ELECTRONIC FETAL MONITORING PRACTICE
QUESTIONS AND ANSWERS UPDATED,
A,nurse,is,explaining,to,a,pregnant,patient,the,purpose,of,electronic,fetal,monitoring.,Which,of,the,followi
ng,statements,by,the,nurse,is,the,most,accurate,way,to,describe,the,purpose,of,EFM?
a.,"EFM,is,a,diagnostic,procedure,that,monitors,your,baby's,heart,rate,or,FHR,and,your,uterine,contractio
ns.
b.,"EFM,is,a,screening,procedure,that,monitors,your,baby's,heart,rate,or,FHR,and,your,uterine,contraction
s."
c."EFM,is,a,screening,procedure,that,only,monitors,your,baby's,heart,rate,or,FHR.",
d.,"EFM,is,a,diagnostic,procedure,that,only,monitors,the,frequency,,duration,,and,intensity,of,your,uterin
e,contractions.",,ANS,-
,b.,"EFM,is,a,screening,procedure,that,monitors,your,baby's,heart,rate,or,FHR,and,your,uterine,contractio
ns."
The,nurse,measures,fetal,well,being,during,labor,by,paying,attention,to:
a.,the,response,of,the,FHR,to,uterine,contractions
b.,mom's,complaint,of,pain,during,the,labor,
c.,the,FHR,only
d.,the,frequency,,duration,,and,intensity,of,the,mother's,uterine,contractions,only,,ANS,-
,a.,the,response,of,the,FHR,to,uterine,contractions
A,nursing,student,explains,during,her,presentation,that,the,5,factors,for,adequate,fetal,oxygenation,inclu
de:
1.,normal,maternal,__________,_________and,volume,to,the,placenta
2.,normal,___________,___________in,the,maternal,blood
3.,adequate,exchange,of,___________,and,CO2,in,the,placenta
4.,an,open,___________path,between,the,placenta,and,the,fetus,through,vessels,in,the,umbillical,cord
5.,normal,fetal,circulatory,and,____________,-carry,functions,,ANS,-
,1.,normal,maternal,blood,flow,and,volume,to,placenta
2.,normal,oxygen,saturation,in,the,maternal,blood
,3.,adequate,exchange,of,oxygen,and,CO2,in,the,palcenta
4.,an,open,circulatory,path,between,the,placenta,and,the,fetus,through,vessels,in,the,umbillical,cord
5.,normal,fetal,circulatory,and,oxygen-carrying,functions
While,monitoring,a,baby's,fetal,well,being,using,EFM,,the,nurse,recognizes,that,the,baby's,baseline,fetal,h
eart,rate,is,identified,as,the:,
a.,average,rate,of,a,30,minute,segment,that,excludes,periodic,or,episodic,changes
b.,average,rate,of,a,10,minute,segment,that,excludes,periodic,or,episodic,changes
c.,average,rate,of,a,20,minute,segment,that,does,not,include,periodic,or,episodic,changes,,ANS,-
,b.,average,rate,of,a,10,minute,segment,that,excludes,periodic,or,episodic,changes
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,,ANS,-
,b.,normal,because,it,is,in,the,range,of,110-160,bpm,for,a,term,or,post,term,fetus
The,nurse,documents,that,the,baseline,heart,rate,for,a,fetus,is,between,120-
160,beats,per,minute.,Based,on,this,finding,,the,nurse,can,determine,that,the,fetus,is:
a.,post,term
b.,term
c.,premature
d.,both,a,and,b,,ANS,-,c.,premature
While,keeping,track,of,a,patient's,uterine,contractions,,the,nurse,documents,that,the,measurements,of,th
e,beginning,of,one,contraction,to,the,beginning,of,the,next,is,occurring,too,frequently,at,quicker,than,eve
ry,2,minutes.,The,nurse,is,measuring,which,of,the,following,aspects,of,a,uterine,contraction?,
a.,duration
b.,frequency,
, c.,intensity,
d.,resting,tone,or,interval,,ANS,-,b.,frequency
One,of,the,maternal,nurses,explains,to,a,nursing,student,that,the,duration,of,a,contraction,,which,is,meas
ured,from,the,beginning,to,the,end,of,one,contraction,,usually,lasts:
a.,about,50,seconds,or,less
b.,about,60,seconds,,NO,longer,than,90,seconds
c.,about,90,seconds,or,more
d.,about,40,to,50,seconds,,ANS,-,b.,about,60,seconds,,NO,longer,than,90,seconds
A,nurse,is,assessing,the,relaxation,or,intrauterine,pressures,between,contractions,on,a,EFM,strip.,The,nur
se,is,assessing,which,of,the,following,components,of,the,uterine,contractions?
a.,duration
b.,frequency,
c.,intensity,
d.,resting,tone,or,interval,,ANS,-,d.,resting,tone,or,interval
Which,of,the,following,is,the,priority,nursing,action,of,a,nurse,preparing,to,begin,EFM,on,a,patient?
a.,place,the,tocotransducer,on,the,patient's,abdomen,where,the,fundus,is,
b.,explain,the,purpose,of,the,EFM,and,the,procedure,of,EFM,Placement,to,the,patient,
c.,begin,using,the,ultrasound,transducer,to,find,the,fetal,heart,rate,
d.,none,of,the,above,,ANS,-
,b.,explain,the,purpose,of,the,EFM,and,the,procedure,of,EFM,Placement,to,the,patient
The,nurse,is,observing,the,peak,of,a,contraction,on,a,EFM,strip,and,watching,as,a,mother,who,has,a,tocotr
ansducer,across,her,abdomen,,scream,out,that,she,is,in,extreme,pain.,The,nurse,knows,that,she,is,observi
ng,which,aspect,of,the,uterine,contraction:
a.,frequency,
QUESTIONS AND ANSWERS UPDATED,
A,nurse,is,explaining,to,a,pregnant,patient,the,purpose,of,electronic,fetal,monitoring.,Which,of,the,followi
ng,statements,by,the,nurse,is,the,most,accurate,way,to,describe,the,purpose,of,EFM?
a.,"EFM,is,a,diagnostic,procedure,that,monitors,your,baby's,heart,rate,or,FHR,and,your,uterine,contractio
ns.
b.,"EFM,is,a,screening,procedure,that,monitors,your,baby's,heart,rate,or,FHR,and,your,uterine,contraction
s."
c."EFM,is,a,screening,procedure,that,only,monitors,your,baby's,heart,rate,or,FHR.",
d.,"EFM,is,a,diagnostic,procedure,that,only,monitors,the,frequency,,duration,,and,intensity,of,your,uterin
e,contractions.",,ANS,-
,b.,"EFM,is,a,screening,procedure,that,monitors,your,baby's,heart,rate,or,FHR,and,your,uterine,contractio
ns."
The,nurse,measures,fetal,well,being,during,labor,by,paying,attention,to:
a.,the,response,of,the,FHR,to,uterine,contractions
b.,mom's,complaint,of,pain,during,the,labor,
c.,the,FHR,only
d.,the,frequency,,duration,,and,intensity,of,the,mother's,uterine,contractions,only,,ANS,-
,a.,the,response,of,the,FHR,to,uterine,contractions
A,nursing,student,explains,during,her,presentation,that,the,5,factors,for,adequate,fetal,oxygenation,inclu
de:
1.,normal,maternal,__________,_________and,volume,to,the,placenta
2.,normal,___________,___________in,the,maternal,blood
3.,adequate,exchange,of,___________,and,CO2,in,the,placenta
4.,an,open,___________path,between,the,placenta,and,the,fetus,through,vessels,in,the,umbillical,cord
5.,normal,fetal,circulatory,and,____________,-carry,functions,,ANS,-
,1.,normal,maternal,blood,flow,and,volume,to,placenta
2.,normal,oxygen,saturation,in,the,maternal,blood
,3.,adequate,exchange,of,oxygen,and,CO2,in,the,palcenta
4.,an,open,circulatory,path,between,the,placenta,and,the,fetus,through,vessels,in,the,umbillical,cord
5.,normal,fetal,circulatory,and,oxygen-carrying,functions
While,monitoring,a,baby's,fetal,well,being,using,EFM,,the,nurse,recognizes,that,the,baby's,baseline,fetal,h
eart,rate,is,identified,as,the:,
a.,average,rate,of,a,30,minute,segment,that,excludes,periodic,or,episodic,changes
b.,average,rate,of,a,10,minute,segment,that,excludes,periodic,or,episodic,changes
c.,average,rate,of,a,20,minute,segment,that,does,not,include,periodic,or,episodic,changes,,ANS,-
,b.,average,rate,of,a,10,minute,segment,that,excludes,periodic,or,episodic,changes
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,,ANS,-
,b.,normal,because,it,is,in,the,range,of,110-160,bpm,for,a,term,or,post,term,fetus
The,nurse,documents,that,the,baseline,heart,rate,for,a,fetus,is,between,120-
160,beats,per,minute.,Based,on,this,finding,,the,nurse,can,determine,that,the,fetus,is:
a.,post,term
b.,term
c.,premature
d.,both,a,and,b,,ANS,-,c.,premature
While,keeping,track,of,a,patient's,uterine,contractions,,the,nurse,documents,that,the,measurements,of,th
e,beginning,of,one,contraction,to,the,beginning,of,the,next,is,occurring,too,frequently,at,quicker,than,eve
ry,2,minutes.,The,nurse,is,measuring,which,of,the,following,aspects,of,a,uterine,contraction?,
a.,duration
b.,frequency,
, c.,intensity,
d.,resting,tone,or,interval,,ANS,-,b.,frequency
One,of,the,maternal,nurses,explains,to,a,nursing,student,that,the,duration,of,a,contraction,,which,is,meas
ured,from,the,beginning,to,the,end,of,one,contraction,,usually,lasts:
a.,about,50,seconds,or,less
b.,about,60,seconds,,NO,longer,than,90,seconds
c.,about,90,seconds,or,more
d.,about,40,to,50,seconds,,ANS,-,b.,about,60,seconds,,NO,longer,than,90,seconds
A,nurse,is,assessing,the,relaxation,or,intrauterine,pressures,between,contractions,on,a,EFM,strip.,The,nur
se,is,assessing,which,of,the,following,components,of,the,uterine,contractions?
a.,duration
b.,frequency,
c.,intensity,
d.,resting,tone,or,interval,,ANS,-,d.,resting,tone,or,interval
Which,of,the,following,is,the,priority,nursing,action,of,a,nurse,preparing,to,begin,EFM,on,a,patient?
a.,place,the,tocotransducer,on,the,patient's,abdomen,where,the,fundus,is,
b.,explain,the,purpose,of,the,EFM,and,the,procedure,of,EFM,Placement,to,the,patient,
c.,begin,using,the,ultrasound,transducer,to,find,the,fetal,heart,rate,
d.,none,of,the,above,,ANS,-
,b.,explain,the,purpose,of,the,EFM,and,the,procedure,of,EFM,Placement,to,the,patient
The,nurse,is,observing,the,peak,of,a,contraction,on,a,EFM,strip,and,watching,as,a,mother,who,has,a,tocotr
ansducer,across,her,abdomen,,scream,out,that,she,is,in,extreme,pain.,The,nurse,knows,that,she,is,observi
ng,which,aspect,of,the,uterine,contraction:
a.,frequency,
