NR 327 exam 2 study guide Verified Questions and Answers

NR 327 exam 2 study guide Verified Questions and Answers normal fetal HR - CORRECT ANSWER-110-160 beat/min Accelerations in FHR - CORRECT ANSWER-■ Temporary increase - ■ Reassuring - no interventions Early decelerations - CORRECT ANSWER-■ Normal - no interventions, expected finding ■ Cause: compression of head on the pelvis Late deceleration: response after contraction - CORRECT ANSWER-■Non-reassuring - needs intervention ■ Interventions: side-lying position, fluids, d/c oxytocin, O2, notify the provider, palpate uterus for tachysystole ■ Cause: uteroplacental insufficiency Variable decelerations - CORRECT ANSWER-■ Requires intervention ■ Intervention: knee to chest position or side-side reposition, d/c oxytocin, O2, notify provider ■ Cause: cord compression VEAL CHOP MINE - CORRECT ANSWER-Menomic for decelerations ■ Variable Cord compression Move the patient ■ Early Head compression Identify labor progress ■ Accelearate Okay No action ■ Late Placental insufficiency Execute "STOP" (stop Pitocin, turn patient on side, O2 via face mask, plain IV fluid increased) Fetal bradycardia - CORRECT ANSWER-FHR drops below 110 for at least 10 minutes Fetal Bradycardia - Cause & Intervention - CORRECT ANSWER-■ Causes: uteroplacental insufficiency, umbilical cord prolapses, maternal hypotension, anesthetic meds mom received ■ Interventions: stop oxytocin, left side position, O2, notify provider Fetal tachycardia - CORRECT ANSWER-FHR increases above 160 for over 10 minutes Fetal tachycardia - Cause & Intervention - CORRECT ANSWER-■ Causes: infection, cocaine use, dehydration ■ Interventions: antipyretics, oxygen, IV fluid bolus