Intermediate Electronic Fetal Heart Monitoring
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When expectant mothers go to the clinic, their child’s health is checked every time and if complications arise they are noted and handled. One of the things we covered this week is the immediate electronic fetal heart monitoring and the quiz below is perfectly designed to help you test out how much you understood reading and interpretation. Give it a try!
- 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.
- 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 oxygentation 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.
- 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.
- 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 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.
- 17.
- 18.
- 19.List three primary interventions for fetal tachycardia.
- 20.
- 21.
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- 22.
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- 23.
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- 24.
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What kind of variability and decelerations are seen in this strip?What interventions, if any, would you take after evaluating this strip? - 25.
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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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