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GNRS 575/ GNRS575- Fetal Monitoring Exam (Answered 100% correctly ) Summer 2025/2026., Exams of Nursing

GNRS 575/ GNRS575- Fetal Monitoring Exam (Answered 100% correctly ) Summer 2025/2026 - Azusa Pacific University.

Typology: Exams

2024/2025

Available from 05/15/2025

dennis-mburu
dennis-mburu 🇺🇸

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S
L
DD
R
A
AL
|
TR
R
T
TR
aaad
Sl
Sl
L
E—
M\Ku\j\a
Smg\mm,
Fetal
Monitoring
The
purpose
of
this
module
;
is
to
become
familiar
with
fetal
momtormg,
the
implications
for
its
use,
identifying
basic
pattemns,
fetal
implications,
and
the
nurse’s
response.
You
are
to
complete
this
module
and
submit
it
to
your
clinical
instructor.
®
Check
the
syllabus
for
the
due
date.
All
the
information
to
complete
this
module
is
found
in
your
textbook,
lecture
notes,
or
videos
assigned.
Here's
the
Scoop:
Fetal
Monitoring
involves
both
the
labor
contractions
and
the
maternal/fetal
response
to
labor
E
===
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S
EEEE
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T e
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Y
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.====
========a
S
e
EREEEREREaREES
!
SmEEEEE
EE_EEEEE‘
SREE=ey
=
1=
P
==
1.
Label
the:
a.
increment,
b.
acme,
c.
decrement,
d.
duration,
e.frequency
and
f.
resting
tone
of
the
contraction
above.
2.
List
3
ways
to
assess
contractions.
Pari
of
the
hand
is
used
to
assess
contractions
Fmgcr’r\ps
4.
Where
should
you
palpate
the
mother’s
abdomen
to
feel
the
contraction?
Place
your
gne
hand
on
tne
oodomen
gver
e
Sundus
The
rationale
for
thls
1s:
_C&Qtl‘_(l{.‘i_\gng_gfii_megg_\m_
Dr.
Anna
Browne
¢
Hefer,
FNP,
RN
Professor
Melissa
Muddell
MSN/ED.
RN
2r
Karla
Kendall
Richmond,
CNS.
RNC
pf3
pf4
pf5
pf8
pf9
pfa

Partial preview of the text

Download GNRS 575/ GNRS575- Fetal Monitoring Exam (Answered 100% correctly ) Summer 2025/2026. and more Exams Nursing in PDF only on Docsity!

S L DD R A AL | TR R

aaad Sl Sl L^ T^ TR

E—

M\Ku\j\a

Smg\mm,

Fetal^ Monitoring

The purpose of this module ; is to become familiar with fetal momtormg, the implications

for its use, identifying basic

pattemns, fetal implications,

and the nurse’s response.

You are to complete this module and submit it to your clinical instructor. ® Check the syllabus for the due date.

All the information

to complete this module

is found in your textbook,

lecture notes,

or videos assigned.

Here's the Scoop:

Fetal Monitoring

involves both

the labor contractions

and

the maternal/fetal

response

to labor

E^ ===^ EEEE

S EEEE j EEEEEEEEEE T e o =

e - |

EE=EE EErrE EEEEEE £

[

'E;‘m.

il

S]]

i

Y S

.==== ========a

S e EREEEREREaREES

!

SmEEEEE EE_EEEEE‘

SREE=ey

= (^) 1= P (^) ==

  1. Label the: a. increment, b. acme, c. decrement, d. duration, e.frequency and f.

resting tone of the

contraction above.

  1. List (^3) ways to assess contractions.

Pari of the hand is used

to assess contractions

Fmgcr’r\ps

4. Where should

you palpate the

mother’s abdomen

to feel the contraction?

Place your

gne hand

on tne

oodomen

gver e

Sundus

The rationale

for thls 1s: C&Qtl‘(l{.‘i_\gng_gfii_megg_\m_

Dr. Anna (^) Browne ¢ Hefer, (^) FNP, (^) RN Professor Melissa (^) Muddell MSN/ED. RN

2r Karla

Kendall

Richmond,

CNS. RNC

  1. Define frequency. Refers 10 the^ hime^ between^ the beguning^ of^ one^ Uterine Contrachion and the beginning of the ekt

  2. (^) Define (^) duration. %e@m (^) nm% of (^) one (^) Uterire, comtrachion o (^) 4he (^) end Qt (^) e (^) OME contraction

  3. Define^ intensity. i^ fhie Refers^10 tne strengih^ of the^ uterine^ contraction curnng ace. MM modexa g Remember: An external / indiréct monitor cannot determine uterine intensity. To determine (^) uterine intensity, the laboring (^) woman's fundus must be palpated or an TUPC must be in place.

  4. To obtain an accurate assessment of cervical dilation, the best time to perform a vaginal examination is: (TR DTSRI DRI The rationale for this is: ~

  5. Define malpresentation: Ay fetal position Fhat 16 not cephalic presentation Note: External/ indirect fetal monitoring is non-invasive.

  6. Define external / indirect fetal monitoring [fetal heart rate / contractions) Twe elecironic diskhe Placed on mother's abdomen that (^) record fetal heart (^) vate ond (^) Mother's contrachons

  7. Identify advantages of external / indirect fetal monitoring.

  • NonN - INVOaSive
  • Casy 1o uce = 1€ss vestrichve — Used as 8Creening T
    o
  1. Identify disadvantagesrg external / indirect fetal monitoring. ~ lese accuvrate
  • No frue (^) FHIR (^) voviabillny Note: Internal / direct fetal monitoring is invasive. Dr. Anna (^) Browne Hefner, FNP, (^) RN Professor Melissa Muddell MSN/ED, RN Dr. Karla (^) Kendall (^) Richmond, CNS. RNC

T Note:^ Fetal^ monitor^ strips^ [graph^ paper]^ provide^ sections^ for^ both^ fetal heart rate [FHR] and uterine activity.

  1. Define baseline rate, using NICHD terminology. Boseline FHR 1§ determined b N opproximaining the mean FHR Younrded \n Sopm \nQrements o\w\ng a \Q mnute penod. There must be o \easy (^8) ynures of \denhi€ioble, pose\ne. Segmenic
  2. Define baseline variability, using NICHD terminology. Pinpiiude (^) fange Visually undetectable Note: Baseline variability is a reliable indicator of fetal cardiac and neurological (^) function and well-being.
  3. The autonomic nervous system is composed of two divisions: which attempts to decrease the heart rate and fiumPngfiL which attempts to increase the heart rate J
  4. What physiological (^) response happens when a fetus is deprived of sufficient oxygen? - OGNS
  • Hypexian
  • \ofe decels ; ~ Py NoTo e e
  1. 1dentify the follgwmg cg‘x monsca}{s associated with either fetal heart rate bradycardia or fetal heart rate tachycardia, or both. fetal hypoxia e\ Xuaucha

prolonged umbilical cord occlusion "o. 00.1_ mo 0 maternal fever D . fetal anemia capacoPmaternal hypotension

  1. Define accelerations and the physiology causing them, using the NICHD terminology. Abropt INCreoge 0\6?0(6 e baselihe as (^0) vegud - ive Cehd^ _^.
  2. Aocgeleg\trignscic_: (are)/ are not) csonsid ered a FHR pattern that reliably predict the absence^ of^ fetal^ metabolic acidemia^ at^ the^ time^ they^ are^ observed. 27.^ Nursing^ interventions^ for^ accelerations are: NO ntervention^ Needed 28.^ Define^ early^ deceleration and the^ physiology^ causing^ them, using^ the^ NICHD terminology. A^ gradual^ decrease in FHR^ tha¥^ happens af^ tne Sovyre^ Fime GS O^ Ukevine^ Conyracnon it^ can^ otaur as resuly of feral head^ COMPress\on. Dr.^ Anna^ Browne^ Hefner,^ FNP,^ RN Professor^ Melissa^ Muddell^ MSN/ED, R’N Dr.^ Karla^ Kendall^ Richmond, CNS,^ RNC

arely leads idered a^ FI rmn^ that 1 29,^ Rarly decelerations


are^ not) considered a^ FHR patte to^ hypoxia, ot^ eventual metabolic acidemia to^ the fetu 30,^ Nursing interventions for^ early^ decelerations would^ include: Naginal^ exam,^ Change posiriens,^ Continue^ to MONITor

  1. Define^ variable^ decelerations^ and^ the^ physiology causing^ them,^ using^ the^ NICHD terminology. Poih decelerations naY Vary W0 Sk usyally OS O ®RSUWWN of cord compresion.
  2. Variable (^) decelerations may | ic acidemia 1 1 y lead to metabolic acidemia if they are ac by absent FHR variability at the BL (False). (^4) e False) emia and potential injury to the fetus or
  3. Nursing interventi entions for Jat i
T(,} S
{3(3-

iy a\ \eJ deceler‘at‘lons would include: AAMINISTEY oxum e, s, S0P e \C ope\col

AR

Ygen AP\Co R 1 Hefhe^ N LIRS^ S 3 KT,^ I+^ D^ Y I ToIessor^ f\h}iSS:! N^ K^ F\P;^ RN D o e fuddell MSN y *. Karla Kendall Richmong C\IS:’DRg\Ig

  • ceconds Contraction duration: o Interpretation of^ strip: mtfigqm ’ Nursing^ interventions based^ on strip:

¢ LS FHR baseline: Baseline variability: ‘ Y ( Mf (^) (S\1e! Periodic / Episodic (^) changes: \J(\ W
Q‘XEQY\S Contraction frequency: &'q m\mfifig (^50) - (^10) Seconds Contraction duration: Dr. Anna (^) Browne Hefner, FNP, RN Professor (^) Melissa (^) Muddell MSN/ED, RN Dr. Karla (^) Kendall Richmond, CNS, RNC

P

— o TR N

Yory A dhid e Interpretation^ of^ strip: C^ \( ions^ base strip: Nursing^ interventions based^ on stri] Nursing ¢^ e^ pasihions, Checkh^ for^ bab X QbfiCV:‘w___m_____q Change._pasitions, Ch Y fr^ _cord^ polapse FHR baseline: ‘% l X \6& €\ (^) m\Y‘(Cd'e, (^) O\)Q m N DAl X MINVTL. (^) Convng ous Baseline variability: M \0 oce \A\ 2 Periodic / Episodic (^) changes: lC’k 1- d ece ‘ Contraction (^) frequency: , ~a m W\U’Tfig Contraction duration: UfO A %O S@CC‘Y\Q‘ N Interpretation of strip: C_Qtf_gfl% Dr. Anna (^) Browpe Hefner, FNP, RN Professor (^) Melissa (^) Muddel] MSN/ED, (^) RN Dr. Karla (^) Kendall (^) Richmond, C NS, RNC

Nursing interventions (^) based on strip: —hothing thig is hormal FHR baseline: Baseline variability: modevrale. 10 maovned Periodic / Episodic changes: { rolong )-E d clece
Contraction (^) frequency: Qflgbjfi_’m_ggggss Contraction duration: Y SSeSS Interpretation of strip: £ K jifig} vy Dr. Anna (^) Browne Hefner, FNP, (^) RN Professor (^) Melissa (^) Muddell MSN/ED, (^) RN Dr. Karla (^) Kendall (^) Richmond, CNS. RNC

Nursing interventions based on strip: — Qe focolhe , nonéy_physicion e e e i e Dr. Anna Browne Hefuner, FNP, RN Professor (^) Melissa (^) Muddell MSN/ED, (^) RN Dr. Karla (^) Kendall Richmond, (^) CNS, RNC