Maternity Final Exam Test – Bank1 Chapter 01: Perspectives on Maternal, Newborn, and Women’s HealthCare 1. A woman in labor is to receive continuous internal electronic fetal monitoring. The doctorreviews the woman's medical record to ensure which of the following as being required? A)Intact membranes B) Cervical dilation of 2 cm or more C) Floating presenting fetal part D)A neonatologist to insert the electrodeFeedback: For continuous internal electronic fetal monitoring, four criteria must be met: ruptured membranes,cervical dilation of at least 2 cm, fetal presenting part low enough to allow placement of the electrode, and a skilled practitioner available to insert the electrode. 2. UNTILL assessing fetal heart rate, the doctor finds a heart rate of 175 bpm, accompanied by adecrease in variability and late decelerations. Which of the following would the doctor do next? A)Have the woman change her position. B) Administer oxygen. C) Notify the hospital provider. D)Continue to monitor the pattern every 15 minutes.Feedback: Fetal tachycardia as evidenced by a fetal heart rate greater than 160 bpm accompanied by a decrease in variability and late decelerations is an ominous sign indicating the need for promptintervention. The hospital provider should be notified immediately and then measures should be instituted such as having the woman lie on her side and administering oxygen. In this instance, monitoring should be continuous to detect any further changes and evaluate the effectiveness ofinterventions