Physiology
Communication
Interventions
Assessment
Miscellaneous
100
The physiological cause of late decelerations.
What is uteroplacental insufficiency?
100
A primary source of liability is?
What is Poor Communication?
100
Your monitor tracing shows fetal tachycardia. What should be your initial nursing intervention/assessment?
What is check a maternal temperature?
100
Identifies a fetus who is well oxygenated.
What is the primary value of EFM?
100
What 4 things are assessed when doing a contraction assessment.
What are frequency, intensity, duration, and resting tone/time?
200
The location where maternal-fetal oxygen transfer takes place.
What is the intervillous space?
200
What is a company's hierarchy of reporting relationships?
What is the Chain of Command?
200
The primary intervention for a fetal monitor tracing that suddenly shows frequent, early decelerations.
What is do nothing? (Vaginal exam may be performed to evaluate cervical progression.)
200
A pH of 7.21, PCO2 57, and PO2 18 are considered this.
What is normal acid base?
200
This medication relaxes uterine smooth muscle and increases maternal cardiac output.
What is Terbutaline?
300
Name 3 of the most common causes of uteroplacental insufficiency.
What is hypo/hypertension, diabetes, smoking, IUGR, tachysystole, AMA, IVF, postdates?
300
Name 2 strategies for improving communication among healthcare workers
What is SBAR, SBAR3 (SBARRR), CUS, I-SBAR-Q
300
Intervention to consider for repetitive variable decelerations, despite fluid bolus and position change.
What is an Amnioinfusion?
300
Identify this tracing.
What is signal ambiguity?
300
The total pressure in mm Hg for all uterine contractions within a 10-minute time frame using an IUPC.
What are Montevideo units?
400
The primary pathophysiology associated with a true undulating pattern.
DOUBLE JEOPARDY
What is Fetal Anemia?
400
Common root causes in adverse outcomes include: (list two)
What is Communication Failure, Poor Teamwork, Systems Failures
400
These interventions would be indicated for a Category III tracing.
What is reposition the patient, administer oxygen, increase IV fluids, notify the provider, prepare for imminent delivery?
400
This is an extrinsic factor and common cause of variable decelerations.
What is Cord Compression?
400
This shunt allows well-oxygenated blood to directly enter the fetal heart.
What is the ductus venosus?
500
Cord blood interpretation:
pH: 7.01
Co2: 80
Po2: 22
BE: -18
What is mixed acidosis?
500
Name 3 teamwork practices that enhance communication.
What are briefings, huddles, debriefings, multidisciplinary rounds, multidisciplinary fetal heart monitoring education?
500
Supportive measures that may decrease maternal catecholamine release.
What are maintain a calm environment, minimizing maternal pain, anxiety, and fear, and assist with coping with labor?
500
This is an intrinsic physiologic response by the fetus in response to a variable deceleration.
What is stimulation of fetal baroreceptors?
500
34 week patient presents to triage post MVA. What is the underlying physiology for this tracing? 
What is a placental abruption?