N352 Test Questions and Correct Answers
Category 1 Tracing
1. Baseline of 145, moderate variability, several accelerations that are more than 15 seconds
and more than 15 BPM increase
2. Baseline of 120, moderate variability, no acceleration, no deceleration
3. Baseline of 160, moderate variability, early deceleration
4. Baseline of 155, moderate variability, no decelerations, several accelerations above 190
BPM for 40 seconds
Category 2 Tracing
1. Baseline of 105, moderate variability, accelerations of 15x15
2. Baseline of 130, absent variability, no decelerations, no acelerations
3. Baseline of 175, moderate variability, accelerations above 200 bpm for 40 seconds
Category 3 Tracing
1. Baseline of 155, absent variability, recurrent late decelerations
2. Baseline of 125, sinusoidal pattern, no decelerations
3. Baseline of 100, absent variability, recurrent variable decelerations
Tachysystole
1. Defines as more than 5 contractions in a 10 minute period
2. contractions less than 1 minute apart
3. can be pharmacological induction of augmentation
4. may indicate abruption
Moderate variability, early decelerations, and a baseline of 115 would indicate
, Category 1 tracing and a normal finding
A patient has ambulated to labor and delivery reporting bright red spotting for the last
hour. On the monitor, the nurse notes a baseline FHR of 165, minimal variability, and
recurrent late decelerations. She is a G3P2 at 39 weeks and 3 days. What are the nurse's
next steps?
Turn the patient on her left side, call the provider, place her on O2, and start an IV in order to
give a fluid bolus.
A patient in labor asks the nurse how the monitors work. What is the nurse's best
response?
The monitors help to let us know if your baby is receiving enough oxygen through the
umbilical cord and is doing ok.
The nursing instructor has just completed a lecture on fetal surveillance and the use of
structured intermittent auscultation (SIA). The instructor knows that teaching was
effective when the students recognize which contradiction to the use of SIA?
26 year old G4P3 at 39 weeks who is 3cm dilated with category 1 tracing being induced for
GDM
The OB nurse is assessing a patient utilizing structured intermittent auscultation (SIA).
Which intervention assists the nurse in identifying fetal heart tones (FHT)?
Auscultate FHT between contractions for at least 30-60 seconds
The nurse is caring for a patient whose fetus has been diagnosed with Intrauterine
Growth Restriction (IUGR). The patient asks the nurse how this could have happened.
Which does the nurse recognize as a possible cause?
Category 1 Tracing
1. Baseline of 145, moderate variability, several accelerations that are more than 15 seconds
and more than 15 BPM increase
2. Baseline of 120, moderate variability, no acceleration, no deceleration
3. Baseline of 160, moderate variability, early deceleration
4. Baseline of 155, moderate variability, no decelerations, several accelerations above 190
BPM for 40 seconds
Category 2 Tracing
1. Baseline of 105, moderate variability, accelerations of 15x15
2. Baseline of 130, absent variability, no decelerations, no acelerations
3. Baseline of 175, moderate variability, accelerations above 200 bpm for 40 seconds
Category 3 Tracing
1. Baseline of 155, absent variability, recurrent late decelerations
2. Baseline of 125, sinusoidal pattern, no decelerations
3. Baseline of 100, absent variability, recurrent variable decelerations
Tachysystole
1. Defines as more than 5 contractions in a 10 minute period
2. contractions less than 1 minute apart
3. can be pharmacological induction of augmentation
4. may indicate abruption
Moderate variability, early decelerations, and a baseline of 115 would indicate
, Category 1 tracing and a normal finding
A patient has ambulated to labor and delivery reporting bright red spotting for the last
hour. On the monitor, the nurse notes a baseline FHR of 165, minimal variability, and
recurrent late decelerations. She is a G3P2 at 39 weeks and 3 days. What are the nurse's
next steps?
Turn the patient on her left side, call the provider, place her on O2, and start an IV in order to
give a fluid bolus.
A patient in labor asks the nurse how the monitors work. What is the nurse's best
response?
The monitors help to let us know if your baby is receiving enough oxygen through the
umbilical cord and is doing ok.
The nursing instructor has just completed a lecture on fetal surveillance and the use of
structured intermittent auscultation (SIA). The instructor knows that teaching was
effective when the students recognize which contradiction to the use of SIA?
26 year old G4P3 at 39 weeks who is 3cm dilated with category 1 tracing being induced for
GDM
The OB nurse is assessing a patient utilizing structured intermittent auscultation (SIA).
Which intervention assists the nurse in identifying fetal heart tones (FHT)?
Auscultate FHT between contractions for at least 30-60 seconds
The nurse is caring for a patient whose fetus has been diagnosed with Intrauterine
Growth Restriction (IUGR). The patient asks the nurse how this could have happened.
Which does the nurse recognize as a possible cause?
