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NUR 148 ( LATEST 2024 / 2025 ) CH 18 | (ACTUAL EXAM ) QUESTIONS AND ANSWERS (SOLVED)
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NUR 148 ( LATEST 2024 / 2025 ) CH 18 | (ACTUAL EXAM ) QUESTIONS AND ANSWERS (SOLVED)
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NUR 148 Ch181. What's So Important About the Fetal Heart Rate and the
Uterine Contractions?
Answer
Fetal Oxygenation
2. Auditory and/or visual representation of number
of time fetal heart beats per minute
Answer
Fetal Heart Rate/Tones
3. Normal range of fetal heart beat
Answer
110-160 bpm
4. The fetal heart develops certain patterns which can be auscultated or seen, that indicate if
the
fetus is receiving an adequate supply of oxygen
Answer
Fetal Heart Rate Patterns
5. assessed during labor by evaluating how the fetal heart responds to labor contractions
Answer
Fetal well-being
6. Tools for Assessing the FHR
Answer
1. Hand-held doppler,
,2. Continuous External fetal monitor,
3. Fetoscope,
4. Continuous Internal fetal monitor
7. • How often are the contractions coming?
Answer
Contraction frequency
8. • How long does each contractions last?
Answer
Contraction duration
9. • How strong are the contractions?
Answer
Contraction intensity
10. • Does the uterus return to a non-contracted state between contractions? It's supposed to
relax between contractions.
Answer
Uterine resting tone
11. Tools for Assessing Uterine Contractions
Answer
1. The Human Hand,
2. External
3. Internal continuous contraction monitoring
12. Why So Much Monitoring?
Answer
some baby's don't react well to stress of contrac- tions
13. Labor is physiologically stressful to the
, fetus because, Blood flow (O2) to fetus is during each contraction
Answer
in- terrupted or stops
14. • Especially in fetuses who are already have problems associated with decreased placental
blood flow
Answer
Increases risk for fetal hypoxia
15. problems associated with decreased placental blood flow
Answer
1. Hypertension,
2. Diabetes,
3. Maternal or fetal hemorrhage,
4. IUGR, (Intrauterine growth restriction)
5. Effects of some epidural medications
16. What happens when a fetus becomes hypoxic?
Answer
Untreated fetal hypoxia lead to hypoxemia, to
anaerobic metabolism, to production of lactic acid, to fetal acidosis, to cellular/tis- sue/organ
damage, to fetal death.
17. Acidosis
Answer
Blood pH of under , The lower the pH, the more damage
to fetal tissues and organs
Answer
7.35
18. Poorly oxygenated fetuses do not and they become acidotic - if not treated in a timely
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