Monitoring Test Questions and
Answers6
What is the baseline FHR? - ANSWERS-B. 160 bpm
What type of variability is observed? - ANSWERS-A. Moderate
What interventions are appropriate at this time? - ANSWERS-C. Reposition Shelby from left
lateral to right lateral
What type of pattern is observed in the tracing? - ANSWERS-B. Variable decelerations
What category is this tracing? - ANSWERS-B. Category II
What is the baseline rate? - ANSWERS-C. Unable to determine
Based on your observation of the tracing, what action(s) is (are) required? - ANSWERS-B.
Palpate Shelby's radial pulse to verify maternal vs. fetal heart rate
Which statement most accurately reflects the EFM tracing? - ANSWERS-A. Maternal and fetal
heart rates should be verified
Which pattern in the fetal heart rate would increase suspicion of a nuchal cord? - ANSWERS-C.
Variable decelerations
, Shelby delivers a male infant with Apgar scores of 2 and 3. Umbilical arterial cord blood gases
show:
pH: 6.92
pCO2: 79
pO2: 11
BE: -7.6
What is the correct interpretation of the cod blood gas? - ANSWERS-A. Respiratory acidemia
Which of the following is an extrinsic influence on the FHR? - ANSWERS-C. Fetal-placental
circulation
The most highly oxygenated blood in fetal circulation is carried by: - ANSWERS-C. Ductus
venosus
If fetal arterial pressure begins to fall below normal levels: - ANSWERS-A. Baroreceptors cause
vasoconstriction and increase the FHR
Fetal heart rate variability is defined as fluctuations in the baseline that are irregular in _____
and _____. - ANSWERS-B. Amplitude and frequency
An increase in the fetal heart rate immediately preceding a variable deceleration is caused by: -
ANSWERS-A. Occlusion of the umbilical vein
When assessing a FHR tracing, the first step is to: - ANSWERS-C. Establish the baseline rate
Which deceleration in the FHR is considered benign and does not require an intervention to
correct? - ANSWERS-A. Early deceleration