ELABORATED QUESTIONS AND
ANSWERS FOR AWHONN
a) Frequency
b) Duration - CORRECT ANSWER-Which contraction
characteristics can be assessed with a tocodynamometer?
a) Frequency
b) Duration
c) Intensity
Uterus - CORRECT ANSWER-All Fetuses of mothers in labor
experience an interruption of the...
a) Frequency
b) Duration - CORRECT ANSWER-Which contraction
characteristics can be assessed with a tocodynamometer?
a) Frequency
b) Duration
c) Intensity
Uterus - CORRECT ANSWER-All Fetuses of mothers in labor
experience an interruption of the oxygenation pathway at which
point?
a) Throughout labor and delivery unless the use of a more
accurate method is clearly indicated - CORRECT ANSWER-
The FHR can be monitored using doppler ultrasound?
a) Throughout labor and delivery unless the use of a more
accurate method is clearly indicated
b) Internally
c) Only early in labor
d) The FHR cannot be monitored by doppler ultrasound
b) 110-160 bpm - CORRECT ANSWER-What is the normal
range for FHR base line in a term infant?
a) 80-120 bpm
b) 110-160 bpm
,c) 140-180bpm
d) it depends on the sex of the fetus
Mother's inhalation to lungs to mat. circulatory system to
hemoglobin in RBC's to bloodstream in uterus. Uterus to spiral
arteries to placenta to intervillous space to travel via simple
diffusion into the villi. The capillaries to the umb. vein to the
fetus.
The umb. artery sends waste (CO2) to the intervillous space to
the mothers venous system. - CORRECT ANSWER-Trace the
flow of oxygen from mother to fetus and back.
30-50%
lateral recumbent or semi-Fowler's - CORRECT ANSWER-By
what % does maternal cardiac output increase above the non-
pregnant state and what position helps this uteroplacental
blood flow?
>5 contractions in 10 min (more frequently than Q 2 min)
averaged over 30 min window.
Caused by oxytocin, aminoinfusion or in rare cases
spontaneously. - CORRECT ANSWER-Define tachysystole
contractions and the cause of.
,4. Admin O2 10L via non rebreather face mask. - CORRECT
ANSWER-List interventions for tachysystole contractions.
higher conc. to lower concentration.
1.Oxygen from maternal (higher) to fetal compartment (lower)
to fetal hgb then transported to fetal tissue.
2. CO2 returns to intervillous space by passive diffusion and is
removed by the mat. venous system. - CORRECT ANSWER-
Describe passive diffusion as related to the maternal placental
fetal system.
Place her in lateral position, & increase IV fluids. If no
improvement may need to give epi to increase vascular tone. -
CORRECT ANSWER-Maternal hypotension is a potential side
effect of regional anesthesia and analgesia. What nursing
interventions could you use to raise the client's blood pressure?
Choose all that apply.
A) Place the woman in a supine position.
B) Place the woman in a lateral position.
C) Increase intravenous (IV) fluids.
D) Continuous Fetal Monitor
E) Administer ephedrine per MD order
systolic BP >= 140mm hg, a diastolic BP>= 90 mm hg or MAP
of >=105 - CORRECT ANSWER-Define maternal hypertension
(gestational).
17g/dl, fetal hgb has a higher oxygen affinity than an adult to
develop in an oxygen poor environment. The fetal circulatory
pattern ensures blood with higher O2 and nutrition content is
delivered to the vital organs (brain and heart) to tolerate the
stress of labor. - CORRECT ANSWER-What is the normal
expected value for a term fetal HGB?
1 vein, 2 arteries encased in wharton's jelly.
O2 (high content) travels via the vein
, CO2 travels via 2 arteries back to placenta - CORRECT
ANSWER-detail the umbilical cord
A decrease of blood flow and O2 delivery to fetus & increases
CO2 level in fetus.
Transient cord compression can be common in labor. Variable
FHR decel's is frequently associated with cord compression. -
CORRECT ANSWER-Define cord compression.
May lead to hypoxemia and fetal acidemia. The depth of
variable deceleration's is not enough to determine degree.
Evaluate oxygenation through baseline heart rate
characteristics through rate, variability and presence or
absence of accelerations. - CORRECT ANSWER-Explain
persistent or recurrent cord compression concerns and what to
look at.
A normal part of labor. As contractions build increased uterine
pressure prevents blood from entering/leaving the intervillous
space. During the peak the fetus relies completely on its
oxygen reserve (an aerobic challenge that is not an issue for a
health fetus. - CORRECT ANSWER-Explain transient
interruptions in fetal oxygen supple during labor.
Chronic deficiency of placenta function, usually from an
interruption of oxygenation pathway due to abruption, mat.
hypo or hypertension or other issues. Infant is not tolerant of
contractions. Can result in fetal grow restrictions (FGR) -
CORRECT ANSWER-Define Uteroplacental insufficiency (UPI)
Assess baseline FHR
Determine rhythms (regular vs irregular)
ID accelerations and deceleration's but not the type of
deceleration (early/late/variable)
The fetal heartbeat is best heard over the fetal back. -
CORRECT ANSWER-Auscultation of Fetal Heart Sounds tell
you what information?
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 supergrades1. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
