1.
According to AWHONN, the normal baseline Fetal Heart Rate (FHR) is
A. 
B. 
C. 
D. 
2.
What are the two most important characteristics of the FHR?
A. 
B. 
Variability and accelerations
C. 
Variability and decelerations
D. 
3.
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. 
B. 
C. 
D. 
4.
What is the primary goal of effective communication in the care of the intrapartum patient?
A. 
Getting out of work on time
B. 
C. 
Meeting patients' needs appropriately
D. 
Maintaining a professional environment
5.
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
A. 
B. 
C. 
D. 
6.
The best placement for the tocodynamometer to pick up uterine contractions is the
A. 
B. 
C. 
D. 
7.
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. 
C. 
Call the doctor immediately
D. 
8.
Umbilical cord influences that can alter blood flow include true knots, hematomas, and the number of umbilical vessels.
9.
Low amplitude contractions are not an early sign of preterm labor.
10.
Preterm contractions are usually painful.
11.
Corticosteroid administration may cause an increase in FHR accelerations.
12.
Contractions cause an increase in uterine venous pressure and a decrease in uterine artery perfusion.
13.
Matching
NICDH 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
14.
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?
15.
List three ways in which you can determine that an FHR pattern is pseudo sinusoidal and NOT sinusoidal.
16.
List three primary interventions for fetal tachycardia.
17.
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
18.
What kind of decelerations and variability does this strip show?
What interventions would you take after evaluating this strip?
19.
What kind of variability and deceleration are seen in this strip?What interventions would you take after evaluating this strip?
20.
What are the rate and duration of the contractions seen on this strip?What intervention would you take after evaluating this strip?
21.
What kind of variability and decelerations are seen in this strip?What interventions, if any, would you take after evaluating this strip?
22.
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?