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NURS-3031 FINAL EXAM FULLY UPDATED.
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NURS-3031 FINAL EXAM FULLY UPDATED. Whenyisyfetalybradycardiaymostycommon? a.yIntra-amnioticyinfection b.yFetalyanemia c.yProlongedyumbilicalycordycompression d.yTreatmentywithyatropiney-yCORRECTyANSWER-C Whileyevaluatingyanyexternalymonitorytracingyofyaywomanyinyactiveylabour,ytheynurs eynotes...

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  • October 7, 2024
  • 88
  • 2024/2025
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NURS-3031 FINAL EXAM FULLY UPDATED.


Whenyisyfetalybradycardiaymostycommon?

a.yIntra-amnioticyinfection
b.yFetalyanemia
c.yProlongedyumbilicalycordycompression
d.yTreatmentywithyatropiney-yCORRECTyANSWER-C

Whileyevaluatingyanyexternalymonitorytracingyofyaywomanyinyactiveylabour,ytheynurs
eynotesythatytheyfetalyheartyratey(FHR)yforyfiveysequentialycontractionsybeginsytoydec
elerateylateyinytheycontraction,ywithytheynadiryofytheydecelerationsyoccurringyafteryth
eypeakyofytheycontraction.yWhatyisytheynurse'sypriorityyintervention?

a.yChangeytheywoman'syposition.
b.yNotifyytheycareyprovider.
c.yAssistywithyamnioinfusion.
d.yInsertyayscalpyelectrode.y-yCORRECTyANSWER-A

Whichyisyaycauseyofyearlyydecelerations?

a.yTransientyfetalyheadycompression
b.yUmbilicalycordycompression
c.yUteroplacentalyinsufficiency
d.ySpontaneousyruptureyofymembranesy-yCORRECTyANSWER-A

Whichyisytrueyinyrelationytoyaccelerationsywithyfetalymovement?

a.yTheyyareyconsideredynormal.
b.yTheyyareycausedybyyumbilicalycordycompression.
c.yTheyywarrantycloseyobservation.
d.yTheyyareycausedybyyuteroplacentalyinsufficiency.y-yCORRECTyANSWER-A

Whichyisyaycauseyofyvariableyfetalyheartyratey(FHR)ydecelerations?

a.yAlteredyfetalycerebralybloodyflow
b.yUmbilicalycordycompression
c.yUteroplacentalyinsufficiency
d.yFetalyhypoxemiay-yCORRECTyANSWER-B

Whatyshouldytheynurseywhoyisyprovidingycareyforytheylabouringywomanyunderstandy
aboutylateyfetalyheartyratey(FHR)ydecelerations?

a.yAlteredycerebralybloodyflow

,b.yUmbilicalycordycompression
c.yUteroplacentalyinsufficiency
d.yMeconiumyfluidy-yCORRECTyANSWER-C

Whenyprovidingycareyforytheylabouringywoman,ywhichyfetalyheartyratey(FHR)ydeviati
onyshouldytheynurseyunderstandythatyamnioinfusionyisyusedytoytreat?

a.yVariableydecelerations
b.yLateydecelerations
c.yFetalybradycardia
d.yFetalytachycardiay-yCORRECTyANSWER-A

Whatyshouldytheynurseyassessyforywhenycaringyforytheywomanyinylabourywhoyexperi
encesymaternalyhypotension?

a.yEarlyydecelerations
b.yFetalydysrhythmias
c.yFetalyhypoxemia
d.ySpontaneousyruptureyofymembranesy-yCORRECTyANSWER-C

Whenycaringyforyaylabouringywoman,ytheynurseyisyawareythatywhichycanyleadytoyanyi
ncreaseyinymaternalycardiacyoutput?

a.yChangeyinyposition
b.yOxytocinyadministration
c.yRegionalyanaesthesia
d.yIntravenousyanalgesicy-yCORRECTyANSWER-A

Whileyevaluatingyanyexternalymonitorytracingyofyaywomanyinyactiveylabourywhoseyla
bouryisybeingyinduced,ytheynurseynotesythatytheyfetalyheartyratey(FHR)ybeginsytoydece
lerateyatytheyonsetyofyseveralycontractionsyandyreturnsytoybaselineybeforeyeachycontr
actionyends.yWhatyshouldytheynurseydo?

a.yChangeytheywoman'syposition.
b.yDiscontinueytheyoxytocinyinfusion.
c.yInsertyanyinternalymonitor.
d.yDocumentytheyfindingyinytheypatient'syrecord.y-yCORRECTyANSWER-D

Whichyfetalyheartyratey(FHR)yfindingywouldyconcernytheynurseyduringylabour?
a.yAccelerationsywithyfetalymovement
b.yEarlyydecelerations
c.yAnyaverageyFHRyofy126ybeats/min
d.yLateydecelerationsy-yCORRECTyANSWER-D

Whichyisyaycommonycauseyofydecreasedyvariabilityyinytheyfetalyheartyratey(FHR)ythaty
lastsy30yminutesyoryless?

,a.yAlteredycerebralybloodyflow
b.yFetalyhypoxemia
c.yUmbilicalycordycompression
d.yFetalysleepycyclesy-yCORRECTyANSWER-D

Whichybestyassessesyfetalywell-beingyduringylabour?

a.yTheyresponseyofytheyfetalyheartyratey(FHR)ytoylabour
b.yMaternalypainycontrol
c.yAccelerationsyinytheyFHR
d.yAnyFHRyabovey110ybeats/miny-yCORRECTyANSWER-A

Theynurseyisyevaluatingytheyfetalymonitorytracingyofyaypatientywhoyisyinyactiveylabour
.ySuddenlyytheyfetalyheartyratey(FHR)ydropsyfromyitsybaselineyofy125ydownytoy80.yThe
ynurseyrepositionsytheymother,yprovidesyoxygen,yincreasesyintravenousy(IV)yfluid,yan

dyperformsyayvaginalyexamination.yTheycervixyhasynotychanged.yFiveyminutesyhaveyp
assed,yandytheyFHRyremainsyinythey80s.yWhatyadditionalynursingymeasuresyshouldyth
eynurseytake?

a.yCallyforyhelp.
b.yInsertyayFoleyycatheter.
c.yStartyoxytocin.
d.yNotifyytheycareyprovideryimmediately.y-yCORRECTyANSWER-D

Whatythreeymeasuresyshouldytheynurseyimplementytoyprovideyintrauterineyresuscita
tion?ySelectytheyresponseythatybestyindicatesytheypriorityyofyactionsythatyshouldybeyta
ken.

a.yCallytheyprovider,yrepositionytheymother,yandyperformyayvaginalyexamination.

b.yRepositionytheymother,yincreaseyintravenousy(IV)yfluid,yandypreformyayvaginalyexa
mination.

c.yAdministeryoxygenytoytheymother,yincreaseyIVyfluid,yandynotifyytheycareyprovider.

d.yPerformyayvaginalyexamination,yrepositionytheymother,yandyprovideyoxygenyviayfa
ceymask.y-yCORRECTyANSWER-B

Whichyisyaylegalyresponsibilityyofytheyperinatalynurse?

a.yCorrectlyyinterpretingyfetalyheartyratey(FHR)ypatterns,yinitiatingyappropriateynursi
ngyinterventions,yandydocumentingytheyoutcomes

b.yGreetingytheypatientyonyarrival,yassessingyher,yandystartingyanyintravenousy(IV)ylin
e

, c.yApplyingytheyexternalyfetalymonitoryandynotifyingytheycareyprovider

d.yMakingysureythatytheywomanyisycomfortableyandyorientatedytoytheyunity-
yCORRECTyANSWER-A



Asyayperinatalynurse,yyouyrealizeythatywhichyaccompaniesyayfetalyheartyrateythatydem
onstratesylateydecelerations?

a.yHypotension
b.yCordycompression
c.yMaternalydrugyuse
d.yHypoxemiay-yCORRECTyANSWER-D

Aynewypatientyandyherypartneryarriveyonytheylabour,ydelivery,yrecovery,yandypostpar
tumyunityforytheybirthyofytheiryfirstychild.yYouyapplyytheyelectronicyfetalymonitory(EF
M)ytoytheywoman.yHerypartneryasksyyouytoyexplainywhatyisyprintingyonytheygraph,yref
erringytoytheyEFMystrip.yHeywantsytoyknowywhatytheybaby'syheartyrateyshouldybe.yWh
atyisytheybasisyofytheynurse'syresponse?

a.yLabourysupportypeopleydoynotyneedytoyknowyaboutyEFMyinterpretation.

b.yTheytopylineygraphsytheybaby'syheartyrate,ywhichyisybetweeny110yandy160ybutyfluct
uatesysomewhat.

c.yTheytopylineygraphsytheybaby'syheartyrate,yandytheybottomylineyletsytheynurseykno
wyhowystrongytheycontractionsyare.

d.yArrangeyforytheyhealthycareyproviderytoyexplainyinterpretationytoytheypatient'sypar
tner.y-yCORRECTyANSWER-B

Whichycharacterizesyaynormalyuterineyactivityypatternyinylabour?

a.yContractionsyeveryy2ytoy5yminutes
b.yContractionsylastingyabouty2yminutes
c.yContractionsyabouty1yminuteyapart
d.yAycontractionyintensityyofyabouty1000ymmyHgywithyrelaxationyaty50ymmyHgy-
yCORRECTyANSWER-A



Accordingytoystandardyprofessionalythinking,yhowyoftenyshouldynursesyauscultateyth
eyfetalyheartyratey(FHR)?

a.yEveryyhouryinytheyactiveyphaseyofytheyfirstystageyofylabouryinytheyabsenceyofyriskyfa
ctors

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