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Maternal Newborn Nursing

Competency-Based Assessments

Maternal Newborn NursingCompetency-Based Assessments

Competency-Based Assessments

1 .
A fetal monitor strip shows a baseline FHR of 135 bpm. How would you explain the significance of this baseline to a nursing colleague, and what factors might influence variations in the FHR baseline?
2 .
As a clinical nurse, you observe early decelerations in the FHR during contractions. How would you explain "periodic changes" to a nursing student, and what implications might early decelerations have for the fetus during labor?
3 .
A laboring patient exhibits late decelerations in the FHR pattern. How would you explain the influence of uteroplacental sufficiency on this pattern, and what nursing interventions might you consider to address potential issues with uteroplacental blood flow?
4 .
During labor, a patient's FHR pattern shows recurrent variable decelerations. As a nurse, how would you explain the importance of fetal reserves in responding to variable decelerations, and what actions might help support fetal reserves?
5 .
A laboring patient exhibits late decelerations in the FHR pattern. What nursing interventions might you consider to address potential issues with uteroplacental blood flow?
6 .
In response to persistent late decelerations, what specific intrauterine resuscitation interventions can you perform, and how do these interventions aim to improve fetal well-being?
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