nr327-final exam (maternal)
QUESTIONS AND VERIFIED
CORRECT ANSWERS
GRADED A+ LATEST 2026-
2027 100% GUARANTEED
PASS
true labor - CORRECT ANSWER-"progressive cervical effacement and dilation"
- consistent, increasing contraction frequency, duration and intensity
- worsens with activity
- lowers back pain radiates to lower abdomen
- cervical dilation and effacement steadily progress
false labor - CORRECT ANSWER-"no cervical dilation or effacement"
- pain located in abdomen or groin
- Braxton Hicks, irregular contraction frequency, duration, and intensity
- unchanged or resolved with activity
- abdomen and groin pain
- no significant change in dilation or effacement
external monitoring - CORRECT ANSWER-- FHR: ultrasounds transducer
- UC: tocotransducer
,fetal electronic rate - CORRECT ANSWER-a continuous, noninvasive test that records your
contractions and baby's heart rate
- normal FHR: 110-160 bpm
- FHR variability:
~ irregular fluctuations in FHR showing how fetus is tolerating the stress of labor
~ classification of variability
- uterine activity:
~ frequency
~ duration
~ intensity
~ resting tone
internal monitoring - CORRECT ANSWER-- FHR: fetal scalp/spiral electrode
- UC: inter-uterine pressure catheter
decelerations (types & interventions) - CORRECT ANSWER-V → variable
E → early, sign of head compression (good), a mirror pattern (fetal HR should match mom's
contractions)
A → accelerations, a-okay, baby is well o2
L → late, sign of placental insufficiency, reposition mom
C → cord compression
H → head compression
O → OK, well oxygenated
P → placental insuffiency
variable decelerations - CORRECT ANSWER-physiology:
- transitory umbilical cord compression
, - stimulation of the vagus nerve
- abrupt decrease in fetal heart rate
- recovery with compression release
definition:
- transitory, abrupt slowing of FHR 15/min or more below baseline for at least 15 seconds,
variable in duration, intensity, and timing in relation to uterine contraction
causes:
- umbilical cord compression
- short cord
- prolapsed cord
- cord around fetal neck
notes:
- nuchal cord, baby grabs then releases
- can do position changes
- may see these once we rupture water bc more pressure on baby now as water is gone
- amniofusion → through pressure catheter can push more fluid inside to provide a cushion
variable deceleration: nursing interventions - CORRECT ANSWER-- shut off pitocin FIRST
T → turn the pt (reposition the pt; side-lying to take take pressure off placenta/vena cava)
O → open mainline IV (increase IV rate)
O → oxygen (10L by mask) → even if mom's SPO2 is normal, want to give baby enough oxygen
N → notify HCP (do interventions first, then notify provider)
D → document (situation, interventions, outcomes)
QUESTIONS AND VERIFIED
CORRECT ANSWERS
GRADED A+ LATEST 2026-
2027 100% GUARANTEED
PASS
true labor - CORRECT ANSWER-"progressive cervical effacement and dilation"
- consistent, increasing contraction frequency, duration and intensity
- worsens with activity
- lowers back pain radiates to lower abdomen
- cervical dilation and effacement steadily progress
false labor - CORRECT ANSWER-"no cervical dilation or effacement"
- pain located in abdomen or groin
- Braxton Hicks, irregular contraction frequency, duration, and intensity
- unchanged or resolved with activity
- abdomen and groin pain
- no significant change in dilation or effacement
external monitoring - CORRECT ANSWER-- FHR: ultrasounds transducer
- UC: tocotransducer
,fetal electronic rate - CORRECT ANSWER-a continuous, noninvasive test that records your
contractions and baby's heart rate
- normal FHR: 110-160 bpm
- FHR variability:
~ irregular fluctuations in FHR showing how fetus is tolerating the stress of labor
~ classification of variability
- uterine activity:
~ frequency
~ duration
~ intensity
~ resting tone
internal monitoring - CORRECT ANSWER-- FHR: fetal scalp/spiral electrode
- UC: inter-uterine pressure catheter
decelerations (types & interventions) - CORRECT ANSWER-V → variable
E → early, sign of head compression (good), a mirror pattern (fetal HR should match mom's
contractions)
A → accelerations, a-okay, baby is well o2
L → late, sign of placental insufficiency, reposition mom
C → cord compression
H → head compression
O → OK, well oxygenated
P → placental insuffiency
variable decelerations - CORRECT ANSWER-physiology:
- transitory umbilical cord compression
, - stimulation of the vagus nerve
- abrupt decrease in fetal heart rate
- recovery with compression release
definition:
- transitory, abrupt slowing of FHR 15/min or more below baseline for at least 15 seconds,
variable in duration, intensity, and timing in relation to uterine contraction
causes:
- umbilical cord compression
- short cord
- prolapsed cord
- cord around fetal neck
notes:
- nuchal cord, baby grabs then releases
- can do position changes
- may see these once we rupture water bc more pressure on baby now as water is gone
- amniofusion → through pressure catheter can push more fluid inside to provide a cushion
variable deceleration: nursing interventions - CORRECT ANSWER-- shut off pitocin FIRST
T → turn the pt (reposition the pt; side-lying to take take pressure off placenta/vena cava)
O → open mainline IV (increase IV rate)
O → oxygen (10L by mask) → even if mom's SPO2 is normal, want to give baby enough oxygen
N → notify HCP (do interventions first, then notify provider)
D → document (situation, interventions, outcomes)
