ATI CAPSTONE MATERNAL NEWBORN
ASSESSMENT 51 EXAM SCRIPT PREMIUM
REVIEW ACCURATE QUESTIONS AND
CORRECT ANSWERS
◉ vertex presentation.
Answer: Fetal heart tones should be assessed below the mother's
umbilicus in either the right or left lower quadrant of the abdomen
◉ breech presentation.
Answer: Fetal heart tones should be assessed above the mother's
umbilicus in either the right- or left-upper quadrant of the abdomen.
◉ considerations.
Answer: - ask the client to empty the bladder before beginning the
assessment
- place client in supine position with a pillow under the head, and
have both knees flexed
- place a small , rolled towel under the client's right or left hip to
displace the uterus off the major blood vessels to prevent supine
hypotensive syndrome
◉ intermittently auscultate during the latent phase.
,Answer: - every 30-60 minutes
◉ intermittently auscultate during the active phase.
Answer: - every 15-30 minutes
◉ intermittently auscultate during the second stage.
Answer: - every 5-15 minutes
◉ indications for leopold maneuvers.
Answer: - determine active labor
- rupture of membranes spontaneously or artificially
- preceding and subsequent to ambulation
- prior to following administration of or a change in medication
analgesia
- at peak action of anesthesia
- following vaginal examination
- following expulsion of an enema
- after urinary catheterization
- abnormal or excessive uterine contractions
◉ normal FHR.
Answer: 110-160 w/ increases and decreases from baseline
,◉ continuous electronic fetal monitoring.
Answer: - accomplished by securing an ultrasound transducer over
the clients abdomen, which records the FHR pattern and a
tocotransducer on the fundus that records the uterine
contraindications
◉ indications for electronic fetal monitoring.
Answer: - multiple gestations
- oxytocin infusion
- placenta previa
- fetal bradycardia
- maternal complications
- intrauterine growth restriction
- post-date gestation
- active labor
- meconium stained amniotic fluid
- abruptio placentae
- abnormal nonstress test or contraction stress test
- abnormal uterine contractions
- fetal distress
, ◉ Three Tier System.
Answer: - fetal monitoring system with FHR interpretation system
◉ - category 1.
Answer: - baseline FHR of 110-160 /min
- baseline FHR variability: moderate
- accelerations present or absent
- early decelerations: present or absent
- variable/late decelerations: absent
◉ Category 2.
Answer: - tracings include all FHR tracings not categorized as
category 1 or 3.
- baseline rate (tachycardia, bradycardia not accompanied by absent
baseline variability)
- baseline FHR variability (minimal baseline variability, absent
baseline variability not accompanied by recurrent decelerations,
marked baseline variability)
- episodic or periodic decelerations ( prolonged FHR decel equal or
greater than 2 min but less than 10 min, recurrent late decelerations
w/ moderate baseline variability, recurrent variable decels w/
minimal or moderate baseline variability
- variable decels w/ additional characteristics including overshoots,
shoulders, or slow return to baseline FHR
ASSESSMENT 51 EXAM SCRIPT PREMIUM
REVIEW ACCURATE QUESTIONS AND
CORRECT ANSWERS
◉ vertex presentation.
Answer: Fetal heart tones should be assessed below the mother's
umbilicus in either the right or left lower quadrant of the abdomen
◉ breech presentation.
Answer: Fetal heart tones should be assessed above the mother's
umbilicus in either the right- or left-upper quadrant of the abdomen.
◉ considerations.
Answer: - ask the client to empty the bladder before beginning the
assessment
- place client in supine position with a pillow under the head, and
have both knees flexed
- place a small , rolled towel under the client's right or left hip to
displace the uterus off the major blood vessels to prevent supine
hypotensive syndrome
◉ intermittently auscultate during the latent phase.
,Answer: - every 30-60 minutes
◉ intermittently auscultate during the active phase.
Answer: - every 15-30 minutes
◉ intermittently auscultate during the second stage.
Answer: - every 5-15 minutes
◉ indications for leopold maneuvers.
Answer: - determine active labor
- rupture of membranes spontaneously or artificially
- preceding and subsequent to ambulation
- prior to following administration of or a change in medication
analgesia
- at peak action of anesthesia
- following vaginal examination
- following expulsion of an enema
- after urinary catheterization
- abnormal or excessive uterine contractions
◉ normal FHR.
Answer: 110-160 w/ increases and decreases from baseline
,◉ continuous electronic fetal monitoring.
Answer: - accomplished by securing an ultrasound transducer over
the clients abdomen, which records the FHR pattern and a
tocotransducer on the fundus that records the uterine
contraindications
◉ indications for electronic fetal monitoring.
Answer: - multiple gestations
- oxytocin infusion
- placenta previa
- fetal bradycardia
- maternal complications
- intrauterine growth restriction
- post-date gestation
- active labor
- meconium stained amniotic fluid
- abruptio placentae
- abnormal nonstress test or contraction stress test
- abnormal uterine contractions
- fetal distress
, ◉ Three Tier System.
Answer: - fetal monitoring system with FHR interpretation system
◉ - category 1.
Answer: - baseline FHR of 110-160 /min
- baseline FHR variability: moderate
- accelerations present or absent
- early decelerations: present or absent
- variable/late decelerations: absent
◉ Category 2.
Answer: - tracings include all FHR tracings not categorized as
category 1 or 3.
- baseline rate (tachycardia, bradycardia not accompanied by absent
baseline variability)
- baseline FHR variability (minimal baseline variability, absent
baseline variability not accompanied by recurrent decelerations,
marked baseline variability)
- episodic or periodic decelerations ( prolonged FHR decel equal or
greater than 2 min but less than 10 min, recurrent late decelerations
w/ moderate baseline variability, recurrent variable decels w/
minimal or moderate baseline variability
- variable decels w/ additional characteristics including overshoots,
shoulders, or slow return to baseline FHR
