WEEK 3 BSN 346 SHERPATH STUDYGUIDE QUESTIONS AND CORRECT
ANSWERS
Question:
1. Place the steps in the order in which they would be applied to perform Leopold
maneuvers. Palpate for the fetal back. Palpate the suprapubic area to confirm presentation.
Determine if head is flexed (vertex) or extended (face). Palpate the uterine fundus.
Answer:
Palpate the uterine fundus. Palpate for the fetal back. Palpate the suprapubic area to confirm
presentation. Determine if head is flexed (vertex) or extended (face).
Question:
2. Which clinical conditions must be met before placing a fetal scalp monitor? Select all that
apply. Patient should not be in labor Absence of fetal scalp hair Cervix should be at least 2
cm dilated The patient's membranes must be ruptured High fetal presentation
Answer:
Cervix should be at least 2 cm dilated The patient's membranes must be ruptured
Question:
3. Which maternal or fetal condition might require an amnioinfusion? The mother has
polyhydramnios (excess amniotic fluid). The fetal heart rate (FHR) is 140 beats/min. The
patient's blood pressure has dropped. The fetus has experienced umbilical cord
compression.
Answer:
The fetus has experienced umbilical cord compression.
Question:
4. Which education would the nurse provide a patient who is worried that the intrauterine
catheter will hurt the baby? "The catheter is placed in the uterus next to the baby." "Don't
be nervous; everything will be fine!" "The catheter attaches only to the outer layer of skin on
the baby's head." "This is the equipment needed for high-risk pregnancies."
Answer:
"The catheter is placed in the uterus next to the baby."
Question:
5. Match the fetal surveillance method to its corresponding advantage. Accurate
measurement of fetal heart rate Accurate measurement of uterine contractions, including
intensity Noninvasive and suitable for most patients in labor
Answer:
Accurate measurement of fetal heart rate---Fetal scalp electrode Accurate measurement of
uterine contractions, including intensity---Intrauterine pressure catheter Noninvasive and suitable
for most patients in labor---External electronic fetal monitoring
Question:
, 6. Which are the advantages of external electronic fetal monitoring (EFM)? Select all that
apply. Suitable for most patients in labor Visualization of heart rate pattern Allows
measurement of contraction intensity Uninterrupted by fetal or patient movement Allows
mobility if connected to mobile unit
Answer:
Suitable for most patients in labor Visualization of heart rate pattern Allows mobility if connected
to mobile unit
Question:
7. Which qualities are considered normal when assessing fetal heart rate (FHR)? Select all
that apply. FHR variability of <5 beats/min FHR variability of 20 beats/min Baseline FHR of
100 beats/min Baseline FHR of 170 beats/min
Answer:
Baseline FHRof 140 beats/min FHR variability of 20 beats/min
Question:
8. Which deceleration is considered a normal finding? Variable Prolonged Early Late
Answer:
Early
Question:
9. A patient is concerned about the baseline variability in the heart rate of her fetus. Which
responses by the nurse describe the significance of baseline variability to the patient? Select
all that apply. "Variability is an artifact." "Variability is a periodic pattern." "Variability
demonstrates that there is adequate oxygenation of the fetus." "Variability suggests that the
fetus is able to adapt to the labor process." "Variability indicates that the fetus has no
congenital abnormalities."
Answer:
"Variability demonstrates that there is adequate oxygenation of the fetus." "Variability suggests
that the fetus is able to adapt to the labor process."
Question:
10. The nurse knows that patient education has been effective when the patient makes
which statement about the difference between a tocodynamometer and an intrauterine
pressure catheter (IUPC)? activity." "The tocodynamometer is much more accurate than the
IUPC." "The tocodynamometer is positioned outside my body, while the IUPC is positioned
inside my body." "The tocodynamometer will be connected to my bedside monitor, but the
IUPC will not."
Answer:
"The tocodynamometer is positioned outside my body, while the IUPC is positioned inside my
body."
Question:
ANSWERS
Question:
1. Place the steps in the order in which they would be applied to perform Leopold
maneuvers. Palpate for the fetal back. Palpate the suprapubic area to confirm presentation.
Determine if head is flexed (vertex) or extended (face). Palpate the uterine fundus.
Answer:
Palpate the uterine fundus. Palpate for the fetal back. Palpate the suprapubic area to confirm
presentation. Determine if head is flexed (vertex) or extended (face).
Question:
2. Which clinical conditions must be met before placing a fetal scalp monitor? Select all that
apply. Patient should not be in labor Absence of fetal scalp hair Cervix should be at least 2
cm dilated The patient's membranes must be ruptured High fetal presentation
Answer:
Cervix should be at least 2 cm dilated The patient's membranes must be ruptured
Question:
3. Which maternal or fetal condition might require an amnioinfusion? The mother has
polyhydramnios (excess amniotic fluid). The fetal heart rate (FHR) is 140 beats/min. The
patient's blood pressure has dropped. The fetus has experienced umbilical cord
compression.
Answer:
The fetus has experienced umbilical cord compression.
Question:
4. Which education would the nurse provide a patient who is worried that the intrauterine
catheter will hurt the baby? "The catheter is placed in the uterus next to the baby." "Don't
be nervous; everything will be fine!" "The catheter attaches only to the outer layer of skin on
the baby's head." "This is the equipment needed for high-risk pregnancies."
Answer:
"The catheter is placed in the uterus next to the baby."
Question:
5. Match the fetal surveillance method to its corresponding advantage. Accurate
measurement of fetal heart rate Accurate measurement of uterine contractions, including
intensity Noninvasive and suitable for most patients in labor
Answer:
Accurate measurement of fetal heart rate---Fetal scalp electrode Accurate measurement of
uterine contractions, including intensity---Intrauterine pressure catheter Noninvasive and suitable
for most patients in labor---External electronic fetal monitoring
Question:
, 6. Which are the advantages of external electronic fetal monitoring (EFM)? Select all that
apply. Suitable for most patients in labor Visualization of heart rate pattern Allows
measurement of contraction intensity Uninterrupted by fetal or patient movement Allows
mobility if connected to mobile unit
Answer:
Suitable for most patients in labor Visualization of heart rate pattern Allows mobility if connected
to mobile unit
Question:
7. Which qualities are considered normal when assessing fetal heart rate (FHR)? Select all
that apply. FHR variability of <5 beats/min FHR variability of 20 beats/min Baseline FHR of
100 beats/min Baseline FHR of 170 beats/min
Answer:
Baseline FHRof 140 beats/min FHR variability of 20 beats/min
Question:
8. Which deceleration is considered a normal finding? Variable Prolonged Early Late
Answer:
Early
Question:
9. A patient is concerned about the baseline variability in the heart rate of her fetus. Which
responses by the nurse describe the significance of baseline variability to the patient? Select
all that apply. "Variability is an artifact." "Variability is a periodic pattern." "Variability
demonstrates that there is adequate oxygenation of the fetus." "Variability suggests that the
fetus is able to adapt to the labor process." "Variability indicates that the fetus has no
congenital abnormalities."
Answer:
"Variability demonstrates that there is adequate oxygenation of the fetus." "Variability suggests
that the fetus is able to adapt to the labor process."
Question:
10. The nurse knows that patient education has been effective when the patient makes
which statement about the difference between a tocodynamometer and an intrauterine
pressure catheter (IUPC)? activity." "The tocodynamometer is much more accurate than the
IUPC." "The tocodynamometer is positioned outside my body, while the IUPC is positioned
inside my body." "The tocodynamometer will be connected to my bedside monitor, but the
IUPC will not."
Answer:
"The tocodynamometer is positioned outside my body, while the IUPC is positioned inside my
body."
Question:
