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Fetal heart rate variability is defined as fluctuations in the baseline that are irregular in _____ and _____. - ✔✔B. Amplitude and frequency An increase in the fetal heart rate immediately preceding a variable deceleration is caused by: - ✔✔A. Occlusion of the umbilical vein When assessing a FHR tracing, the first step is to: - ✔✔C. Establish the baseline rate Which deceleration in the FHR is considered benign and does not require an intervention to correct? - ✔✔A. Early deceleration If the umbilical vein is the only vessel occluded during cord compression - ✔✔B. Oxygenated blood may be restricted from being delivered to the fetus During a fetal sleep cycle, FHR variability is usually ____. - ✔✔C. Minimal Uterine tachysystole is defined as: - ✔✔B. >5 contractions in 10 mind over 30 minutes
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Fetal heart rate variability is defined as fluctuations in the baseline that are irregular in _____ and _____. - ✔✔B. Amplitude and frequency An increase in the fetal heart rate immediately preceding a variable deceleration is caused by: - ✔✔A. Occlusion of the umbilical vein When assessing a FHR tracing, the first step is to: - ✔✔C. Establish the baseline rate Which deceleration in the FHR is considered benign and does not require an intervention to correct? - ✔✔A. Early deceleration If the umbilical vein is the only vessel occluded during cord compression - ✔✔B. Oxygenated blood may be restricted from being delivered to the fetus During a fetal sleep cycle, FHR variability is usually ____. - ✔✔C. Minimal Uterine tachysystole is defined as: - ✔✔B. >5 contractions in 10 mind over 30 minutes Maternal-fetal oxygen and nutrient transfer takes place in the: - ✔✔B. intervillous space During a contraction, the tocodynamometer detects: - ✔✔A. Pressure created by tensing of uterine muscle Normal fetal heart rate baseline is: - ✔✔C. 110-160 bpm
Following birth, a fetal cord blood sample is taken. The results are: pH: 6. pCO2: 86 mmHg pO2: 4mmHg BE: - 18.6 mEq/L These results are best interpreted as: - ✔✔C. Mixed acidemia A characteristic of variable decelerations is: - ✔✔B. The onset of the deceleration is abrupt Stimulation of the vagus nerve in a healthy fetus will cause: - ✔✔A. A decrease in the fetal heart rate What is the baseline rate? - ✔✔B. 145 bpm What is the correct interpretation? - ✔✔B. Baseline of 160 bpm with recurrent late decelerations What is the primary physiologic goal? - ✔✔B. Maximize oxygenation Based on the tracing, the most appropriate interventions are: - ✔✔B. Decrease oxytocin from 14 to 7 mU/min and start a 500-mL IVFB. Which of the following is a correct interpretation of the tracing? - ✔✔C. The tracing of uterine activity requires palpation for accurate assessment The nurse supports maternal coping to appropriately assist Robin because - ✔✔A. Reducing maternal catecholamine production enhances blood flow to the uterus
What type of variability is observed? - ✔✔C. Moderate What do you observe in the tracing that rules out metabolic acidemia at this time? - ✔✔A: 15x accelerations What pattern is observed in the fetal heart tracing? - ✔✔A. Late decelerations What extrinsic factor can you identify as a possible cause for the observed pattern? - ✔✔C. Aging placenta What physiologic goals are priorities for Olivia's care? - ✔✔B. Maximize oxygenation and maintain appropriate uterine activity What bedside interventions are appropriate for Olivia at this time? - ✔✔C. Position change to a lateral position and initiate a 500-mL IVFB. What could Olivia's nurse do during second stage of labor to promote oxygenation? - ✔✔B. Encourage Olivia to push with every other contraction Did the fetal monitor tracing prior to delivery accurately predict the cor - ✔✔A> Yes, the presence of moderate variability rules out the metabolic acidemia. What is the baseline FHR? - ✔✔B. 160 bpm What type of variability is observed? - ✔✔A. Moderate What interventions are appropriate at this time? - ✔✔C. Reposition Shelby from left lateral to right lateral
What type of pattern is observed in the tracing? - ✔✔B. Variable decelerations What category is this tracing? - ✔✔B. Category II What is the baseline rate? - ✔✔C. Unable to determine Based on your observation of the tracing, what action(s) is (are) required? - ✔✔B. Palpate Shelby's radial pulse to verify maternal vs. fetal heart rate Which statement most accurately reflects the EFM tracing? - ✔✔A. Maternal and fetal heart rates should be verified Which pattern in the fetal heart rate would increase suspicion of a nuchal cord? - ✔✔C. Variable decelerations Shelby delivers a male infant with Apgar scores of 2 and 3. Umbilical arterial cord blood gases show: pH: 6. pCO2: 79 pO2: 11 BE: - 7. What is the correct interpretation of the cod blood gas? - ✔✔A. Respiratory academia Which of the following is an extrinsic influence on the FHR? - ✔✔C. Fetal-placental circulation The most highly oxygenated blood in fetal circulation is carried by: - ✔✔C. Ductus venosus If fetal arterial pressure begins to fall below normal levels: - ✔✔A. Baroreceptors cause vasoconstriction and increase the FHR