Exam (elaborations)
Electronic Fetal Monitoring Practice Questions and and answers
- Course
- Institution
Electronic Fetal Monitoring Practice Questions and and answers
[Show more]
Seller
Follow
Hkane
Reviews received
Content preview
Electronic Fetal Monitoring PracticeQuestions
A doctor has just completed an ultrasound on a patient that is at 35 weeks gestation. He
informs the nurse that the patient has very little amniotic fluid, which is causing the umbilical
cord to compress the baby's head. He asks the nurse to begin getting his equipment ready
so that he can correct the problem. What is the primary nursing action that needs to be
completed?
a. discontine oxytocin IV
b. encourage mom to move from side to side and go in a knee-chest position to relieve
umbilical cord compression
c. begin adminstering oxygen through a mask at levels 10-20 l/min
d. finding an intrauterine pressure catheter, gloves, and the syringe needed to perform
aminocentesis to give the patient more fluid to increase her amniotic fluid levels and relieve
umbilical cord compresison - correct answer-d. finding an intrauterine pressure catheter,
gloves, and the syringe needed to perform aminocentesis to give the patient more fluid to
increase her amniotic fluid levels and relieve umbilical cord compresison
A maternal nurse is observing that a fetus has increases in FHR that are above the baseline
and greater than or equal to 15 bpm and lasting longer than or equal to 15 seconds in
relation to mom's uterine contractions. The nurses' priority action would be to:
a. Report this as a normal finding, known as accelerations that indicate the fetus is doing
well.
b. Report this immediately to the doctor because this indicates that the fetus is
compromised.
c. Adminster mom oxygen from 8-10 l/min immediately and then notify doctor. - correct
answer-a. Report this as a normal finding, known as accelerations that indicate the fetus is
doing well.
A nurse determines that a baby has a baseline FHR of 100 bpm on a EFM strip. The nurse
explains to the mother that this is considered a:
a. an EARLY sign of fetal hypoxia or prematurity
b. a LATE sign of fetal hypoxia
c. a normal finding of a thriving fetus - correct answer-b. a LATE sign of fetal hypoxia
A nurse determines that a baby's FHR is below 110 beats per minute. The nurse is
concerned and notifies the doctor by explaining that the fetus has:
a. tachycardia
b. bradycardia - correct answer-b. bradycardia
, A nurse determines that term baby's baseline fetal heart rate is 140 beats per minute. A
nurse explains to her patient that this fetal heart rate is:
a. abnormal because it is not in the normal range of 90-100 bears perm minute for a term or
post term fetus
b. normal because it is in the range of 110-160 bpm for a term or post term fetus
c. abnormal because it is not in the normal range of 160-200 bpm for a term or post term
fetus - correct answer-b. normal because it is in the range of 110-160 bpm for a term or post
term fetus
A nurse explains to her 19 year old patient that she will be using methods of internal fetal
monitoring on her to monitor her baby's FHR in relation to her uterine contractions. Which of
the following internal fetal monitoring devices will the nurse use? (select all that apply)
a. intrauterine pressure catheter
b. tocotransducer
c. ultrasound transducer
d. spiral electrode - correct answer-a. intrauterine pressure catheter
d. spiral electrode
A nurse has been monitoring a FHR that has consistently displayed no variability and
non-reassuring patterns. What should be the nurse's primary action?
a. Apply an oxygen mask to the mother that runs 8-10 L/min.
b. Stimulate the fetus scalp by rubbing it through the mother's abdomen with gloved fingers.
The nurse should also use vibroacusotic stimulation and play music that resembles sounds
heard in utero to increase the babies HR through stimulation.
c. Encourage and help mom to turn to a knee chest position to help relieve cord
compression, which will help increase baby's HR. - correct answer-b. Stimulate the fetus
scalp by rubbing it through the mother's abdomen with gloved fingers. The nurse should also
use vibroacusotic stimulation and play music that resembles sounds heard in utero to
increase the babies HR through stimulation.
A nurse has tried multiple measures to increase a patient's baby's FHR. The nurse would
deem which of the following situations not correctable and omnious?
a. early decelerations associated with decreased variability and tachycardia
b. late decelerations associated with decreased variability and tachycardia
c. variable declerations associated with decreased variability and tachycardia - correct
answer-b. late decelerations associated with decreased variability and tachycardia
A nurse informs a nursing student that if late deceleration are persistent and repetitive, it
indicates:
a. fetal hypoxemia stemming from insufficient placental perfusion
b. considered a normal finding and should not cause alarm
c. fetal hypoxemia stemming from cord compression - correct answer-a. fetal hypoxemia
stemming from insufficient placental perfusion
A nurse is assessing the relaxation or intrauterine pressures between contractions on a EFM
strip. The nurse is assessing which of the following components of the uterine contractions?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Hkane. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
82292 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now