Electronic Fetal Heart Monitoring: Trivia Quiz

25 Questions | By Meb94 | Last updated: Jun 29, 2020 | Total Attempts: 6851

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Electronic Fetal Heart Monitoring: Trivia Quiz

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Questions and Answers

1.

According to AWHONN, the normal baseline Fetal Heart Rate (FHR) is
- A.
  
  90-150 bpm
- B.
  
  100-170 bpm
- C.
  
  110-160 bpm
- D.
  
  120-140 bpm
2.

What are the two most important characteristics of the FHR?

Discuss
- A.
  
  Rate and decelerations
- B.
  
  Variability and accelerations
- C.
  
  Variability and decelerations
- D.
  
  Rate and variability
3.

While monitoring your full-term labor patient, you notice persistent variable decelerations. Your first intervention for maximizing fetal oxygenation is to
- A.
  
  Increase IV rate
- B.
  
  Discontinue Pitocin
- C.
  
  Administer oxygen
- D.
  
  Change maternal position
4.

In the same patient as above, you now recognize that the FHR tracing has been showing a decrease in variability for the last 45 minutes. Your first intervention should be to
- A.
  
  Encourage ambulation
- B.
  
  Administer oxygen
- C.
  
  Discontinue IV fluids
- D.
  
  Increase Pitocin rate
5.

The above intervention improves the baby's variability, but the FHR is still not reactive. You attempt fetal scalp stimulation (FSE) because you know that a well-oxygenated fetus will respond to FSE with a(n)

Discuss
- A.
  
  Acceleration
- B.
  
  Deceleration
- C.
  
  Fetal movement
- D.
  
  Sleep pattern
6.

You are evaluating a patient in the Prenatal Testing Department who has just completed a biophysical profile (BPP). You suspect that there could be chronic fetal asphyxia because the score is below.
- A.
  
  5
- B.
  
  6
- C.
  
  7
- D.
  
  8
7.

What is the primary goal of effective communication in the care of the intrapartum patient?
- A.
  
  Getting out of work on time
- B.
  
  Preventing lawsuits
- C.
  
  Meeting patients' needs appropriately
- D.
  
  Maintaining a professional environment
8.

While caring for a gestational diabetic patient, you encounter a conflict with the attending physician because he refuses to order blood sugars on the patient. After speaking directly with the physician, the next person in the chain of command you should communicate with is

Discuss
- A.
  
  Hospital administrator
- B.
  
  Medical director
- C.
  
  Another staff nurse
- D.
  
  Nurse Manager
9.

The best placement for the tocodynamometer to pick up uterine contractions is the
- A.
  
  Vagina
- B.
  
  Perineum
- C.
  
  Fundus
- D.
  
  Lower abdomen
10.

When using a fetal scalp electrode (FSE) you notice an abnormally low FHR on the monitor. You should first
- A.
  
  Compare maternal pulse simultaneously with FHR
- B.
  
  Remove FSE
- C.
  
  Call the doctor immediately
- D.
  
  Turn off the monitor
11.

Umbilical cord influences that can alter blood flow include true knots, hematomas, and the number of umbilical vessels.
- A.
  
  True
- B.
  
  False
12.

Low amplitude contractions are not an early sign of preterm labor.
- A.
  
  True
- B.
  
  False
13.

Preterm contractions are usually painful.
- A.
  
  True
- B.
  
  False
14.

Corticosteroid administration may cause an increase in FHR accelerations.
- A.
  
  True
- B.
  
  False
15.

Contractions cause an increase in uterine venous pressure and a decrease in uterine artery perfusion.
- A.
  
  True
- B.
  
  False
16.

MatchingNICDH definitions of decelerations: ____ Late A.) Abrupt decrease, > 15 bpm, > 15 secs long, but < 2 min long____ Early B.) Gradual decrease; nadir delayed after uterine contraction____ Variable C.) > 15 bpm below basline for > 2 min., but < 10 min in duration____ Prolonged D.) Gradual decrease; nadir coincides with the peak of contraction

Discuss
17.

As a result of the intrinsic fetal response to oxygen deprivation, increased catecholamine levels cause the peripheral blood flow to decrease while the blood flows to vital organs increases. These flow changes along with increased catecholamine secretions have what effect on fetal blood pressure and fetal heart rate?

Discuss
18.

List three ways in which you can determine that an FHR pattern is pseudo sinusoidal and NOT sinusoidal.

Discuss
19.

List three primary interventions for fetal tachycardia.
20.

During a term antepartum NST (non-stress test), you notice several variable decelerations that decrease at least 15 bpm and last at least 15 secs long. Three causes for these decelerations would be

Discuss
21.

What kind of decelerations and variability does this strip show? What interventions would you take after evaluating this strip?

Discuss
22.

What kind of variability and deceleration are seen in this strip?What interventions would you take after evaluating this strip?

Discuss
23.

What are the rate and duration of the contractions seen on this strip?What intervention would you take after evaluating this strip?

Discuss
24.

What kind of variability and decelerations are seen in this strip?What interventions, if any, would you take after evaluating this strip?
25.

What kind of variability and decelerations are noted in this strip? What reassuring sign is missing? What interventions would you take after evaluating this strip and why?

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