10 Fetal Heart Monitoring (FHM) NCLEX Style Questions

Take the Pop Quiz and see how good you are at Fetal Heart Monitoring (FHM)

Question 1 of 10

A nurse is caring for a pregnant client who is in labor. The nurse places an external fetal monitor on the client’s abdomen to assess fetal heart tones. While checking the client to determine cervical dilation, the nurse notes that the FHR increases above the baseline and then returns to normal levels after the exam. Which of the following responses from the nurse is most appropriate?


Question 2 of 10

A nurse is caring for a client who is in labor and who needs fetal heart monitoring. Which of the following is considered a non-reassuring sign seen during fetal heart rate monitoring? Select all that apply.


Question 3 of 10

Which of the following situations could lead to late decelerations on fetal heart monitoring? Select all that apply.


Question 4 of 10

While checking a fetal heart rate (FHR) on a pregnant client who is in labor, a nurse notes that the fetal heart rate slows below the baseline each time the mother has a contraction. By the end of the contraction, the FHR has returned to a normal rate. Which of the following best describes this phenomenon?


Question 5 of 10

A nurse is caring for a pregnant client who is in labor. The nurse has applied an external fetal monitor to check the baby’s heart rhythm. The nurse notes that the baby is having periodic, spontaneous accelerations in heart rate. Which action would the nurse perform in response?


Question 6 of 10

A client who is 39 weeks’ gestation is in labor has started pushing during delivery. The nurse is performing external fetal monitoring during this time and notes that the baby’s heart rate drops during contractions but increases again by the time the contraction has ended. Which action of the nurse is most appropriate?


Question 7 of 10

A nurse is caring for a client who is in labor at the hospital. The nurse prepares to apply an external fetal monitor but the client is morbidly obese and the monitor does not fit well. What should the nurse do? Select all that apply.


Question 8 of 10

A nurse caring for a pregnant client is checking fetal heart tones using a Doppler stethoscope. Which of the following interventions would the nurse employ during this process? Select all that apply.


Question 9 of 10

The nurse is performing fetal heart monitoring (FHM) on a client who is 39-weeks along and has been in labor for 14 hours. Which of the following findings is the LEAST concerning?


Question 10 of 10

A nurse is caring for a client who is in labor. The nurse has applied external fetal monitoring and notes that the baby’s heart rate is having late decelerations. Which of the following actions should the nurse perform? Select all that apply.