Terminology/Definitions
Contraction Patterns
FHR Changes
Interventions
Physiology
100
True/False: Category 1 FHR tracing and a reactive NST are the same thing.
What is False;
Categories are for Labor only. NST require accels for reactivity.
100
What device is used to measure the true intensity of a contraction.
What is an IUPC (intrauterine pressure catheter)
100
Identify the periodic changes seen on this monitor strip. 
What are recurrent Variable decelerations.
100
Your monitor tracing shows fetal tachycardia. What should be your initial nursing intervention/assessment.
What is check maternal temperature.
100
What is the physiological cause of late decelerations.
What is uteroplacental insufficiency.
200
Abrupt increase in FHR that goes 15 bpm above baseline and lasts at least 15 secs in a baby that is greater than 32 weeks gestation.
What is an acceleration
200
Greater than 5 contractions in 10 minutes, averaged over a 30 minute window.
What is tachysystole
200
The presence of these 2 FHR characteristics suggest an intact CNS, well oxygenated baby and absence of metabolic acidemia.
What are: Moderate variability and FHR accelerations.
200
Your patient just received a labor epidural and this is her tracing 10" after. What is the most appropriate nursing intervention 
What is check Blood pressure and treat hypotension.
200
Name 3 of the most common causes of uteroplacental insufficiency.
What is hypo/hypertension, diabetes, smoking, IUGR, tachysystole, AMA, IVF, postdates
300
What is the baseline FHR 
what is: Unable to determine due to marked variability
300
Decelerations that occur with more than 50% of uterine contractions in a 20 minute window.
What are recurrent decelerations.
300
What category is the FHR tracing. 
What is a category III tracing.
Sinusoidal pattern
300
Is oxygen indicated for this tracing. 
What is No. there is variability. Try other interventions first.
300
True/False: When using oxygen for intrauterine resuscitation purposes, you may continue infusing Pitocin as ordered.
What is false.
O2 and Pitocin should not be running simultaneously when oxygen is used for intrauterine resuscitation.
400
A decel that lasts > or = to 2 mins but less than 10 mins
what is a prolonged decel
400
What 4 things are assessed when doing a contraction assessment.
What are: Frequency, intensity, duration and resting tone/time
400
Identify the FHR change in this picture. 
What is a prolonged deceleration
400
These interventions would be indicated for a Category III tracing.
What is reposition, O2, IVfluids, notify provider, prepare for imminent delivery.
400
34 week patient presents to triage post MVA. What is the underlying physiology for this tracing 
What is a placental abruption.
500
Name the components of a category III FHR tracing.
What is:FHR tracing with one of the following
Absent variability with Recurrent lates,
Absent variability with Recurrent Variabiles
Absent variability with Bradycardia or
Sinusoidal
500
True/False:
Montevideo Units (MVUs) should be documented when using both external monitor and IUPC.
What is False.
MVUs should only be documented when using an IUPC.
500
List some troubleshooting techniques for the times that the fetal monitor tracing and audible do not match.
What is: palpate maternal pulse, verify correct monitor placements, check cords, US or doptone (for arrhythmias), place FSE (although can trace maternal in fetal demise)
500
What is an appropriate pushing technique for a woman who is in second stage and having recurrent decelerations.
What is push with every other contraction or in various position.
500
Cord Blood interpretation:
ph: 7.01
Co2 80
Po2 22
BE : -18
What is mixed acidosis