Questions and Answers
What device detects the fetal pulse by sensing and analyzing tissue movements via Doppler ultrasound?
What refers to the average fetal heart rate (FHR) that occurs during a 10 minute segment, excluding periodic or episodic rate changes, such as tachycardia or bradycardia?
What is defined as irregular fluctuations in the baseline fetal heart rate (FHR), which is measured as the amplitude of the peak to trough in beats per minute?
What term describes temporary, recurrent changes made in response to a stimulus such as a contraction?
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What are transitory abrupt increases in the fetal heart rate (FHR) above the baseline that last less than 30 seconds from onset to peak called?
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What are visually apparent, usually symmetrical, and characterized by a gradual decrease in the FHR in which the nadir (lowest point) occurs at the peak of the contraction?
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What is a transient fall in fetal heart rate (FHR) caused by stimulation of the parasympathetic nervous system?
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What are visually apparent, usually symmetrical, transitory decreases in FHR that occur after the peak of the contraction?
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What are visually apparent abrupt decreases in fetal heart rate (FHR) below baseline, with an unpredictable shape, possibly demonstrating no consistent relationship to uterine contractions?
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What is described as having a visually apparent smooth, sinewave-line undulating pattern in the FHR baseline with a cycle frequency of 3 to 5 bpm that persists for more than 20 minutes?
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Sinusoidal FHR pattern is considered what category pattern?
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Fetal bradycardia occurs when the FHR is below how many bpm lasting 10 minutes or longer?
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Fetal tachycardia is a baseline FHR lasting for 10 minutes or longer greater than how many BPM?
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What term is used to describe irregular variations or absence of the FHR on the fetal monitor record that result from mechanical limitation of the monitor or electrical interference?
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What are three ways to provide comfort measures to laboring women?
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What does the pain assessment tool FOCUS stand for?
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What are some nonpharmacologic pain measures that a nurse can use for a patient in labor? (Select all that apply)
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What is the name of the method for determining the presentation, position, and lie of the fetus using 4 specific steps?
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Leopold Maneuvers
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What should we include in a maternal assessment during labor and birth? (SATA)
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To check the duration of a contraction you count the boxes on the monitor.
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To check the frequency of contractions, you count from the beginning of one contraction to the beginning of the next contraction.
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Amniotic fluid analysis
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What is the difference between intermittent and continuous fetal heart rate monitoring?
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Where is the fetal heart rate (FHR) most clearly heard?
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How long should the Fetal Heart Rate (FHR) be assessed initially upon entry to the hospital?
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What are the two types of continuous internal fetal monitoring?
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What constitutes a Category 1: normal fetal heart rate pattern?
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What constitutes a Category 2: indeterminate fetal heart rate pattern? (SATA)
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What constitutes a Category 3: abnormal fetal heart rate pattern?
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What are the primary objectives of continuous electronic fetal monitoring? (Select all that apply)
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What criteria is required for using continuous internal monitoring of the Fetal Heart Rate (FHR)? (SATA)
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Four categories of baseline variability
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What are the types of periodic baseline changes in variability during fetal monitoring?
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What would be a reason that minimal baseline variability in fetal monitoring is not a concern?
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What are some interventions for category 3 fetal heart rate patterns? (Select all that apply)
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When we are first assessing a patient in the first stage of labor, what important question should we ask them?
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What does GBS stand for in the admission labs?
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To help the patient when it is time to push, what position should we put the patient in?
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What are some things we assess for during the fourth stage of labor? (Select all that apply)
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