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AWHONN FETAL MONITORING COURSE QUESTIONS AWHONN FETAL MONITORING COURSE QUESTIONS |ACCURATE ANSWERS |VERIFIED 110-160 - Accurate Answers✔✔normal fetal heart rate range infection, low o2, young - Accurate Answers✔✔what could it mean if FHR is high post date pregnancy - Accurate Answers✔✔what could it mean if FHR is low sonogram - Accurate Answers✔✔what is the number one way to know a babies age amnioinfusion - Accurate Answers✔✔what do you do if theres low amniotic fluid, variable decels kidneys, low urine output, low amniotic fluid - Accurate Answers✔✔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 - Accurate Answers✔✔what category tracing is absent variability without decels 3 - Accurate Answers✔✔what category tracing is absent variability with decels extrinsic - Accurate Answers✔✔influences on fetal heart patterns that are outside the fetus extrinsic - Accurate Answers✔✔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 - Accurate Answers✔✔ALL transfer takes place here respiratory - Accurate Answers✔✔if CO2 is greater than 60, what type of acidosis metabolic - Accurate Answers✔✔if base excess greater than 12, what type of acidosis baseline fetal heart rate, 5, 10 - Accurate Answers✔✔the approximate mean FHR rounded to increments of ____ bpm during a ____ minute window, excluding: -accelerations and deceleratons -periods of marked variability 2, 10 - Accurate Answers✔✔for baseline fetal heart rate there must be at least ___ minutes of identifiable baseline segments in a ___ minute window or the baseline for that period is indeterminate 110, 10 - Accurate Answers✔✔bradycardia is a baseline of < ____ bpm for > ___ minutes 160, 10 - Accurate Answers✔✔tachycardia is a baseline of >___ bpm for >___ minutes contractions, high pitocin - Accurate Answers✔✔what can cause bradycardia infection, drugs, hypothyroid, fetal anemia - Accurate Answers✔✔what can cause tachycardia sinusoidal, 20, anemia - Accurate Answers✔✔smooth wavelike pattern for at least ____ minutes, associated with fetal _____ bleeding - Accurate Answers✔✔what can cause sinusoidal FHR baseline variability - Accurate Answers✔✔fluctuations in the baseline FHR that are irregular in amplitude and frequency absent variability - Accurate Answers✔✔undetectable amplitude range minimal variability - Accurate Answers✔✔> detectable amplitude range but less than or equal to 5 bpm moderate variability - Accurate Answers✔✔6-25 bpm amplitude range marked variability - Accurate Answers✔✔greater than or equal to 25 bpm amplitude range well oxygenated - Accurate Answers✔✔what does variability show a sign that the baby is 3 - Accurate Answers✔✔what category is absent variability with recurrent decels 2 - Accurate Answers✔✔what category is absent variability without recurrent decels recurrent decels - Accurate Answers✔✔minimal variability is unlikely to be associated with hypoxia during labor unless with what? fetal hypoxemia - Accurate Answers✔✔marked variability may be related to what? periodic - Accurate Answers✔✔FHR pattern associated with uterine contractions, p is for pain episodic - Accurate Answers✔✔FHR pattern not associated with uterine contractions recurrent, 20 - Accurate Answers✔✔decelerations that occur with at least 50% of uterine contractions within a ____ minute period intermittent, 20 - Accurate Answers✔✔decelerations that occur with less than 50% of uterine contractions within a ___ minute period accelerations - Accurate Answers✔✔visually apparent abrupt increases in FHR above the baseline absent baseline variability and recurrent late decels, recurrent variable decels, bradycardia, OR sinusoidal - Accurate Answers✔✔category 3 tracings include either 3 - Accurate Answers✔✔what tracing requires prompt evaluation and expeditious resolution position change, discontinue tocolytics, IV fluids, oxygen - Accurate Answers✔✔what can you do for category 3 tracing frequency - Accurate Answers✔✔how far apart the contractions are from beginning of one to beginning of the other in minutes duration - Accurate Answers✔✔how long the contraction lasts in seconds intensity - Accurate Answers✔✔contractions -mild, moderate, or strong- palpation or internal monitor resting tone - Accurate Answers✔✔soft or hard, palpation or internal monitor 5, 10, 30 - Accurate Answers✔✔normal uterine activity- less than or equal to____ contractions in _____ minutes averaged over a _____ minute window 5, 10, 30 - Accurate Answers✔✔tachysystole - greater than ____ contractions in ____ minutes averaged over a _____ minute window NO - Accurate Answers✔✔is it tachysystole if it is 5 contractions? 7.10 - Accurate Answers✔✔moderate variability is a good sign of an adequately oxygenated baby, guarantees a ph of ____ increase c/s rate - Accurate Answers✔✔there has been no change in anything with fetal monitoring except what intermittent auscultation - Accurate Answers✔✔listening with fetoscope or hand held doppler ultrasound fetoscope - Accurate Answers✔✔detects heart sounds doppler - Accurate Answers✔✔detects reflected sound from heart motion fetoscope - Accurate Answers✔✔detects fhr baseline detects fhr rhythm verifies presence of irregular rhythm detects increases and decreases from FHR baseline clarifies double counting or half counting by EFM doppler - Accurate Answers✔✔detects fhr baseline detects fhr rhythm detects increases and decreases fetal spiral electrode - Accurate Answers✔✔direct monitoring of fetal ECG indicated when continuous detection of FHR clinically necessary and not achievable by US transducer ruptured membranes and 2 cm dilation - Accurate Answers✔✔fetal spiral electrode requires what moms heart rate - Accurate Answers✔✔when the heart rate goes up when contractions goes up, what is on the strip artifact - Accurate Answers✔✔results from mechanical limitations of the monitor, electronic interference or weak signal. appears as gaps or dots with external monitoring and irregular lines of varying lengths with a fetal scalp electrode hepatitis - Accurate Answers✔✔out of herpes, hiv, placenta previa, hepatitis, what can you use the fetal spiral electrode with