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Maternal Newborn Nursing

Check Your Understanding Questions

Maternal Newborn NursingCheck Your Understanding Questions

Check Your Understanding Questions

1 .
What do the FHR baseline characteristics tell the nurse about fetal oxygenation?
2 .
What types of decelerations are caused by cord compression?
3 .
Describe the periodic changes in this monitor strip. Are they reassuring or nonreassuring?
Fetal heart rate reading showing periodic changes. The top graph shows a fetal heart rate ranging from 150 bpm, but it drops down to 110 bpm at periodic intervals. The bottom graph shows contractions that peak just prior to the FHR dips.
Copyright Rice University, OpenStax, under CC BY 4.0 license
4 .
Explain how this monitor tracing shows adequate fetal oxygenation.
A screenshot of a fetal heart rate and contraction monitor with three separate graph panels. The top panel shows an orange line tracking fetal heart rate over time, with readings oscillating above and below 120 bpm against a dark background. The middle panel has a purple line displaying relatively flat uterine activity. The bottom panel depicts the intensity of contractions as white mountain-like peaks against a black background. Time stamps at the top right indicate the tracing spans from 23:54 to 00:12.
Copyright Rice University, OpenStax, under CC BY 4.0 license
5 .
List the advantages and disadvantages of intermittent auscultation.
6 .
List the advantages and disadvantages of external FHR monitoring.
7 .
List the advantages and disadvantages of internal FHR monitoring.
8 .
The nurse interprets the following external EFM tracing.
A tracing with the FHR in blue at the top. It ranges from 120 to 150 with occasional breaks in the line and occasional drops. The contraction tracing is at the bottom and has peaks that range from 50 to 70 from the baseline of approximately 10 and occur 2 to 3 minutes apart. FHR increases slightly at the peaks of contractions. A green line lies in the middle of the FHR and UC lines and ranges approximately from 70 to 90 with no apparent pattern.
Copyright Rice University, OpenStax, under CC BY 4.0 license
How does the nurse document the summary of this tracing?
9 .
Repetitive variable decelerations are noted on an FHR tracing. What condition might be the cause of this periodic change in the FHR pattern?
10 .
The fetus has been diagnosed with growth restriction. What should the nurse expect regarding fetal reserve?
11 .
Uterine contractions are occurring frequently. The nurse counts 7 contractions in a 10-minute period. What periodic change is expected, and what is the cause?
12 .
What nursing actions does the nurse perform when a prolapsed cord is suspected?
13 .
What nursing action does the nurse perform when the nurse observes a prolonged deceleration?
14 .
How does the nurse determine the success of nursing actions performed to address abnormal FHR tracings?
15 .
What is always the priority step in intrauterine resuscitation when oxytocin is in use?
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