Week 3 BSN 346 Sherpath
1. Place the steps in the order in which they would be applied to perform Leopold
maneuvers.
• 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).
2. Which clinical conditions must be met before placing a fetal scalp monitor?
Select all that apply.
• Absence of fetal scalp hair
• Cervix should be at least 2 cm dilated
• The patient's membranes must be ruptured
3. Which maternal or fetal condition might require an amnioinfusion?
• The fetus has experienced umbilical cord compression.
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.”
5. Match the fetal surveillance method to its corresponding advantage.
• 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
, 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 mobility if connected to mobile unit
1. Which qualities are considered normal when assessing fetal heart rate (FHR)?
Select all that apply.
• Baseline FHR of 140 beats/min
• FHR variability of 20 beats/min
2. Which deceleration is considered a normal finding?
• Early
3. 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 demonstrates that there is adequate oxygenation of the fetus."
• "Variability suggests that the fetus is able to adapt to the labor process."
4. 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)?
• “The tocodynamometer is positioned outside my body, while the IUPC is
positioned inside my body.”
5. Which uterine activity indicators does the intrauterine pressure catheter (IUPC)
measure in mm HG?
Select all that apply.
1. Place the steps in the order in which they would be applied to perform Leopold
maneuvers.
• 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).
2. Which clinical conditions must be met before placing a fetal scalp monitor?
Select all that apply.
• Absence of fetal scalp hair
• Cervix should be at least 2 cm dilated
• The patient's membranes must be ruptured
3. Which maternal or fetal condition might require an amnioinfusion?
• The fetus has experienced umbilical cord compression.
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.”
5. Match the fetal surveillance method to its corresponding advantage.
• 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
, 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 mobility if connected to mobile unit
1. Which qualities are considered normal when assessing fetal heart rate (FHR)?
Select all that apply.
• Baseline FHR of 140 beats/min
• FHR variability of 20 beats/min
2. Which deceleration is considered a normal finding?
• Early
3. 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 demonstrates that there is adequate oxygenation of the fetus."
• "Variability suggests that the fetus is able to adapt to the labor process."
4. 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)?
• “The tocodynamometer is positioned outside my body, while the IUPC is
positioned inside my body.”
5. Which uterine activity indicators does the intrauterine pressure catheter (IUPC)
measure in mm HG?
Select all that apply.
