Fetal heart rate information is measured electronically by the: - ANSultrasound transducer
Oxygen transported through the bloodstream to the tissues is attached to: - ANShemoglobin
An external ultrasound transducer is being used to monitor the fetal heart rate. The audible
signal indicates a heart rate of 75. The tracing shows a baseline rate of 145 beats per minute.
To verify the fetal heart rate the nurse should: - ANSpalpate the maternal pulse while
auscultating the fetal heart
The best location for auscultating the fetal heart is: - ANSover the fetal back
An advantage of the external ultrasound transducer compared with auscultation is that the
external ultrasound transducer allows you to assess: - ANSchanges in rate in response to
uterine
Which of the following uterine activity assessments can be documented using a
tocodynamometer? - ANSfrequency*
Fetal tachycardia may be caused by: - ANSfetal immaturity*
Which of the following statements is true about the documentation of fetal heart monitoring
data? - ANSDocumentation can be time consuming, but is an essential part of risk management
A risk management strategy that can reduce liability related to fetal heart monitoring includes: -
ANSdevelopment of emergency drill exercises
When dealing with a conflict, it is appropriate for the nurse to: - ANSDiscuss the situation with
the primary obstetric care provider, effectively communicating the concern and rationale for the
conflict.
For the term fetus, an acceleration is a visually apparent abrupt increase in the FHR above the
baseline of at least: - ANS15 bpm for 15 seconds
Contraction intensity is recorded in mm Hg with an IUPC to reflect the: - ANStotal intrauterine
pressure, including the resting tone*
The time elapsed between the beginning of a contraction and the end of a contraction is
described as: - ANSduration
, If the waveforms for uterine contractions measured by an IUPC suddenly cease to be recorded,
which of the following is a possible cause for this problem? - ANSuterine rupture*
Normal uterine resting tone in a term pregnancy is usually: - ANSless than or equal to 20 mm
Hg
A late deceleration of the FHR is a visually apparent, usually symmetrical, gradual decrease and
return to baseline FHR associated with a uterine contraction. The gradual decrease is defined
as onset of deceleration to nadir ≥30 seconds occurring: - ANSafter the peak of the contraction
When auscultating the fetal heart rate, the nurse should simultaneously palpate the uterus to: -
ANScorrelate changes in the fetal heart rate to uterine activity
The average range of the fetal heart rate in the absence of contractions or episodic changes is
referred to as the baseline: - ANSrate
Which of the following methods provides the most accurate, quantifiable assessment of uterine
activity: - ANSintrauterine pressure catheter
Hemoglobin carrying its maximum number of oxygen molecules refers to oxygen: -
ANSsaturation
The time elapsed from the beginning of one contraction to the beginning of the next contraction
is expressed as: - ANSfrequency
Uterine resting tone is the pressure within the uterus: - ANSbetween contractions
To remove the fetal spiral electrode, you should: - ANSturn the wires counterclockwise until the
electrode is dislodged
The amount of oxygen a fetus receives in excess of its basal needs is referred to as: - ANSfetal
reserve
Oxygenated blood is carried to the fetus through this vessel: - ANSumbilical vein
The primary electrical impulses stimulating the fetal heart to contract originate in the: -
ANSsinoatrial node
To palpate uterine activity, the nurse places her hand: - ANSon the fundus of the uterus
In assessing uterine activity, the nurse finds that contractions are every 4Â-5 minutes lasting
40Â-60 seconds with a resting tone of 8Â-10 mm Hg. Peak contraction intensity is 25Â-30 mm
Hg. The patient appears to be comfortable. To validate these findings, you should: - ANSpalpate
for uterine activity
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