AWHONN Fetal Monitoring Course Exam Questions and Answers, Exams of Nursing

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AWHONN fetal monitoring course 110-160 - Answer -normal fetal heart rate range infection, low o2, young - Answer -what could it mean if FHR is high post date pregnancy - Answer -what could it mean if FHR is low sonogram - Answer -what is the number one way to know a babies age amnioinfusion - Answer -what do you do if theres low amniotic fluid, variable decels kidneys, low urine output, low amniotic fluid - Answer -if baby is stressed, the baby will divert the blood flow to the brain, heart, and adrenals. this organ won't get good blood flow which will lead to what? 2 - Answer -what category tracing is absent variability without decels 3 - Answer -what category tracing is absent variability with decels extrinsic - Answer -influences on fetal heart patterns that are outside the fetus extrinsic - Answer -what type of influences are associated with maternal-fetal exchange: -placenta -maternal utero placental circulation -fetal placental circulation -placental transfer -uterine blood flow -umbilical cord -amniotic fluid intervillous space - Answer -ALL transfer takes place here transient hypoxemia - Answer -all babies have this with uterine contraction but it's worse with a problematic placenta cord compression - Answer -when is the only time you give an amnioinfusion intrinsic - Answer -influences on fetal heart rate that are inside the babies heart ductus venosus, liver - Answer -where is the most oxygenated blood foramen ovale - Answer -where does the blood go to avoid the lungs moderate variability - Answer -if the baby has this, then they DO NOT have metabolic acidosis infection, movement , loud noise, repositioning - Answer -what would cause a sympathetic response (things speed up, accelerations) variable decel, early decal, post dates, head compression - Answer -what would cause parasympathetic response 2 - Answer -what category is absent variability without recurrent decels recurrent decels - Answer -minimal variability is unlikely to be associated with hypoxia during labor unless with what? fetal hypoxemia - Answer -marked variability may be related to what? periodic - Answer -FHR pattern associated with uterine contractions, p is for pain episodic - Answer -FHR pattern not associated with uterine contractions recurrent, 20 - Answer -decelerations that occur with at least 50% of uterine contractions within a ____ minute period intermittent, 20 - Answer -decelerations that occur with less than 50% of uterine contractions within a ___ minute period accelerations - Answer -visually apparent abrupt increases in FHR above the baseline 30 - Answer -accelerations go from onset to peak in less than ____ seconds 15, 15 - Answer -in fetus 32 weeks or more, the accelerations peak ____ bpm and last for ____ seconds from onset o return to baseline 10, 10 - Answer -if fetus less than 32 weeks, the accelerations peak ____ bpm and last for ___ seconds from onset to return to baseline prolonged acceleration - Answer -accelerations greater than 2 minutes but less than 10 minutes in duration gradual greater than 30 seconds from onset to nadir, nadir simultaneous with peak of contraction - Answer -early decel definition gradual greater than 30 seconds from onset to nadir , nadir after peak of contraction - Answer -late decel definition abrupt onset less than 30 seconds from onset to beginning of nadir, lasting more than 15 seconds but less than 2 minutes, depth more than 15 bpm - Answer -variable decel definition decrease greater than 15 bpm lasting more than 2 minutes but less than 10 minutes - Answer - prolonged decel definition metabolic acidosis - Answer -late decels lead to decreased uteroplacental oxygenated and transfer to the fetus with acidemia. which acid base imbalance no can exaggerate response - Answer -should you perform scalp stimulation during a decel baseline 110-160, moderate variability, no late or variable decels - Answer -what does category 1 tracing need 2 - Answer -category ____ tracing, indeterminate, not predictive of abnormal fetal aid-base status, require evaluation , surveillance 2 - Answer -what category tracing? -bradycardia without absent variability -tachycardia -minimal baseline variability -absence of induced acceleration after fetal stimulation -prolonged decels -recurrent late decels with moderate variability absent baseline variability and recurrent late decels, recurrent variable decels, bradycardia, OR sinusoidal - Answer -category 3 tracings include either 3 - Answer -what tracing requires prompt evaluation and expeditious resolution position change, discontinue tocolytics, IV fluids, oxygen - Answer -what can you do for category 3 tracing frequency - Answer -how far apart the contractions are from beginning of one to beginning of the other in minutes duration - Answer -how long the contraction lasts in seconds intensity - Answer -contractions -mild, moderate, or strong- palpation or internal monitor resting tone - Answer -soft or hard, palpation or internal monitor 5, 10, 30 - Answer -normal uterine activity- less than or equal to____ contractions in _____ minutes averaged over a _____ minute window 5, 10, 30 - Answer -tachysystole - greater than ____ contractions in ____ minutes averaged over a _____ minute window NO - Answer -is it tachysystole if it is 5 contractions? 7.10 - Answer -moderate variability is a good sign of an adequately oxygenated baby, guarantees a ph of ____ increase c/s rate - Answer -there has been no change in anything with fetal monitoring except what intermittent auscultation - Answer -listening with fetoscope or hand held doppler ultrasound