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Basic Fetal Heart Monitoring Exam with Answers Latest Update, Exams of Nursing

1. An advantage of the external ultrasound transducer compared with auscultation is that the external ultrasound transducer allows you to assess: - ✔✔changes in rate in response to uterine 2. Which of the following uterine activity assessments can be documented using a tocodynamometer? - ✔✔frequency* 3. Fetal tachycardia may be caused by: - ✔✔fetal immaturity* 4. Which of the following statements is true about the documentation of fetal heart monitoring data? - ✔✔Documentation can be time consuming, but is an essential part of risk management 5. A risk management strategy that can reduce liability related to fetal heart monitoring includes: - ✔✔development of emergency drill exercises 6. When dealing with a conflict, it is appropriate for the nurse to: - ✔✔Discuss the situation with the primary obstetric care provider, effectively communicating the concern and rationale for the conflict. 7. Fetal heart rate information is measured electronically by the: - ✔✔ultrasound transducer

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Basic Fetal Heart Monitoring
1. An advantage of the external ultrasound transducer compared with auscultation is that the external
ultrasound transducer allows you to assess: - ✔✔changes in rate in response to uterine
2. Which of the following uterine activity assessments can be documented using a tocodynamometer? -
✔✔frequency*
3. Fetal tachycardia may be caused by: - ✔✔fetal immaturity*
4. Which of the following statements is true about the documentation of fetal heart monitoring data? -
✔✔Documentation can be time consuming, but is an essential part of risk management
5. A risk management strategy that can reduce liability related to fetal heart monitoring includes: -
✔✔development of emergency drill exercises
6. When dealing with a conflict, it is appropriate for the nurse to: - ✔✔Discuss the situation with the
primary obstetric care provider, effectively communicating the concern and rationale for the conflict.
7. Fetal heart rate information is measured electronically by the: - ✔✔ultrasound transducer
8. Oxygen transported through the bloodstream to the tissues is attached to: - ✔✔hemoglobin
9. An external ultrasound transducer is being used to monitor the fetal heart rate. The audible signal
indicates a heart rate of 75. The tracing shows a baseline rate of 145 beats per minute. To verify the
fetal heart rate the nurse should: - ✔✔palpate the maternal pulse while auscultating the fetal heart
10. The best location for auscultating the fetal heart is: - ✔✔over the fetal back
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Basic Fetal Heart Monitoring

  1. An advantage of the external ultrasound transducer compared with auscultation is that the external ultrasound transducer allows you to assess: - ✔✔changes in rate in response to uterine
  2. Which of the following uterine activity assessments can be documented using a tocodynamometer? - ✔✔frequency*
  3. Fetal tachycardia may be caused by: - ✔✔fetal immaturity*
  4. Which of the following statements is true about the documentation of fetal heart monitoring data? - ✔✔Documentation can be time consuming, but is an essential part of risk management
  5. A risk management strategy that can reduce liability related to fetal heart monitoring includes: - ✔✔development of emergency drill exercises
  6. When dealing with a conflict, it is appropriate for the nurse to: - ✔✔Discuss the situation with the primary obstetric care provider, effectively communicating the concern and rationale for the conflict.
  7. Fetal heart rate information is measured electronically by the: - ✔✔ultrasound transducer
  8. Oxygen transported through the bloodstream to the tissues is attached to: - ✔✔hemoglobin
  9. An external ultrasound transducer is being used to monitor the fetal heart rate. The audible signal indicates a heart rate of 75. The tracing shows a baseline rate of 145 beats per minute. To verify the fetal heart rate the nurse should: - ✔✔palpate the maternal pulse while auscultating the fetal heart
  10. The best location for auscultating the fetal heart is: - ✔✔over the fetal back
  1. For the term fetus, an acceleration is a visually apparent abrupt increase in the FHR above the baseline of at least: - ✔✔15 bpm for 15 seconds
  2. Contraction intensity is recorded in mm Hg with an IUPC to reflect the: - ✔✔total intrauterine pressure, including the resting tone*
  3. The time elapsed between the beginning of a contraction and the end of a contraction is described as: - ✔✔duration
  4. If the waveforms for uterine contractions measured by an IUPC suddenly cease to be recorded, which of the following is a possible cause for this problem? - ✔✔uterine rupture*
  5. Normal uterine resting tone in a term pregnancy is usually: - ✔✔less than or equal to 20 mm Hg
  6. A late deceleration of the FHR is a visually apparent, usually symmetrical, gradual decrease and return to baseline FHR associated with a uterine contraction. The gradual decrease is defined as onset of deceleration to nadir ≥30 seconds occurring: - ✔✔after the peak of the contraction
  7. When auscultating the fetal heart rate, the nurse should simultaneously palpate the uterus to: - ✔✔correlate changes in the fetal heart rate to uterine activity
  8. The average range of the fetal heart rate in the absence of contractions or episodic changes is referred to as the baseline: - ✔✔rate
  9. Which of the following methods provides the most accurate, quantifiable assessment of uterine activity: - ✔✔intrauterine pressure catheter
  10. Hemoglobin carrying its maximum number of oxygen molecules refers to oxygen: - ✔✔saturation
  1. Compared to the fluid-filled catheter, the solid-tipped IUPC is more likely to give falsely elevated readings of intrauterine pressure due to: - ✔✔hydrostatic pressure influence
  2. External fetal monitor devices have been placed to record the fetal heart rate and uterine activity. The fetal heart rate is audible but the tracing shows areas without FHR data. To correct this situation the nurse should: - ✔✔check the position of the ultrasound transducer and readjust
  3. Fetal heart rate bradycardia is more likely to result from: - ✔✔prolonged cord compression
  4. To assess uterine resting tone and contraction intensity when external fetal monitoring is used, the nurse: - ✔✔palpates the uterus during and between contractions
  5. Variable decelerations are usually associated with: - ✔✔cord compression
  6. Uterine activity can be measured electronically by the: - ✔✔tocodynamometer
  7. Early decelerations usually occur as a result of: - ✔✔head compression
  8. Decelerations that occur as an isolated event not associated with uterine contractions are known as:
    • ✔✔episodic decelerations
  9. Intensity describes the strength of a uterine contraction: - ✔✔at its peak
  10. A maternal position that optimizes uterine perfusion is: - ✔✔lateral recumbent
  11. The fetal spiral electrode calculates the fetal heart rate from which part of the conduction cycle? - ✔✔R to R interval
  1. The parasympathetic nervous system influence causes the fetal heart rate to: - ✔✔decrease
  2. Oxygen passes from maternal hemoglobin to fetal hemoglobin by a process known as: - ✔✔passive diffusion
  3. The tracing of uterine activity measured with a solid-tipped intrauterine pressure catheter depicts no contractions. However, you are palpating contractions that are strong in intensity with a frequency of every 3 minutes and duration of 60 seconds. A possible cause for this finding is: - ✔✔the system connections are not attached*
  4. The first step you should take to differentiate the fetal heart rate from the maternal heart rate is to: - ✔✔auscultate the fetal heart while palpating the maternal pulse
  5. Direct, clear, and concise communication about fetal heart monitoring data is facilitated through: - ✔✔use of standard institution-specific terminology
  6. The ultrasound signal emitted by the external ultrasound transducer calculates the fetal heart rate by counting the reflected signals that have: - ✔✔a change in frequency from the transmitted signal
  7. The amount of blood pumped out of the heart per minute is called: - ✔✔cardiac output
  8. The standard paper speed for electronic fetal monitor tracings in the United States is: - ✔✔3 cm/min
  9. Compared to the external toco, the IUPC provides a direct measure of: - ✔✔intrauterine pressure
  10. You are unable to obtain a continuous tracing of uterine activity. The monitor has been properly applied and all cables are connected correctly. Which of the following actions would you perform first? - ✔✔palpate the uterine contractions
  1. A general contraindication to applying a fetal spiral electrode is: - ✔✔the presence of hepatitis B