BSN 346 SHADOW HEALTH
NON-REASSURING FETAL STATUS
TRANSCRIPT AND DOCUMENTATION
ACTUAL EXAM PAPER 2026 QUESTIONS
WITH ANSWERS GRADED A+
◍ Sinusoidal pattern.
Answer: -absent variability-fetal anemia-hypoxia-Rh-twin-twin transfusion
◍ Student: What are some things that trigger your asthma?.
Answer: Tina Jones: Being around cats is the worst, but dust and running up
stairs can make my breathing bad, too.
◍ Variable decelerations.
Answer: -abrupt drop that returns to baseline-vary in shape/timing-severe:
<70bpm for 30-45sec-reposition-O2-IV
◍ Accelerations.
Answer: -increase of 15bpm for 15 sec-fetal movement-reassuring
◍ FHR assessment.
Answer: 1. baseline2. variability3. periodic changes
◍ Diana Shadow: In 1 or 2 sentences, answer this question to help prepare for
the upcoming exam: Why is it important to obtain a patient's complete
health history?.
Answer: Student: So that you understand if there are any problems related to
their chief complaint. Also, to help treat their current condition.
◍ VEAL CHOP.
Answer: V- Variable C- Cord ComphressionE- Early Decels H- Head
, CompressionA- Accelerations O - OKL-Late Decels P - Placenta
◍ Fetal status.
Answer: -FHR (120-160bpm)-variability-periodic changes (BPP)
◍ Internal EFM.
Answer: -requires ROM + cervical dilation-FHR: spiral elctrode on fetal
scalp-Ctx: IUPC, measures intensity via mmHg-risks: invasive, bleeding
◍ manual palpation.
Answer: -pros: noninvasive, allows movement, encourages hands-on
care-cons: no perm. record, subj
◍ Finding: Reports occasionally taking acetaminophen (Tylenol) for
headaches (Available)Pro Tip: Finding out about your patient's use of
over-the-counter medications, vitamins, and supplements will help you get a
complete health history and avoid unwanted drug interactions..
Answer: Example Question: Do you take any over the counter medications?
◍ Finding: Reports no more than 1 or 2 nights a week drinking alcohol
(Available)Pro Tip: Finding out how many nights a week your patient has
alcohol gives insight into potential habits or abuse..
Answer: Example Question: How many nights a week do you drink alcohol?
◍ 8. Risk for ineffective respiratory function.
Answer: Priority - Low Priority Pro Tip: When caring for a patient
diagnosed with asthma, it's important to be aware of the possibility of
emerging respiratory symptoms. However, for a patient with no active
respiratory complaints, this problem does not need to be addressed
immediately. Evidence - Relevant: Evidence Pro Tip: Tina's asthma puts her
at general risk for breathing problems. She also reports sometimes needing
more puffs to resolve symptoms. Contributing factors are a past history of
hospitalization and asthma attacks, as well as sedentary lifestyle and obesity.
Planning - Relevant: Planning Pro Tip: Take a general survey of the patient
for changes in skin color, and assess respiratory rate, rhythm, depth, and
quality to confirm there are no acute breathing issues. Gather data on the
, patient's breathing status by checking pulse and blood pressure. Auscultate
the lungs to listen for abnormal sounds. While the patient is in your care,
educate her on the cause and symptoms of shortness of breath so that she
can let you know about emerging problems. Empower the patient to take
part in her own care by educating her on controlled breathing techniques.
◍ Finding: Denies change in bowel movements (Available)Pro Tip: Asking
about changes in bowel movements can help you understand a patient's
baseline patterns. Any recent or abrupt changes could impact the patient's
care plan, such as administering treatment for constipation or diarrhea..
Answer: Example Question: Have you had changes in your bowel
movements?
◍ variability.
Answer: -measure of interplay b/w sympathetic and parasympathetic
nervous system-marked: >25bpm-moderate: 6-25bpm (good O2)-minimal:
<5bpm (hypoxia, acidosis, <32wk, durgs, sleep cycle, fetal dysrhythmia,
anomaly, neuro, tachycardia)-absent: undetectable
◍ Labor status assessment.
Answer: uterine contractions:-frequency, duration,
IntensityCervical:-dilation, cervical effacement, fetal descent, membranes
(intact or ROM)
◍ prolonged deceleration.
Answer: -lasts >60-90sec-rapid dilation/fetal descent-cord prolapse-Bag
exam-reposition-O2-IV fluids-stop oxy-tocolytic if tachysystole
◍ Finding: Denies nausea (Available)Pro Tip: Currently presenting nausea can
be caused by changes in blood sugar, a reaction to medication, stress, or
even spreading infection. If the patient reports a history of nausea, it could
be a symptom of a recurring gastrointestinal problem..
Answer: Example Question: Have you had nausea?
◍ Finding: Reports that periods are irregular (Available)Pro Tip: Asking about
menstrual regularity is one possible component of a review of systems
, interview. A history of irregular periods could indicate hormonal or
endocrine problems..
Answer: Example Question: Are your periods regular?
◍ Late decelerations.
Answer: -decrease in FHR at beginning or after peak of ctx that returns to
baseline after ctx has ended-uterplacental insuff. -nonreassuring-left
position-IV bolus-O2 7-10L/min-stop oxytocin-provider
◍ Student: What preexisting medical conditions do you have?.
Answer: Tina Jones: I mean, I have asthma and diabetes, but right I now I
just care about my foot!
◍ Finding: Reports penicillin allergy (Found)Pro Tip: Asking specifically
about allergies to medications, such as penicillin, is crucial to the patient's
safety while she is in your care, as it affects what medications will be safe
and appropriate..
Answer: Example Question: What medication allergies do you have?
◍ Baseline.
Answer: - 110-160bpm- tachycardia (>160bpm) or bradycardia (<110bpm)
◍ Finding: Reports pain is sharp when she attempts to stand (Found)Pro Tip:
Determining what physical activities and movements exacerbate the
patient's pain can help you better understand the problems and assess
treatment needs. This can also alert you if a patient's activities of daily living
are hindered..
Answer: Example Question: What is the pain like when you stand on your
foot?
◍ Finding: Denies history of urinary tract or bladder infection (Available)Pro
Tip: Asking about a history of bladder or urinary tract infections is one
possible component of a review of systems interview. The patient's response
to these questions may uncover additional problems not discovered during
discussion of the patient's chief complaint..
Answer: Example Question: Have you ever had a urinary infection?
NON-REASSURING FETAL STATUS
TRANSCRIPT AND DOCUMENTATION
ACTUAL EXAM PAPER 2026 QUESTIONS
WITH ANSWERS GRADED A+
◍ Sinusoidal pattern.
Answer: -absent variability-fetal anemia-hypoxia-Rh-twin-twin transfusion
◍ Student: What are some things that trigger your asthma?.
Answer: Tina Jones: Being around cats is the worst, but dust and running up
stairs can make my breathing bad, too.
◍ Variable decelerations.
Answer: -abrupt drop that returns to baseline-vary in shape/timing-severe:
<70bpm for 30-45sec-reposition-O2-IV
◍ Accelerations.
Answer: -increase of 15bpm for 15 sec-fetal movement-reassuring
◍ FHR assessment.
Answer: 1. baseline2. variability3. periodic changes
◍ Diana Shadow: In 1 or 2 sentences, answer this question to help prepare for
the upcoming exam: Why is it important to obtain a patient's complete
health history?.
Answer: Student: So that you understand if there are any problems related to
their chief complaint. Also, to help treat their current condition.
◍ VEAL CHOP.
Answer: V- Variable C- Cord ComphressionE- Early Decels H- Head
, CompressionA- Accelerations O - OKL-Late Decels P - Placenta
◍ Fetal status.
Answer: -FHR (120-160bpm)-variability-periodic changes (BPP)
◍ Internal EFM.
Answer: -requires ROM + cervical dilation-FHR: spiral elctrode on fetal
scalp-Ctx: IUPC, measures intensity via mmHg-risks: invasive, bleeding
◍ manual palpation.
Answer: -pros: noninvasive, allows movement, encourages hands-on
care-cons: no perm. record, subj
◍ Finding: Reports occasionally taking acetaminophen (Tylenol) for
headaches (Available)Pro Tip: Finding out about your patient's use of
over-the-counter medications, vitamins, and supplements will help you get a
complete health history and avoid unwanted drug interactions..
Answer: Example Question: Do you take any over the counter medications?
◍ Finding: Reports no more than 1 or 2 nights a week drinking alcohol
(Available)Pro Tip: Finding out how many nights a week your patient has
alcohol gives insight into potential habits or abuse..
Answer: Example Question: How many nights a week do you drink alcohol?
◍ 8. Risk for ineffective respiratory function.
Answer: Priority - Low Priority Pro Tip: When caring for a patient
diagnosed with asthma, it's important to be aware of the possibility of
emerging respiratory symptoms. However, for a patient with no active
respiratory complaints, this problem does not need to be addressed
immediately. Evidence - Relevant: Evidence Pro Tip: Tina's asthma puts her
at general risk for breathing problems. She also reports sometimes needing
more puffs to resolve symptoms. Contributing factors are a past history of
hospitalization and asthma attacks, as well as sedentary lifestyle and obesity.
Planning - Relevant: Planning Pro Tip: Take a general survey of the patient
for changes in skin color, and assess respiratory rate, rhythm, depth, and
quality to confirm there are no acute breathing issues. Gather data on the
, patient's breathing status by checking pulse and blood pressure. Auscultate
the lungs to listen for abnormal sounds. While the patient is in your care,
educate her on the cause and symptoms of shortness of breath so that she
can let you know about emerging problems. Empower the patient to take
part in her own care by educating her on controlled breathing techniques.
◍ Finding: Denies change in bowel movements (Available)Pro Tip: Asking
about changes in bowel movements can help you understand a patient's
baseline patterns. Any recent or abrupt changes could impact the patient's
care plan, such as administering treatment for constipation or diarrhea..
Answer: Example Question: Have you had changes in your bowel
movements?
◍ variability.
Answer: -measure of interplay b/w sympathetic and parasympathetic
nervous system-marked: >25bpm-moderate: 6-25bpm (good O2)-minimal:
<5bpm (hypoxia, acidosis, <32wk, durgs, sleep cycle, fetal dysrhythmia,
anomaly, neuro, tachycardia)-absent: undetectable
◍ Labor status assessment.
Answer: uterine contractions:-frequency, duration,
IntensityCervical:-dilation, cervical effacement, fetal descent, membranes
(intact or ROM)
◍ prolonged deceleration.
Answer: -lasts >60-90sec-rapid dilation/fetal descent-cord prolapse-Bag
exam-reposition-O2-IV fluids-stop oxy-tocolytic if tachysystole
◍ Finding: Denies nausea (Available)Pro Tip: Currently presenting nausea can
be caused by changes in blood sugar, a reaction to medication, stress, or
even spreading infection. If the patient reports a history of nausea, it could
be a symptom of a recurring gastrointestinal problem..
Answer: Example Question: Have you had nausea?
◍ Finding: Reports that periods are irregular (Available)Pro Tip: Asking about
menstrual regularity is one possible component of a review of systems
, interview. A history of irregular periods could indicate hormonal or
endocrine problems..
Answer: Example Question: Are your periods regular?
◍ Late decelerations.
Answer: -decrease in FHR at beginning or after peak of ctx that returns to
baseline after ctx has ended-uterplacental insuff. -nonreassuring-left
position-IV bolus-O2 7-10L/min-stop oxytocin-provider
◍ Student: What preexisting medical conditions do you have?.
Answer: Tina Jones: I mean, I have asthma and diabetes, but right I now I
just care about my foot!
◍ Finding: Reports penicillin allergy (Found)Pro Tip: Asking specifically
about allergies to medications, such as penicillin, is crucial to the patient's
safety while she is in your care, as it affects what medications will be safe
and appropriate..
Answer: Example Question: What medication allergies do you have?
◍ Baseline.
Answer: - 110-160bpm- tachycardia (>160bpm) or bradycardia (<110bpm)
◍ Finding: Reports pain is sharp when she attempts to stand (Found)Pro Tip:
Determining what physical activities and movements exacerbate the
patient's pain can help you better understand the problems and assess
treatment needs. This can also alert you if a patient's activities of daily living
are hindered..
Answer: Example Question: What is the pain like when you stand on your
foot?
◍ Finding: Denies history of urinary tract or bladder infection (Available)Pro
Tip: Asking about a history of bladder or urinary tract infections is one
possible component of a review of systems interview. The patient's response
to these questions may uncover additional problems not discovered during
discussion of the patient's chief complaint..
Answer: Example Question: Have you ever had a urinary infection?
