Download 2024 AWHONN INTERMEDIATE FETAL MONITORING TEST EXAM WITH ANSWERS and more Exams Advanced Education in PDF only on Docsity! 2024 AWHONN INTERMEDIATE FETAL MONITORING TEST EXAM WITH ANSWERS What extrinsic factor can you identify as a possible cause for the observed pattern? - CORRECT-ANSWERSC. Aging placenta Which of the following is an extrinsic influence on the FHR? - CORRECT- ANSWERSC. Fetal-placental circulation What physiologic goals are priorities for Olivia's care? - CORRECT- ANSWERSB. Maximize oxygenation and maintain appropriate uterine activity What bedside interventions are appropriate for Olivia at this time? - CORRECT-ANSWERSC. Position change to a lateral position and initiate a 500-mL IVFB. What could Olivia's nurse do during second stage of labor to promote oxygenation? - CORRECT-ANSWERSB. Encourage Olivia to push with every other contraction Did the fetal monitor tracing prior to delivery accurately predict the cor - CORRECT-ANSWERSA> Yes, the presence of moderate variability rules out the metabolic acidemia. What is the baseline FHR? - CORRECT-ANSWERSB. 160 bpm What type of variability is observed? - CORRECT-ANSWERSA. Moderate What interventions are appropriate at this time? - CORRECT-ANSWERSC. Reposition Shelby from left lateral to right lateral What type of pattern is observed in the tracing? - CORRECT-ANSWERSB. Variable decelerations What category is this tracing? - CORRECT-ANSWERSB. Category II What is the baseline rate? - CORRECT-ANSWERSC. Unable to determine Based on your observation of the tracing, what action(s) is (are) required? - CORRECT-ANSWERSB. Palpate Shelby's radial pulse to verify maternal vs. fetal heart rate Which statement most accurately reflects the EFM tracing? - CORRECT- ANSWERSA. Maternal and fetal heart rates should be verified Which pattern in the fetal heart rate would increase suspicion of a nuchal cord? - CORRECT-ANSWERSC. Variable decelerations Shelby delivers a male infant with Apgar scores of 2 and 3. Umbilical arterial cord blood gases show: pH: 6.92 pCO2: 79 pO2: 11 BE: -7.6 What is the correct interpretation of the cod blood gas? - CORRECT- ANSWERSA. Respiratory acidemia The most highly oxygenated blood in fetal circulation is carried by: - CORRECT-ANSWERSC. Ductus venosus If fetal arterial pressure begins to fall below normal levels: - CORRECT- ANSWERSA. Baroreceptors cause vasoconstriction and increase the FHR Fetal heart rate variability is defined as fluctuations in the baseline that are irregular in _____ and _____. - CORRECT-ANSWERSB. Amplitude and frequency An increase in the fetal heart rate immediately preceding a variable deceleration is caused by: - CORRECT-ANSWERSA. Occlusion of the umbilical vein When assessing a FHR tracing, the first step is to: - CORRECT-ANSWERSC. Establish the baseline rate Which deceleration in the FHR is considered benign and does not require an intervention to correct? - CORRECT-ANSWERSA. Early deceleration If the umbilical vein is the only vessel occluded during cord compression - CORRECT-ANSWERSB. Oxygenated blood may be restricted from being delivered to the fetus During a fetal sleep cycle, FHR variability is usually ____. - CORRECT- ANSWERSC. Minimal
