Chamberlain NR327 exam 2 study
guide Comprehensive Questions
(Frequently Tested) with Verified
Answers Graded A+
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normal fetal HR - Answer: 110-160 beat/min
Accelerations in FHR - Answer: ■ Temporary increase -
■ Reassuring - no interventions
,Early decelerations - Answer: ■ Normal - no interventions, expected
finding
■ Cause: compression of head on the pelvis
Late deceleration: response after contraction - 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 - Answer: ■ Requires intervention
■ Intervention: knee to chest position or side-side reposition, d/c
oxytocin, O2,
notify provider
■ Cause: cord compression
VEAL CHOP MINE - 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 - Answer: FHR drops below 110 for at least 10
minutes
Fetal Bradycardia - Cause & Intervention - Answer: ■ Causes:
uteroplacental insufficiency, umbilical cord prolapses, maternal
hypotension, anesthetic meds mom received
■ Interventions: stop oxytocin, left side position, O2, notify provider
Fetal tachycardia - Answer: FHR increases above 160 for over 10
minutes
Fetal tachycardia - Cause & Intervention - Answer: ■ Causes: infection,
cocaine use, dehydration
, ■ Interventions: antipyretics, oxygen, IV fluid bolus
(B)UBBLE - Answer: Breasts
(size, contour, asymmetry, engorgement, redness, nipples: cracking,
inverted,
bleeding)
B(U)BBLE - Answer: Uterus
(Fundal Height, Uterine Placement, and Consistency)
■ 2 hrs after birth- Fundus is between the umbilicus and the symphysis
pubis
■ 6-12 hrs after birth the fundus usually is at the level of the umbilicus
■ The fundus progresses downward at a rate of 1 fingerbreadth (or 1
cm) per day
after childbirth
■ If the fundus is not firm gently message the uterus using a circular
motion until it
becomes firm
guide Comprehensive Questions
(Frequently Tested) with Verified
Answers Graded A+
Professional Academic Assistance Services
Services Offered
• Proctored Exam Assistance
• Online Class Management (Full Course Support)
• Exam Preparation & Study Materials
• Assignments and Coursework Support
• Essay and Research Paper Writing
• Discussion Posts & Responses
• Editing and Proofreading
• Confidential Academic Consultation
Helping Students Achieve Academic Excellence
normal fetal HR - Answer: 110-160 beat/min
Accelerations in FHR - Answer: ■ Temporary increase -
■ Reassuring - no interventions
,Early decelerations - Answer: ■ Normal - no interventions, expected
finding
■ Cause: compression of head on the pelvis
Late deceleration: response after contraction - 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 - Answer: ■ Requires intervention
■ Intervention: knee to chest position or side-side reposition, d/c
oxytocin, O2,
notify provider
■ Cause: cord compression
VEAL CHOP MINE - 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 - Answer: FHR drops below 110 for at least 10
minutes
Fetal Bradycardia - Cause & Intervention - Answer: ■ Causes:
uteroplacental insufficiency, umbilical cord prolapses, maternal
hypotension, anesthetic meds mom received
■ Interventions: stop oxytocin, left side position, O2, notify provider
Fetal tachycardia - Answer: FHR increases above 160 for over 10
minutes
Fetal tachycardia - Cause & Intervention - Answer: ■ Causes: infection,
cocaine use, dehydration
, ■ Interventions: antipyretics, oxygen, IV fluid bolus
(B)UBBLE - Answer: Breasts
(size, contour, asymmetry, engorgement, redness, nipples: cracking,
inverted,
bleeding)
B(U)BBLE - Answer: Uterus
(Fundal Height, Uterine Placement, and Consistency)
■ 2 hrs after birth- Fundus is between the umbilicus and the symphysis
pubis
■ 6-12 hrs after birth the fundus usually is at the level of the umbilicus
■ The fundus progresses downward at a rate of 1 fingerbreadth (or 1
cm) per day
after childbirth
■ If the fundus is not firm gently message the uterus using a circular
motion until it
becomes firm
