Chapter 18 Fetal Assessment during Labor

Chapter 18: Fetal Assessment during Labor
sd sd sd sd sd




Fetalsdbradycardiasdissdmostsdcommonsdduring:


a.sdIntraamnioticsdinfection.
b.sdFetalsdanemia.
c.sdProlongedsdumbilicalsdcordsdcompression.

d.sdTocolyticsdtreatmentsdusingsdterbutaline.sd-sdcorrectsdanswer✔ ✔
c.sdProlongedsdumbilicalsdcordsdcompression.


Whilesdevaluatingsdansdexternalsdmonitorsdtracingsdofsdasdwomansdinsdactivesdla
bor,sdthesdnursesdnotessdthatsdthesdfetalsdheartsdratesd(FHR)sdforsdfivesdsequential
sdcontractionssdbeginssdtosddeceleratesdlatesdinsdthesdcontraction,sdwithsdthesdnad


irsdofsdthesddecelerationssdoccurringsdaftersdthesdpeaksdofsdthesdcontraction.sdTh
esdnurse'ssdfirstsdprioritysdissdto:


a.sdChangesdthesdwoman'ssdposition.
b.sdNotifysdthesdcaresdprovider.
c.sdAssistsdwithsdamnioinfusion.

d.sdInsertsdasdscalpsdelectrode.sd-sdcorrectsdanswer✔ ✔
a.sdChangesdthesdwoman'ssdposition.

,Thesdnursesdcaringsdforsdthesdlaboringsdwomansdshouldsdunderstandsdthatsdearl
ysddecelerationssdaresdcausedsdby:


a.sdAlteredsdfetalsdcerebralsdbloodsdflow.
b.sdUmbilicalsdcordsdcompression.
c.sdUteroplacentalsdinsufficiency.

d.sdSpontaneoussdrupturesdofsdmembranes.sd-sdcorrectsdanswer✔ ✔
a.sdAlteredsdfetalsdcerebralsdbloodsdflow.


Thesdnursesdprovidingsdcaresdforsdthesdlaboringsdwomansdcomprehendssdthatsda
ccelerationssdwithsdfetalsdmovement:


a.sdAresdreassuring.
b.sdAresdcausedsdbysdumbilicalsdcordsdcompression.
c.sdWarrantsdclosesdobservation.

d.sdAresdcausedsdbysduteroplacentalsdinsufficiency.sd-sdcorrectsdanswer✔ ✔
a.sdAresdreassuring.


Thesdnursesdprovidingsdcaresdforsdthesdlaboringsdwomansdrealizessdthatsdvariabl
esdfetalsdheartsdratesd(FHR)sddecelerationssdaresdcausedsdby:


a.sdAlteredsdfetalsdcerebralsdbloodsdflow.

, b.sdUmbilicalsdcordsdcompression.
c.sdUteroplacentalsdinsufficiency.

d.sdFetalsdhypoxemia.sd-sdcorrectsdanswer✔ ✔
b.sdUmbilicalsdcordsdcompression.


Thesdnursesdprovidingsdcaresdforsdthesdlaboringsdwomansdshouldsdunderstandsdt
hatsdlatesdfetalsdheartsdratesd(FHR)sddecelerationssdaresdthesdresultsdof:


a.sdAlteredsdcerebralsdbloodsdflow.
b.sdUmbilicalsdcordsdcompression.
c.sdUteroplacentalsdinsufficiency.

d.sdMeconiumsdfluid.sd-sdcorrectsdanswer✔ ✔
c.sdUteroplacentalsdinsufficiency.


Thesdnursesdprovidingsdcaresdforsdthesdlaboringsdwomansdshouldsdunderstandsdt
hatsdamnioinfusionsdissdusedsdtosdtreat:


a.sdVariablesddecelerations.
b.sdLatesddecelerations.
c.sdFetalsdbradycardia.

d.sdFetalsdtachycardia.sd-sdcorrectsdanswer✔ ✔
a.sdVariablesddecelerations.