Exam 14: Intrapartum Fetal Surveillance

Why is continuous electronic fetal monitoring generally used when oxytocin is administered?

Which of the following therapeutic applications provides the most accurate information related to uterine contraction strength?

The nurse is reviewing an electronic fetal monitor tracing from a patient in active labor and notes the fetal heart rate gradually drops to 20 beats per minute (bpm) below the baseline and returns to the baseline well after the completion of the patient's contractions. How will the nurse document these findings?

The fetal heart rate baseline increases 20 bpm after vibroacoustic stimulation. The best interpretation of this is that the fetus is showing

Which method of intrapartum fetal monitoring is the most appropriate when a woman has a history of hypertension during pregnancy?

The patient presenting at 38 weeks' gestation, gravida 1, para 0, vaginal exam 4 cm, 100% effaced, +1 station vertex. What is the most likely intervention for this fetal heart rate pattern?

When a pattern of variable decelerations occur, the nurse should immediately

When a Category II pattern of the fetal heart rate is noted and the patient is lying on her left side, which nursing action is indicated?

To clarify the fetal condition when baseline variability is absent, the nurse should first

The nurse is concerned that a patient's uterine activity is too intense and that her obesity is preventing accurate assessment of the actual intrauterine pressure. Based on this information, which action should the nurse take?

Which nursing action is correct when initiating electronic fetal monitoring?

Which clinical finding can be determined only by electronic fetal monitoring?

In which situation would a baseline fetal heart rate of 160 to 170 bpm be considered a normal finding?

Which statement correctly describes the nurse's responsibility related to electronic monitoring?

The nurse is preparing supplies for an amnioinfusion on a patient with intact membranes. Which supplies should the nurse gather? (Select all that apply.)

Decelerations that mirror the contractions are present with each contraction on the monitor strip of a multipara who received epidural anesthesia 20 minutes ago. The nurse should

When the mother's membranes rupture during active labor, the fetal heart rate should be observed for the occurrence of which periodic pattern?

Observation of a fetal heart rate pattern indicates an increase in heart rate from the prior baseline rate of 152 bpm. Which physiologic mechanisms would account for this situation?

If the position of a fetus in a cephalic presentation is right occiput anterior, the nurse should assess the fetal heart rate in which quadrant of the maternal abdomen?

The nurse evaluates a pattern on the fetal monitor that appears similar to early decelerations. The deceleration begins near the acme of the contraction and continues well beyond the end of the contraction. Which nursing action indicates the proper evaluation of this situation?