do not take hand
out until baby comes out because if you let go, the cord will compress again
you can add fluid to the amniotic sac
17. Prolonged decelera- A visually apparent decrease (may be either gradual or abrupt) in FHR of at
tion least 15 beats/min below the baseline and lasting more than 2 minutes but
less than 10 minutes
18. Sinusoidal FHR pat- A specific fetal heart rate pattern that is described as a smooth, sine-wave
tern like undulating pattern with a cycle frequency of 3-5bpm that continues for
at least 20min or more.
PNS &SNS not communicating
#1 cause =Fetal anemia and loosing blood
*can also be meds- Butorphanol
minutes to act
very rare
19. For decelerations, oxytocin
you can decrease
, Maternal Health (NSG 3500) EXAM 2 Practice
Guide 2024-2025 Test
20. poof for late and P-position change (left lateral)
variable decels O- oxytocin needs to be turned OFF
O- Oxygen needs to be ON
F- Fluids
- LATE: IV fluid bolus to increase BP for placenta
- VARIABLES: Amnioinfusion in uterus via IUPC
21. IUPC (intrauterine measures contraction frequency, duration, strength(in mm mercury).
pressure catheter)
22. The 5 P's of mater- -Power (pushing and contractions, urge to bear down, should not push if
nal and fetal mecha- cervix is not fully dilated)
nisms -Passageway (Pelvis)
-Passenger (Baby)
-Passageway + Passenger (presentation)
-Psychosocial (how they feel about the other things, support when they go
home, how they feel about pregnancy)
23. Do not push if cervix it could tear
is not fully dilated be-
cause the baby's head pushes against the cervix and can cause cervical swelling,
contracting the cervix
24. fetal lie relationship of the long axis of the fetus to the long axis of the mother
Longitudinal (head first)
Transverse (Sideways)
Oblique (butt first)
25. fetal attitude relationship of fetal parts to one another
is the head flexed or extended
ideal is when the head is flexed in
Guide 2024-2025 Test
1. Fetal Heart Rate 110-160
(FHR)
2. Variation of fetal Absent (no fluctuations/flat),minimal (5 bpm variation), moderate (6-25
heart bpm variation), marked (>25 bpm variation)
you want to see moderate
3. A sedated baby could minimal variability
show
4. marked variability in >25 bpm
FHR
indication of distress
5. Accelerations in FHR Transient increase in FHR (15x15) for term and 10x 10 minimum for PT
32 weeks and lower should be about 10x10
32 weeks and higher should be about 15x15
6. What happens if Distressed baby
there are no acceler-
ations
7. Decelerations in FHR Periodic decrease in FHR
could be an indication of a problem
8. VEAL CHOP V- Variable C- Cord Comphression
E- Early Decels H- Head Compression
A- Accelerations O - OK
L-Late Decels P - Placenta
, Maternal Health (NSG 3500) EXAM 2 Practice
Guide 2024-2025 Test
9. Periodic decelera- Decelerations of fetal heart rate associated with uterine contractions.
tions
10. episodic decelera- drops in the FHR not associated with uterine contractions
tions
11. causes for accelera- - spontaneous fetal movement
tions - during a vaginal exam
- electrode application
- fetal reaction to external sounds
- fetal scalp stimulation
- breech presentation
- occiputposterior position
- uterine contractions
- fundal pressure
- abdominal palpation
12. accelerations are normal and signifies fetal well being
13. Types of decelera- early, late, variable
tions
14. Early decelerations everything lines up perfectly
head is being compressed on.
the baby is in the canal and is ready to come out
PREPARE FOR DELIVERY
15. Late decelerations at peak of contraction, baby's heart rate start to drop. Shifted to the right of
the contraction.
Placental insuflciency.
, Maternal Health (NSG 3500) EXAM 2 Practice
Guide 2024-2025 Test
Not giving the baby oxygen
baby's "oxygen supply" starts running out if continual late decels occur
16. Variable decelera- Sharp decline and incline
tions
cord compression
baby can press on their own cord
prolapsed cord through the cervix (emergency situation) do not take hand
out until baby comes out because if you let go, the cord will compress again
you can add fluid to the amniotic sac
17. Prolonged decelera- A visually apparent decrease (may be either gradual or abrupt) in FHR of at
tion least 15 beats/min below the baseline and lasting more than 2 minutes but
less than 10 minutes
18. Sinusoidal FHR pat- A specific fetal heart rate pattern that is described as a smooth, sine-wave
tern like undulating pattern with a cycle frequency of 3-5bpm that continues for
at least 20min or more.
PNS &SNS not communicating
#1 cause =Fetal anemia and loosing blood
*can also be meds- Butorphanol
minutes to act
very rare
19. For decelerations, oxytocin
you can decrease
, Maternal Health (NSG 3500) EXAM 2 Practice
Guide 2024-2025 Test
20. poof for late and P-position change (left lateral)
variable decels O- oxytocin needs to be turned OFF
O- Oxygen needs to be ON
F- Fluids
- LATE: IV fluid bolus to increase BP for placenta
- VARIABLES: Amnioinfusion in uterus via IUPC
21. IUPC (intrauterine measures contraction frequency, duration, strength(in mm mercury).
pressure catheter)
22. The 5 P's of mater- -Power (pushing and contractions, urge to bear down, should not push if
nal and fetal mecha- cervix is not fully dilated)
nisms -Passageway (Pelvis)
-Passenger (Baby)
-Passageway + Passenger (presentation)
-Psychosocial (how they feel about the other things, support when they go
home, how they feel about pregnancy)
23. Do not push if cervix it could tear
is not fully dilated be-
cause the baby's head pushes against the cervix and can cause cervical swelling,
contracting the cervix
24. fetal lie relationship of the long axis of the fetus to the long axis of the mother
Longitudinal (head first)
Transverse (Sideways)
Oblique (butt first)
25. fetal attitude relationship of fetal parts to one another
is the head flexed or extended
ideal is when the head is flexed in
