Electronic Fetal Monitoring Practice
Questions
A doctor has just completed an ultrasound on a patient that is at 35 weeks gestation. He
informs the nurse that the patient has very little amniotic fluid, which is causing the
umbilical cord to compress the baby's head. He asks the nurse to begin getting his
equipment ready so that he can correct the problem. What is the primary nursing action
that needs to be completed?
a. discontine oxytocin IV
b. encourage mom to move from side to side and go in a knee-chest position to relieve
umbilical cord compression
c. begin adminstering oxygen through a mask at levels 10-20 l/min
d. finding an intrauterine pressure catheter, gloves, and the syringe needed to perform
aminocentesis to give the patient more fluid to increase her amniotic fluid levels and
relieve umbilical cord compresison - d. finding an intrauterine pressure catheter, gloves,
and the syringe needed to perform aminocentesis to give the patient more fluid to
increase her amniotic fluid levels and relieve umbilical cord compresison
A maternal nurse is observing that a fetus has increases in FHR that are above the
baseline and greater than or equal to 15 bpm and lasting longer than or equal to 15
seconds in relation to mom's uterine contractions. The nurses' priority action would be
to:
a. Report this as a normal finding, known as accelerations that indicate the fetus is
doing well.
b. Report this immediately to the doctor because this indicates that the fetus is
compromised.
,c. Adminster mom oxygen from 8-10 l/min immediately and then notify doctor. - a.
Report this as a normal finding, known as accelerations that indicate the fetus is doing
well.
A nurse determines that a baby has a baseline FHR of 100 bpm on a EFM strip. The
nurse explains to the mother that this is considered a:
a. an EARLY sign of fetal hypoxia or prematurity
b. a LATE sign of fetal hypoxia
c. a normal finding of a thriving fetus - b. a LATE sign of fetal hypoxia
A nurse determines that a baby's FHR is below 110 beats per minute. The nurse is
concerned and notifies the doctor by explaining that the fetus has:
a. tachycardia
b. bradycardia - b. bradycardia
A nurse determines that term baby's baseline fetal heart rate is 140 beats per minute. A
nurse explains to her patient that this fetal heart rate is:
a. abnormal because it is not in the normal range of 90-100 bears perm minute for a
term or post term fetus
b. normal because it is in the range of 110-160 bpm for a term or post term fetus
c. abnormal because it is not in the normal range of 160-200 bpm for a term or post
term fetus - b. normal because it is in the range of 110-160 bpm for a term or post term
fetus
A nurse explains to her 19 year old patient that she will be using methods of internal
fetal monitoring on her to monitor her baby's FHR in relation to her uterine contractions.
, Which of the following internal fetal monitoring devices will the nurse use? (select all
that apply)
a. intrauterine pressure catheter
b. tocotransducer
c. ultrasound transducer
d. spiral electrode - a. intrauterine pressure catheter
d. spiral electrode
A nurse has been monitoring a FHR that has consistently displayed no variability and
non-reassuring patterns. What should be the nurse's primary action?
a. Apply an oxygen mask to the mother that runs 8-10 L/min.
b. Stimulate the fetus scalp by rubbing it through the mother's abdomen with gloved
fingers. The nurse should also use vibroacusotic stimulation and play music that
resembles sounds heard in utero to increase the babies HR through stimulation.
c. Encourage and help mom to turn to a knee chest position to help relieve cord
compression, which will help increase baby's HR. - b. Stimulate the fetus scalp by
rubbing it through the mother's abdomen with gloved fingers. The nurse should also use
vibroacusotic stimulation and play music that resembles sounds heard in utero to
increase the babies HR through stimulation.
A nurse has tried multiple measures to increase a patient's baby's FHR. The nurse
would deem which of the following situations not correctable and omnious?
a. early decelerations associated with decreased variability and tachycardia
b. late decelerations associated with decreased variability and tachycardia
c. variable declerations associated with decreased variability and tachycardia - b. late
decelerations associated with decreased variability and tachycardia
Questions
A doctor has just completed an ultrasound on a patient that is at 35 weeks gestation. He
informs the nurse that the patient has very little amniotic fluid, which is causing the
umbilical cord to compress the baby's head. He asks the nurse to begin getting his
equipment ready so that he can correct the problem. What is the primary nursing action
that needs to be completed?
a. discontine oxytocin IV
b. encourage mom to move from side to side and go in a knee-chest position to relieve
umbilical cord compression
c. begin adminstering oxygen through a mask at levels 10-20 l/min
d. finding an intrauterine pressure catheter, gloves, and the syringe needed to perform
aminocentesis to give the patient more fluid to increase her amniotic fluid levels and
relieve umbilical cord compresison - d. finding an intrauterine pressure catheter, gloves,
and the syringe needed to perform aminocentesis to give the patient more fluid to
increase her amniotic fluid levels and relieve umbilical cord compresison
A maternal nurse is observing that a fetus has increases in FHR that are above the
baseline and greater than or equal to 15 bpm and lasting longer than or equal to 15
seconds in relation to mom's uterine contractions. The nurses' priority action would be
to:
a. Report this as a normal finding, known as accelerations that indicate the fetus is
doing well.
b. Report this immediately to the doctor because this indicates that the fetus is
compromised.
,c. Adminster mom oxygen from 8-10 l/min immediately and then notify doctor. - a.
Report this as a normal finding, known as accelerations that indicate the fetus is doing
well.
A nurse determines that a baby has a baseline FHR of 100 bpm on a EFM strip. The
nurse explains to the mother that this is considered a:
a. an EARLY sign of fetal hypoxia or prematurity
b. a LATE sign of fetal hypoxia
c. a normal finding of a thriving fetus - b. a LATE sign of fetal hypoxia
A nurse determines that a baby's FHR is below 110 beats per minute. The nurse is
concerned and notifies the doctor by explaining that the fetus has:
a. tachycardia
b. bradycardia - b. bradycardia
A nurse determines that term baby's baseline fetal heart rate is 140 beats per minute. A
nurse explains to her patient that this fetal heart rate is:
a. abnormal because it is not in the normal range of 90-100 bears perm minute for a
term or post term fetus
b. normal because it is in the range of 110-160 bpm for a term or post term fetus
c. abnormal because it is not in the normal range of 160-200 bpm for a term or post
term fetus - b. normal because it is in the range of 110-160 bpm for a term or post term
fetus
A nurse explains to her 19 year old patient that she will be using methods of internal
fetal monitoring on her to monitor her baby's FHR in relation to her uterine contractions.
, Which of the following internal fetal monitoring devices will the nurse use? (select all
that apply)
a. intrauterine pressure catheter
b. tocotransducer
c. ultrasound transducer
d. spiral electrode - a. intrauterine pressure catheter
d. spiral electrode
A nurse has been monitoring a FHR that has consistently displayed no variability and
non-reassuring patterns. What should be the nurse's primary action?
a. Apply an oxygen mask to the mother that runs 8-10 L/min.
b. Stimulate the fetus scalp by rubbing it through the mother's abdomen with gloved
fingers. The nurse should also use vibroacusotic stimulation and play music that
resembles sounds heard in utero to increase the babies HR through stimulation.
c. Encourage and help mom to turn to a knee chest position to help relieve cord
compression, which will help increase baby's HR. - b. Stimulate the fetus scalp by
rubbing it through the mother's abdomen with gloved fingers. The nurse should also use
vibroacusotic stimulation and play music that resembles sounds heard in utero to
increase the babies HR through stimulation.
A nurse has tried multiple measures to increase a patient's baby's FHR. The nurse
would deem which of the following situations not correctable and omnious?
a. early decelerations associated with decreased variability and tachycardia
b. late decelerations associated with decreased variability and tachycardia
c. variable declerations associated with decreased variability and tachycardia - b. late
decelerations associated with decreased variability and tachycardia
