Intrapartal Period: Fetal Heart Rate Assessment > Level-
3: Competent Fall 2023 with complete solution
The nurse performs Leopold's maneuvers on a patient prior to auscultating the
FHR with a handheld doppler. The nurse palpates the fetal head at the fundus and
the presenting part is not engaged. Where would the nurse position the doppler
to evaluate the FHR?
1.
Upper fundal area
2.
Right lower abdomen
3.
Left lower pelvis
4.
Near umbilicus
1.
Upper fundal area
The Labor and Delivery educator is teaching a group of new nurses the overall
goals of fetal monitoring. Which response by the new nurses indicates that the
educator should provide further education?
1.
"Support maternal coping and labor progress."
2.
"Support coached pushing."
3.
"Maximize oxygenation."
4.
"Maximize umbilical blood flow."
2.
"Support coached pushing."
The nurse educator has just completed a lecture on intrauterine resuscitation.
Which of the following definitions given by the new nurse graduates indicates the
need for further teaching?
1.
Emergency cesarean section
,2.
Placing internal monitors for a more accurate assessment of FHR and UCs
3.
Interventions that maximize maternal-fetal oxygenation
4.
CPR on the fetus while in utero
3.
Interventions that maximize maternal-fetal oxygenation
Which assessments of uterine activity are obtained by the nurse when the patient
has an intrauterine pressure catheter (IUPC) placed? Select all that apply.
1.
Frequency
2.
Intensity
3.
Duration
4.
Fetal Heart Rate
5.
Resting Tone
1, 2, 3, 5
The nurse notes a fetal heart rate (FHR) deceleration that begins after the peak of
the contraction and ends once the contraction is over. Which is the priority
nursing action for this patient?
1.
Administer oxygen at 10L/min via nonrebreather face mask.
2.
Give an IV bolus.
3.
Discontinue oxytocin.
4.
Change the maternal position.
4.
Change the maternal position.
, Which patient with a fetus displaying minimal variability would the nurse assess
first?
1.
A patient who received nalbuphine 10 mg slow IV push 10 minutes ago
2.
A patient who is 25 weeks gestation with intermittent contractions
3.
A patient who is 39 weeks gestation with 8 contractions in 10 minutes
4.
A patient who is 37 weeks gestation contracting every 6 to 7 minutes with no
accelerations
3.
A patient who is 39 weeks gestation with 8 contractions in 10 minutes
The Labor and Delivery unit educator is teaching a group of nurses how to
respond when a nurse assesses a patient that is demonstrating minimal or
absent variability. Which responses by the nurses are correct regarding
appropriate interventions? Select all that apply.
1.
Perform vibroacoustic stimulation
2.
Change maternal position
3.
Provide oxygen via nasal cannula
4.
Give an IV fluid bolus
5.
Discontinue oxytocin
1, 2, 4, 5
The nurse assesses a patient who has an indeterminate fetal heart rate and
places the patient on electronic fetal heart rate (FHR) monitoring. Which
assessments are priorities from the electronic FHR monitoring? Select all that
apply.
1.
Clarify the pattern interpretation
2.
3: Competent Fall 2023 with complete solution
The nurse performs Leopold's maneuvers on a patient prior to auscultating the
FHR with a handheld doppler. The nurse palpates the fetal head at the fundus and
the presenting part is not engaged. Where would the nurse position the doppler
to evaluate the FHR?
1.
Upper fundal area
2.
Right lower abdomen
3.
Left lower pelvis
4.
Near umbilicus
1.
Upper fundal area
The Labor and Delivery educator is teaching a group of new nurses the overall
goals of fetal monitoring. Which response by the new nurses indicates that the
educator should provide further education?
1.
"Support maternal coping and labor progress."
2.
"Support coached pushing."
3.
"Maximize oxygenation."
4.
"Maximize umbilical blood flow."
2.
"Support coached pushing."
The nurse educator has just completed a lecture on intrauterine resuscitation.
Which of the following definitions given by the new nurse graduates indicates the
need for further teaching?
1.
Emergency cesarean section
,2.
Placing internal monitors for a more accurate assessment of FHR and UCs
3.
Interventions that maximize maternal-fetal oxygenation
4.
CPR on the fetus while in utero
3.
Interventions that maximize maternal-fetal oxygenation
Which assessments of uterine activity are obtained by the nurse when the patient
has an intrauterine pressure catheter (IUPC) placed? Select all that apply.
1.
Frequency
2.
Intensity
3.
Duration
4.
Fetal Heart Rate
5.
Resting Tone
1, 2, 3, 5
The nurse notes a fetal heart rate (FHR) deceleration that begins after the peak of
the contraction and ends once the contraction is over. Which is the priority
nursing action for this patient?
1.
Administer oxygen at 10L/min via nonrebreather face mask.
2.
Give an IV bolus.
3.
Discontinue oxytocin.
4.
Change the maternal position.
4.
Change the maternal position.
, Which patient with a fetus displaying minimal variability would the nurse assess
first?
1.
A patient who received nalbuphine 10 mg slow IV push 10 minutes ago
2.
A patient who is 25 weeks gestation with intermittent contractions
3.
A patient who is 39 weeks gestation with 8 contractions in 10 minutes
4.
A patient who is 37 weeks gestation contracting every 6 to 7 minutes with no
accelerations
3.
A patient who is 39 weeks gestation with 8 contractions in 10 minutes
The Labor and Delivery unit educator is teaching a group of nurses how to
respond when a nurse assesses a patient that is demonstrating minimal or
absent variability. Which responses by the nurses are correct regarding
appropriate interventions? Select all that apply.
1.
Perform vibroacoustic stimulation
2.
Change maternal position
3.
Provide oxygen via nasal cannula
4.
Give an IV fluid bolus
5.
Discontinue oxytocin
1, 2, 4, 5
The nurse assesses a patient who has an indeterminate fetal heart rate and
places the patient on electronic fetal heart rate (FHR) monitoring. Which
assessments are priorities from the electronic FHR monitoring? Select all that
apply.
1.
Clarify the pattern interpretation
2.
