Chapter 9: Fetal Heart Rate Assessment

Chapter 9: Fetal Heart Rate Assessment

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Multiple Choice

1. The nurse uses the external electronic fetal heart monitor to evaluate fetal status. The fetal heart tracing shows accelerations. Accelerations in the fetal heart are:
2. Associated with fetal well-being and oxygenation
3. An indication of potential fetal intolerance to labor
4. Never associated with the uterine contraction pattern
5. A reason to notify the care provider

ANS: a

KEY: Integrated Process: Clinical Problem Solving | Cognitive Level: Analysis | Content Area: Maternity | Client Need: Safe and Effective Care Environment | Difficulty Level: Moderate

2. The nurse knows that a FHR monitor printout indicates a Category III abnormal fetal heart rate pattern when:
3. Baseline variability is minimal or absent with decelerations.
4. FHR mirrors the uterine contractions.
5. Occasional periodic accelerations occur.
6. Baseline variability is 6 to 25 bpm with decelerations

ANS: a

KEY: Integrated Process: Clinical Problem Solving | Cognitive Level: Analysis | Content Area: Maternity | Client Need: Health Promotion and Maintenance | Difficulty Level: Moderate

3. As the nurse explains the purpose of the tocotransducer (Toco), which she places on the abdomen, she states that this monitoring device provides an accurate evaluation of which of the following?
4. Uterine hypertonus
5. Frequency of contractions
6. Intensity of contractions
7. Progress of labor

ANS: b

KEY: Integrated Process: Teaching and Learning | Cognitive Level: Knowledge | Content Area: Maternity | Client Need: Basic Care and Comfort | Difficulty Level: Easy

4. Early decelerations are probably caused by:
5. Decreased maternal–fetal exchange
6. Umbilical cord occlusion
7. Momentary increase in intracranial pressure due to head compression
8. Compression of umbilical cord

ANS: c

KEY: Integrated Process: Clinical Problem Solving | Cognitive Level: Application | Content Area: Maternity | Client Need: Safe and Effective Care Environment | Difficulty Level: Moderate