NR 327 POSTPARTUM ISBAR
CERTIFICATION EVALUATION EXAMS 2026
SOLVED QUESTIONS AND SOLUTIONS
GRADED A+
⩥ Acceleration. Answer: Temporary increase in fetal heart rate that is
reassuring and requires no intervention.
⩥ Early Deceleration. Answer: Gradual decrease in fetal heart rate that
mirrors contractions and is caused by fetal head compression.
⩥ Late Deceleration. Answer: Gradual decrease in fetal heart rate that
begins after the peak of contraction and is caused by uteroplacental
insufficiency.
⩥ Variable Deceleration. Answer: Abrupt decrease in fetal heart rate that
appears V shaped and is caused by umbilical cord compression.
⩥ VEAL CHOP Meaning. Answer: Variable equals cord compression,
Early equals head compression, Acceleration equals okay, Late equals
placental insufficiency.
⩥ STOP Intervention. Answer: Stop oxytocin, turn patient to side,
administer oxygen, increase intravenous fluids.
,⩥ Fetal Bradycardia. Answer: Fetal heart rate less than 110 beats per
minute for at least 10 minutes.
⩥ Causes of Fetal Bradycardia. Answer: Uteroplacental insufficiency,
cord prolapse, maternal hypotension, anesthesia medications.
⩥ Fetal Tachycardia. Answer: Fetal heart rate greater than 160 beats per
minute for at least 10 minutes.
⩥ Causes of Fetal Tachycardia. Answer: Infection, dehydration, cocaine
use.
⩥ Category One Fetal Heart Tracing. Answer: Normal tracing indicating
normal acid base status and no intervention needed.
⩥ Criteria for Category One Tracing. Answer: Baseline 110 to 160,
moderate variability, no late or variable decelerations, accelerations may
or may not be present.
⩥ Category Two Fetal Heart Tracing. Answer: Indeterminate tracing that
requires close monitoring and nursing intervention.
, ⩥ Examples of Category Two Tracing. Answer: Minimal variability,
marked variability, tachycardia, bradycardia with variability, prolonged
decelerations.
⩥ Category Three Fetal Heart Tracing. Answer: Abnormal tracing
predictive of fetal hypoxia and acidosis and is an emergency.
⩥ Criteria for Category Three Tracing. Answer: Absent variability with
recurrent late decelerations, recurrent variable decelerations,
bradycardia, or sinusoidal pattern.
⩥ BUBBLE HER Assessment. Answer: Breasts, uterus, bladder, bowels,
lochia, episiotomy or perineum, homans sign assessed not elicited,
emotion, rhogam.
⩥ Fundus Position One to Two Hours After Birth. Answer: Fundus
should be between the umbilicus and symphysis pubis.
⩥ Uterine Involution. Answer: Fundus descends approximately 1
centimeter per day postpartum.
⩥ Boggy Fundus Intervention. Answer: Gentle circular fundal massage
until firm.
⩥ Lochia Rubra. Answer: Red lochia occurring days 1 to 3 postpartum.
CERTIFICATION EVALUATION EXAMS 2026
SOLVED QUESTIONS AND SOLUTIONS
GRADED A+
⩥ Acceleration. Answer: Temporary increase in fetal heart rate that is
reassuring and requires no intervention.
⩥ Early Deceleration. Answer: Gradual decrease in fetal heart rate that
mirrors contractions and is caused by fetal head compression.
⩥ Late Deceleration. Answer: Gradual decrease in fetal heart rate that
begins after the peak of contraction and is caused by uteroplacental
insufficiency.
⩥ Variable Deceleration. Answer: Abrupt decrease in fetal heart rate that
appears V shaped and is caused by umbilical cord compression.
⩥ VEAL CHOP Meaning. Answer: Variable equals cord compression,
Early equals head compression, Acceleration equals okay, Late equals
placental insufficiency.
⩥ STOP Intervention. Answer: Stop oxytocin, turn patient to side,
administer oxygen, increase intravenous fluids.
,⩥ Fetal Bradycardia. Answer: Fetal heart rate less than 110 beats per
minute for at least 10 minutes.
⩥ Causes of Fetal Bradycardia. Answer: Uteroplacental insufficiency,
cord prolapse, maternal hypotension, anesthesia medications.
⩥ Fetal Tachycardia. Answer: Fetal heart rate greater than 160 beats per
minute for at least 10 minutes.
⩥ Causes of Fetal Tachycardia. Answer: Infection, dehydration, cocaine
use.
⩥ Category One Fetal Heart Tracing. Answer: Normal tracing indicating
normal acid base status and no intervention needed.
⩥ Criteria for Category One Tracing. Answer: Baseline 110 to 160,
moderate variability, no late or variable decelerations, accelerations may
or may not be present.
⩥ Category Two Fetal Heart Tracing. Answer: Indeterminate tracing that
requires close monitoring and nursing intervention.
, ⩥ Examples of Category Two Tracing. Answer: Minimal variability,
marked variability, tachycardia, bradycardia with variability, prolonged
decelerations.
⩥ Category Three Fetal Heart Tracing. Answer: Abnormal tracing
predictive of fetal hypoxia and acidosis and is an emergency.
⩥ Criteria for Category Three Tracing. Answer: Absent variability with
recurrent late decelerations, recurrent variable decelerations,
bradycardia, or sinusoidal pattern.
⩥ BUBBLE HER Assessment. Answer: Breasts, uterus, bladder, bowels,
lochia, episiotomy or perineum, homans sign assessed not elicited,
emotion, rhogam.
⩥ Fundus Position One to Two Hours After Birth. Answer: Fundus
should be between the umbilicus and symphysis pubis.
⩥ Uterine Involution. Answer: Fundus descends approximately 1
centimeter per day postpartum.
⩥ Boggy Fundus Intervention. Answer: Gentle circular fundal massage
until firm.
⩥ Lochia Rubra. Answer: Red lochia occurring days 1 to 3 postpartum.
