NUR 202 exam 1 OB UPDATED ACTUAL
Exam Questions and CORRECT Answers
Leopold's maneuvar has how many maneuvars? - CORRECT ANSWER -4
If baby was LOA you would put fetal monitor where on mothers abd? - CORRECT
ANSWER -LLQ
Fetal HR is <110 for 10 mins this is called - CORRECT ANSWER -Fetal bradycardia
What is the cx of early decelerations - CORRECT ANSWER -Head compression
What is the priority nursing intervention for variable deceleration? - CORRECT
ANSWER -Reposition mother. Baby is compressing umbilical cord
What does a late deceleration mean? - CORRECT ANSWER -Deoxygenated (HR
decreases after peak of contraction)
The purpose of this is to evaluate how to fetus tolerates labor and to identify possible hypoxic
insult to the fetus during labor - CORRECT ANSWER -Fetal surveillance
Oxygen for the fetus is received from? - CORRECT ANSWER -The placenta
Reductions in the mothers circulating blood volume reduces perfusion of the intervillous spaces
with oxygenated maternal blood. True or false? - CORRECT ANSWER -True
Hemorrhage, epidural block hypotension, maternal hypertension, lowered oxygen level in
maternal blood, maternal acid base imbalance, asthma, pulmonary infection, smoking. These are
all red flags to what prob imposed on fetus - CORRECT ANSWER -Reduced perfusion of
the intervillous spaces with oxygenated maternal blood
,Dilation is dependent of the pressure of the presenting part and the contraction and retraction of
the uterus. True or false? - CORRECT ANSWER -True
Contractions over 90-120 seconds, too frequent closer than every 2 minutes, or too short less
than 30 seconds of complete relaxation. This is what kind of uterine activity - CORRECT
ANSWER -Hypertonic uterine activity
Oligohydramnios (low amniotic fluid) can cause what to the umbilical cord - CORRECT
ANSWER -Compression. Inadequate fluid to cushion cord
Fetal hypoxia, cord compression, placenta detachment does what to the fetal HR - CORRECT
ANSWER -Decreases it. Bradycardia
Fetal tachycardia can results from what? - CORRECT ANSWER -Infection
Mix of maternal and fetal' blood occurs and mother develops antibodies. This can cause the fetus
to become what? - CORRECT ANSWER -Anemic
Fetoscope is useful for fetal - CORRECT ANSWER -Cardiac dysrhythmias
Doppler ultrasound is common in actual practice, useful if baby is _____ and maternal mother
has _______ - CORRECT ANSWER -Early, increased maternal abd fat
The best way to access fetal well being would be to start listening in FHR when during an
contraction so that late decelerations could be detected? - CORRECT ANSWER -At the
end of one (not after one)
During intermittent auscultation to establish a baseline the FHR is assessed for how long after a
contraction - CORRECT ANSWER -A full minute
, FHR is heard most clearly at the fetal? - CORRECT ANSWER -Back
In a cephalic presentation the FHR is best heard in which quadrant - CORRECT
ANSWER -Lower quadrant
In a breech presentation the FHR is best heard at or above the level of? - CORRECT
ANSWER -Maternal umbillicus
External monitoring can be used while the membranes are still intact and cervix is not dilate, but
also can be used with ruptured membranes and a dilating cervix. True or false? - CORRECT
ANSWER -True
Tocotransducer "toco" is placed over the fundus. This detects changes in abd contour to measure
what with a pressure sensor? - CORRECT ANSWER -Uterine activity
This requires ROM, about 2 cm of cervical dilation, presenting part low enough to allow
placement, and skilled practitioner available to insert. This is what type of monitoring device -
CORRECT ANSWER -Internal fetal monitoring
FHR with scalp electrode and uterine activity with intrauterine pressure Cather (IUPC) are both
internal fetal monitoring devices. Which one requires ROM and which one doesn't? - CORRECT
ANSWER -Scalp electrode requires ROM
IUPC does not require ROM
Evaluation of fetal monitoring strips what order do you go in? - CORRECT ANSWER -1st
baseline rate
2nd variability
3rd any pattern of rate change from baseline
Exam Questions and CORRECT Answers
Leopold's maneuvar has how many maneuvars? - CORRECT ANSWER -4
If baby was LOA you would put fetal monitor where on mothers abd? - CORRECT
ANSWER -LLQ
Fetal HR is <110 for 10 mins this is called - CORRECT ANSWER -Fetal bradycardia
What is the cx of early decelerations - CORRECT ANSWER -Head compression
What is the priority nursing intervention for variable deceleration? - CORRECT
ANSWER -Reposition mother. Baby is compressing umbilical cord
What does a late deceleration mean? - CORRECT ANSWER -Deoxygenated (HR
decreases after peak of contraction)
The purpose of this is to evaluate how to fetus tolerates labor and to identify possible hypoxic
insult to the fetus during labor - CORRECT ANSWER -Fetal surveillance
Oxygen for the fetus is received from? - CORRECT ANSWER -The placenta
Reductions in the mothers circulating blood volume reduces perfusion of the intervillous spaces
with oxygenated maternal blood. True or false? - CORRECT ANSWER -True
Hemorrhage, epidural block hypotension, maternal hypertension, lowered oxygen level in
maternal blood, maternal acid base imbalance, asthma, pulmonary infection, smoking. These are
all red flags to what prob imposed on fetus - CORRECT ANSWER -Reduced perfusion of
the intervillous spaces with oxygenated maternal blood
,Dilation is dependent of the pressure of the presenting part and the contraction and retraction of
the uterus. True or false? - CORRECT ANSWER -True
Contractions over 90-120 seconds, too frequent closer than every 2 minutes, or too short less
than 30 seconds of complete relaxation. This is what kind of uterine activity - CORRECT
ANSWER -Hypertonic uterine activity
Oligohydramnios (low amniotic fluid) can cause what to the umbilical cord - CORRECT
ANSWER -Compression. Inadequate fluid to cushion cord
Fetal hypoxia, cord compression, placenta detachment does what to the fetal HR - CORRECT
ANSWER -Decreases it. Bradycardia
Fetal tachycardia can results from what? - CORRECT ANSWER -Infection
Mix of maternal and fetal' blood occurs and mother develops antibodies. This can cause the fetus
to become what? - CORRECT ANSWER -Anemic
Fetoscope is useful for fetal - CORRECT ANSWER -Cardiac dysrhythmias
Doppler ultrasound is common in actual practice, useful if baby is _____ and maternal mother
has _______ - CORRECT ANSWER -Early, increased maternal abd fat
The best way to access fetal well being would be to start listening in FHR when during an
contraction so that late decelerations could be detected? - CORRECT ANSWER -At the
end of one (not after one)
During intermittent auscultation to establish a baseline the FHR is assessed for how long after a
contraction - CORRECT ANSWER -A full minute
, FHR is heard most clearly at the fetal? - CORRECT ANSWER -Back
In a cephalic presentation the FHR is best heard in which quadrant - CORRECT
ANSWER -Lower quadrant
In a breech presentation the FHR is best heard at or above the level of? - CORRECT
ANSWER -Maternal umbillicus
External monitoring can be used while the membranes are still intact and cervix is not dilate, but
also can be used with ruptured membranes and a dilating cervix. True or false? - CORRECT
ANSWER -True
Tocotransducer "toco" is placed over the fundus. This detects changes in abd contour to measure
what with a pressure sensor? - CORRECT ANSWER -Uterine activity
This requires ROM, about 2 cm of cervical dilation, presenting part low enough to allow
placement, and skilled practitioner available to insert. This is what type of monitoring device -
CORRECT ANSWER -Internal fetal monitoring
FHR with scalp electrode and uterine activity with intrauterine pressure Cather (IUPC) are both
internal fetal monitoring devices. Which one requires ROM and which one doesn't? - CORRECT
ANSWER -Scalp electrode requires ROM
IUPC does not require ROM
Evaluation of fetal monitoring strips what order do you go in? - CORRECT ANSWER -1st
baseline rate
2nd variability
3rd any pattern of rate change from baseline
