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Maternal-Newborn Nursing (NUR 302) Chapter 14 Test Bank Exam

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John Marsh
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Chapter 14 Test Bank Exam

Tarleton State University

Maternal-Newborn Nursing (NUR 302)

Chapter 14: Intrapartum Fetal Surveillance
MULTIPLE CHOICE
1. The nurse sees a pattern on the fetal monitor that looks similar to early decelerations, but 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?
a. This pattern reflects variable decelerations. No interventions are necessary at this
time.
b. Document this reassuring fetal heart rate pattern but decrease the rate of the
intravenous (IV) fluid.
c. Continue to monitor these early decelerations, which occur as the fetal head is
compressed during a contraction.
d. This deceleration pattern is associated with uteroplacental insufficiency, so the
nurse acts quickly to improve placental blood flow and fetal oxygen supply.

2. Which maternal condition should be considered a contraindication for the application of
internal monitoring devices?
a. Unruptured membranes
b. Cervix dilated to 4 cm
c. Fetus has known heart defect
d. External monitors currently being used

3. The nurse is instructing a nursing student on the application of fetal monitoring devices.
Which method of assessing the fetal heart rate requires the use of a gel?
a. Doppler
b. Fetoscope
c. Scalp electrode
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d. Tocodynamometer

4. A client is receiving oxytocin (Pitocin) to induce labor. The uterine contractions have become
persistently hypertonic and the infusion is stopped. The health care provider has prescribed a
tocolytic to stop contractions. Which medication should the nurse be prepared to administer?
a. Naloxone (Narcan)
b. Terbutaline (Brethine)
c. Ephedrine
d. Diphenhydramine (Benadryl)

5. Proper placement of the tocotransducer for electronic fetal monitoring is:
a. inside the uterus.
b. on the fetal scalp.
c. over the uterine fundus.
d. over the mother’s lower abdomen.

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Maternal-Newborn Nursing (NUR 302) Chapter 14 Test Bank Exam

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