NUR 202 EXAM 1 OB EXAM QUESTIONS AND
VERIFIED DETAILED ACTUAL
SOLUTIONS.ALL THAT IS REQUIRED TO
PASS
4 - answer ✔✔-Leopold's maneuvar has how many maneuvars?
LLQ - answer ✔✔-If baby was LOA you would put fetal monitor where on mothers abd?
Fetal bradycardia - answer ✔✔-Fetal HR is <110 for 10 mins this is called
Head compression - answer ✔✔-What is the cx of early decelerations
Reposition mother. Baby is compressing umbilical cord - answer ✔✔-What is the priority nursing
intervention for variable deceleration?
Deoxygenated (HR decreases after peak of contraction) - answer ✔✔-What does a late deceleration
mean?
Fetal surveillance - answer ✔✔-The purpose of this is to evaluate how to fetus tolerates labor and to
identify possible hypoxic insult to the fetus during labor
The placenta - answer ✔✔-Oxygen for the fetus is received from?
True - answer ✔✔-Reductions in the mothers circulating blood volume reduces perfusion of the
intervillous spaces with oxygenated maternal blood. True or false?
,Reduced perfusion of the intervillous spaces with oxygenated maternal blood - answer ✔✔-
Hemorrhage, epidural block ➡️ hypotension, maternal hypertension, lowered oxygen level in maternal
blood, maternal acid base imbalance, asthma, pulmonary infection, smoking. These are all red flags to
what prob imposed on fetus
True - answer ✔✔-Dilation is dependent of the pressure of the presenting part and the contraction and
retraction of the uterus. True or false?
Hypertonic uterine activity - answer ✔✔-Contractions over 90-120 seconds, too frequent closer than
every 2 minutes, or too short less than 30 seconds of complete relaxation. This is what kind of uterine
activity
Compression. Inadequate fluid to cushion cord - answer ✔✔-Oligohydramnios (low amniotic fluid) can
cause what to the umbilical cord
Decreases it. Bradycardia - answer ✔✔-Fetal hypoxia, cord compression, placenta detachment does
what to the fetal HR
Infection - answer ✔✔-Fetal tachycardia can results from what?
Anemic - answer ✔✔-Mix of maternal and fetal' blood occurs and mother develops antibodies. This can
cause the fetus to become what?
Cardiac dysrhythmias - answer ✔✔-Fetoscope is useful for fetal
Early, increased maternal abd fat - answer ✔✔-Doppler ultrasound is common in actual practice, useful
if baby is _____ and maternal mother has _______
At the end of one (not after one) - answer ✔✔-The best way to access fetal well being would be to start
listening in FHR when during an contraction so that late decelerations could be detected?
, A full minute - answer ✔✔-During intermittent auscultation to establish a baseline the FHR is assessed
for how long after a contraction
Back - answer ✔✔-FHR is heard most clearly at the fetal?
Lower quadrant - answer ✔✔-In a cephalic presentation the FHR is best heard in which quadrant
Maternal umbillicus - answer ✔✔-In a breech presentation the FHR is best heard at or above the level
of?
True - answer ✔✔-External monitoring can be used while the membranes are still intact and cervix is
not dilate, but also can be used with ruptured membranes and a dilating cervix. True or false?
Uterine activity - answer ✔✔-Tocotransducer "toco" is placed over the fundus. This detects changes in
abd contour to measure what with a pressure sensor?
Internal fetal monitoring - answer ✔✔-This requires ROM, about 2 cm of cervical dilation, presenting
part low enough to allow placement, and skilled practitioner available to insert. This is what type of
monitoring device
Scalp electrode requires ROM
IUPC does not require ROM - answer ✔✔-FHR with scalp electrode and uterine activity with intrauterine
pressure Cather (IUPC) are both internal fetal monitoring devices. Which one requires ROM and which
one doesn't?
1st baseline rate
2nd variability
3rd any pattern of rate change from baseline - answer ✔✔-Evaluation of fetal monitoring strips what
order do you go in?
VERIFIED DETAILED ACTUAL
SOLUTIONS.ALL THAT IS REQUIRED TO
PASS
4 - answer ✔✔-Leopold's maneuvar has how many maneuvars?
LLQ - answer ✔✔-If baby was LOA you would put fetal monitor where on mothers abd?
Fetal bradycardia - answer ✔✔-Fetal HR is <110 for 10 mins this is called
Head compression - answer ✔✔-What is the cx of early decelerations
Reposition mother. Baby is compressing umbilical cord - answer ✔✔-What is the priority nursing
intervention for variable deceleration?
Deoxygenated (HR decreases after peak of contraction) - answer ✔✔-What does a late deceleration
mean?
Fetal surveillance - answer ✔✔-The purpose of this is to evaluate how to fetus tolerates labor and to
identify possible hypoxic insult to the fetus during labor
The placenta - answer ✔✔-Oxygen for the fetus is received from?
True - answer ✔✔-Reductions in the mothers circulating blood volume reduces perfusion of the
intervillous spaces with oxygenated maternal blood. True or false?
,Reduced perfusion of the intervillous spaces with oxygenated maternal blood - answer ✔✔-
Hemorrhage, epidural block ➡️ hypotension, maternal hypertension, lowered oxygen level in maternal
blood, maternal acid base imbalance, asthma, pulmonary infection, smoking. These are all red flags to
what prob imposed on fetus
True - answer ✔✔-Dilation is dependent of the pressure of the presenting part and the contraction and
retraction of the uterus. True or false?
Hypertonic uterine activity - answer ✔✔-Contractions over 90-120 seconds, too frequent closer than
every 2 minutes, or too short less than 30 seconds of complete relaxation. This is what kind of uterine
activity
Compression. Inadequate fluid to cushion cord - answer ✔✔-Oligohydramnios (low amniotic fluid) can
cause what to the umbilical cord
Decreases it. Bradycardia - answer ✔✔-Fetal hypoxia, cord compression, placenta detachment does
what to the fetal HR
Infection - answer ✔✔-Fetal tachycardia can results from what?
Anemic - answer ✔✔-Mix of maternal and fetal' blood occurs and mother develops antibodies. This can
cause the fetus to become what?
Cardiac dysrhythmias - answer ✔✔-Fetoscope is useful for fetal
Early, increased maternal abd fat - answer ✔✔-Doppler ultrasound is common in actual practice, useful
if baby is _____ and maternal mother has _______
At the end of one (not after one) - answer ✔✔-The best way to access fetal well being would be to start
listening in FHR when during an contraction so that late decelerations could be detected?
, A full minute - answer ✔✔-During intermittent auscultation to establish a baseline the FHR is assessed
for how long after a contraction
Back - answer ✔✔-FHR is heard most clearly at the fetal?
Lower quadrant - answer ✔✔-In a cephalic presentation the FHR is best heard in which quadrant
Maternal umbillicus - answer ✔✔-In a breech presentation the FHR is best heard at or above the level
of?
True - answer ✔✔-External monitoring can be used while the membranes are still intact and cervix is
not dilate, but also can be used with ruptured membranes and a dilating cervix. True or false?
Uterine activity - answer ✔✔-Tocotransducer "toco" is placed over the fundus. This detects changes in
abd contour to measure what with a pressure sensor?
Internal fetal monitoring - answer ✔✔-This requires ROM, about 2 cm of cervical dilation, presenting
part low enough to allow placement, and skilled practitioner available to insert. This is what type of
monitoring device
Scalp electrode requires ROM
IUPC does not require ROM - answer ✔✔-FHR with scalp electrode and uterine activity with intrauterine
pressure Cather (IUPC) are both internal fetal monitoring devices. Which one requires ROM and which
one doesn't?
1st baseline rate
2nd variability
3rd any pattern of rate change from baseline - answer ✔✔-Evaluation of fetal monitoring strips what
order do you go in?
