Fetal Heart Rate Monitoring Quiz
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Questions and Answers

Which of the following accurately describes the primary goal of external fetal heart rate monitoring?

  • To assess fetal position during labor
  • To prevent any interventions during labor
  • To interpret and continually assess fetal oxygenation (correct)
  • To measure uterine contractions exclusively

    • What is a requirement for performing internal fetal heart rate monitoring?

  • The placenta must be fully intact
  • The fetal heart rate must be less than 110 bpm
  • The mother must be in active labor
  • The membranes must be ruptured (correct)

    • Which of the following describes a normal fetal heart rate baseline?

  • 100-120 bpm
  • 120-180 bpm
  • 110-160 bpm (correct)
  • 130-150 bpm

    • In the context of fetal heart rate monitoring, what does tachycardia refer to?

    <p>A sustained heart rate greater than 160 bpm (A)</p> Signup and view all the answers

    What aspects are included in the APGAR score when assessing newborn status?

    <p>Heart rate, respiratory effort, muscle tone, reflex response, and color (B)</p> Signup and view all the answers

    Which of the following conditions is a contraindication for internal fetal heart rate monitoring?

    <p>Genital herpes (C)</p> Signup and view all the answers

    How are cord blood gases utilized in the assessment of newborns?

    <p>To determine the severity of hypoxia in labor (C)</p> Signup and view all the answers

    Which of the following is NOT a method used for external fetal heart rate monitoring?

    <p>Placement of a fetal scalp electrode (C)</p> Signup and view all the answers

    What does an abnormal fetal heart rate baseline of bradycardia indicate?

    <p>A heart rate consistently below 110 bpm (B)</p> Signup and view all the answers

    How is an acceleration measured in fetal heart rate monitoring?

    <p>As a rise of at least 15 bpm lasting for at least 15 seconds (D)</p> Signup and view all the answers

    What does a visually apparent abrupt increase in fetal heart rate (FHR) above baseline indicate?

    <p>Reassuring sign of fetal well-being. (C)</p> Signup and view all the answers

    What is the primary cause of variable decelerations in fetal heart rate observed during labor?

    <p>Head compression or umbilical cord issues. (A)</p> Signup and view all the answers

    Which intervention is appropriate if hypotonic contractions are identified during labor?

    <p>Administer IV fluids and possibly oxytocin. (B)</p> Signup and view all the answers

    How are first stage arrest disorder and second stage arrest disorder differentiated?

    <p>By the extent of cervical dilation. (D)</p> Signup and view all the answers

    What is the minimum value of Montevideo units (MVUs) indicating adequate contraction intensity for labor progression?

    <p>200 mmHg. (D)</p> Signup and view all the answers

    Which condition is indicated by hypertonic contractions during labor?

    <p>Frequent yet ineffective contractions. (B)</p> Signup and view all the answers

    What is a common risk factor associated with uterine dystocia?

    <p>Nulliparous status. (C)</p> Signup and view all the answers

    Which of the following is NOT a method for stimulating uterine activity in cases of hypotonic contractions?

    <p>Minimize fluid intake. (B)</p> Signup and view all the answers

    In the context of intrauterine resuscitation strategies, what is the purpose of administering oxygen?

    <p>To improve recovery from hypotension or hypovolemia. (D)</p> Signup and view all the answers

    What is a defining characteristic of occiput posterior presentation?

    <p>The back of the baby’s head is positioned near the maternal back. (C)</p> Signup and view all the answers

    What is a potential outcome of repeated fast contractions during labor?

    <p>Inadequate recovery time leading to fetal distress. (B)</p> Signup and view all the answers

    Which presentation indicates that the fetal head is extended as it enters the pelvis?

    <p>Face presentation (B)</p> Signup and view all the answers

    What condition is characterized by the fetal spine being vertical to the maternal pelvis?

    <p>Shoulder presentation (B)</p> Signup and view all the answers

    Which of the following methods is NOT used for cervical preparation during labor induction?

    <p>Oxytocin administration (A)</p> Signup and view all the answers

    What is a defining feature of a Bishop Score less than 6?

    <p>Suggests that labor induction may not be successful. (A)</p> Signup and view all the answers

    Which type of breech presentation features thighs flexed alongside the body with feet close to the head?

    <p>Frank Breech (A)</p> Signup and view all the answers

    Why is amniotomy (AROM) typically done in early labor?

    <p>To stimulate contractions and enhance labor. (C)</p> Signup and view all the answers

    Which fetal presentation involves one or more fetal extremities accompanying the presenting part?

    <p>Compound presentation (B)</p> Signup and view all the answers

    What is required for the induction of labor (IOL) to be considered medically necessary?

    <p>An indication based on maternal or fetal conditions. (A)</p> Signup and view all the answers

    Which breech presentation involves either one or both feet presenting before the buttocks?

    <p>Footling Breech (B)</p> Signup and view all the answers

    What is the most common contraindication for epidural or spinal anesthesia?

    <p>Low platelet count (D)</p> Signup and view all the answers

    Which action should be prioritized during the nursing management of immediate post-operative care following a cesarean birth?

    <p>Assess fundus and lochia (C)</p> Signup and view all the answers

    What is the primary reason for needing a neutral thermal environment for a newborn?

    <p>To prevent cold stress (D)</p> Signup and view all the answers

    What signifies the transition from meconium stool to transitional stool in a newborn?

    <p>Change to a looser greenish-black color (C)</p> Signup and view all the answers

    Which maneuver is used to assess for congenital hip dislocation in a newborn?

    <p>Ortolani maneuver (A)</p> Signup and view all the answers

    What characteristic differentiates pathologic jaundice from physiologic jaundice in newborns?

    <p>Timing of appearance (D)</p> Signup and view all the answers

    What is one of the key nursing interventions for a neonate suffering from hypoglycemia?

    <p>Establish feeding (C)</p> Signup and view all the answers

    What percentage of birth weight is considered an appropriate weight loss for an infant during the first week of life?

    <p>5-10% (A)</p> Signup and view all the answers

    What is the purpose of administering a Vitamin K injection to newborns?

    <p>To reduce the risk of bleeding (A)</p> Signup and view all the answers

    What role does brown adipose tissue play in newborns?

    <p>It promotes heat production (C)</p> Signup and view all the answers

    What primarily causes disseminated intravascular coagulation in pregnant individuals?

    <p>A pathological process or injury (C)</p> Signup and view all the answers

    Which of the following events can trigger disseminated intravascular coagulation during labor?

    <p>Amniotic fluid embolism (C)</p> Signup and view all the answers

    What is a critical nursing action during an unscheduled cesarean birth?

    <p>Completing necessary preoperative assessments (B)</p> Signup and view all the answers

    Which of the following intraoperative complications is associated with cesarean birth?

    <p>Maternal respiratory depression due to anesthesia (B)</p> Signup and view all the answers

    What factor increases the risk of fetal acidemia during a cesarean birth?

    <p>Maternal hypotension from anesthesia (A)</p> Signup and view all the answers

    Which action should the nurse take first once a decision for an unscheduled cesarean birth is made?

    <p>Notify the surgical team (D)</p> Signup and view all the answers

    What is a key characteristic of disseminated intravascular coagulation in the context of pregnancy?

    <p>Results from obstetric emergencies (A)</p> Signup and view all the answers

    Which of the following is NOT typically included in the nursing management for an unscheduled cesarean section?

    <p>Assessment of fetal position (A)</p> Signup and view all the answers

    What underlying condition is commonly associated with disseminated intravascular coagulation during pregnancy?

    <p>Severe preeclampsia (A)</p> Signup and view all the answers

    What is the primary goal of the 30-minute decision to incision rule in unscheduled cesarean births?

    <p>Ensuring fetal well-being (D)</p> Signup and view all the answers

    What is a defining characteristic that distinguishes postpartum blues from postpartum depression?

    <p>Symptoms of postpartum blues resolve without medical intervention. (A)</p> Signup and view all the answers

    Which of the following factors is crucial for predicting an infant's health and survival?

    <p>Length of gestation (D)</p> Signup and view all the answers

    Meconium aspiration syndrome is primarily characterized by which underlying condition?

    <p>Partial obstruction due to meconium in the lungs (A)</p> Signup and view all the answers

    How long after birth should the ductus arteriosus typically close?

    <p>A few hours to 96 hours post-birth (A)</p> Signup and view all the answers

    Which sign is associated with respiratory distress syndrome in neonates?

    <p>Lethargy and hypotonia (D)</p> Signup and view all the answers

    What condition is characterized by gray or dusky skin in neonates?

    <p>Respiratory distress syndrome (C)</p> Signup and view all the answers

    A common risk factor leading to breastfeeding jaundice includes which of the following?

    <p>Delayed initiation of breastfeeding (A)</p> Signup and view all the answers

    Which of the following symptoms indicates a serious neonatal condition known as patent ductus arteriosus?

    <p>Recurrent apnea (B)</p> Signup and view all the answers

    In postpartum depression, a diagnosis is made upon the presence of symptoms for at least how many weeks?

    <p>2 weeks (C)</p> Signup and view all the answers

    What treatment approach is recommended for breastfeeding jaundice?

    <p>Encourage early effective breastfeeding (A)</p> Signup and view all the answers

    Which of the following accurately describes the process of uterine involution?

    <p>The uterus returns to its pre-pregnancy size and heals the placental site. (C)</p> Signup and view all the answers

    What is the first type of lochia observed postpartum and when does it typically occur?

    <p>Rubra, occurring from postpartum day 1 to 3. (D)</p> Signup and view all the answers

    Which nursing action is recommended for managing urinary issues during the postpartum period?

    <p>Encouraging early voiding within the first 2-4 hours after birth. (B)</p> Signup and view all the answers

    What common side effect is associated with the gastrointestinal system postpartum?

    <p>Constipation often requiring stool softeners. (C)</p> Signup and view all the answers

    What is the primary risk factor for developing postpartum hemorrhage?

    <p>Neonatal macrosomia and previous cesarean deliveries. (D)</p> Signup and view all the answers

    What is an important nursing consideration when monitoring for postpartum depression?

    <p>Symptoms can include severe anxiety and loss of appetite. (D)</p> Signup and view all the answers

    Which of the following correctly identifies the nursing assessment tool used for assessing the postpartum period?

    <p>BUBBLE-LE and its components. (B)</p> Signup and view all the answers

    How is the Babinski reflex typically assessed in a neonate?

    <p>By stroking the lateral surface of the sole in an upward motion. (B)</p> Signup and view all the answers

    What is an indication of secondary postpartum hemorrhage?

    <p>Develops within 6 weeks following birth. (B)</p> Signup and view all the answers

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