AWHONN ADVANCED FETAL MONITORING EXAM LATEST ACTUAL EXAM 130 QUESTIONS AND CORRECT DETAILE, Exams of Nursing

Download AWHONN ADVANCED FETAL MONITORING EXAM LATEST ACTUAL EXAM 130 QUESTIONS AND CORRECT DETAILE and more Exams Nursing in PDF only on Docsity! AWHONN ADVANCED FETAL MONITORING EXAM LATEST ACTUAL EXAM 130 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) Which of the following is an extrinsic influence on the FHR? - ANSWER>>C. Fetal-placental circulation The most highly oxygenated blood in fetal circulation is carried by: - ANSWER>>C. Ductus venosus If fetal arterial pressure begins to fall below normal levels: - ANSWER>>A. Baroreceptors cause vasoconstriction and increase the FHR Fetal heart rate variability is defined as fluctuations in the baseline that are irregular in _____ and _____. - ANSWER>>B. Amplitude and frequency An increase in the fetal heart rate immediately preceding a variable deceleration is caused by: - ANSWER>>A. Occlusion of the umbilical vein When assessing a FHR tracing, the first step is to: - ANSWER>>C. Establish the baseline rate Which deceleration in the FHR is considered benign and does not require an intervention to correct? - ANSWER>>A. Early deceleration If the umbilical vein is the only vessel occluded during cord compression - ANSWER>>B. Oxygenated blood may be restricted from being delivered to the fetus During a fetal sleep cycle, FHR variability is usually ____. - ANSWER>>C. Minimal Uterine tachysystole is defined as: - ANSWER>>B. >5 contractions in 10 mind over 30 minutes Maternal-fetal oxygen and nutrient transfer takes place in the: - ANSWER>>B. intervillous space During a contraction, the tocodynamometer detects: - ANSWER>>A. Pressure created by tensing of uterine muscle Normal fetal heart rate baseline is: - ANSWER>>C. 110-160 bpm Following birth, a fetal cord blood sample is taken. The results are: pH: 6.95 pCO2: 86 mmHg pO2: 4mmHg BE: -18.6 mEq/L These results are best interpreted as: - ANSWER>>C. Mixed acidemia A characteristic of variable decelerations is: - ANSWER>>B. The onset of the deceleration is abrupt Stimulation of the vagus nerve in a healthy fetus will cause: - ANSWER>>A. A decrease in the fetal heart rate What is the baseline rate? - ANSWER>>B. 145 bpm What is the correct interpretation? - ANSWER>>B. Baseline of 160 bpm with recurrent late decelerations What is the primary physiologic goal? - ANSWER>>B. Maximize oxygenation Based on the tracing, the most appropriate interventions are: - ANSWER>>B. Decrease oxytocin from 14 to 7 mU/min and start a 500-mL IVFB. Which of the following is a correct interpretation of the tracing? - ANSWER>>C. The tracing of uterine activity requires palpation for accurate assessment The nurse supports maternal coping to appropriately assist Robin because - ANSWER>>A. Reducing maternal catecholamine production enhances blood flow to the uterus Describe the type of variability seen in the majority of the tracing. - ANSWER>>C. Absent Identify appropriate interventions to implement based on this tracing. - ANSWER>>B. Palpate uterus, adjust toco, assist patient to lateral position.