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AWHONN Intermediate Fetal Monitoring Exam: Questions and Answers, Exams of Nursing

Pennsylvania State University - HarrisburgNursing

A review of AWHONN intermediate fetal monitoring principles, featuring multiple-choice questions with verified answers on fetal heart rate (FHR) interpretation, maternal-fetal physiology, and nursing interventions. Topics include extrinsic influences on FHR, fetal circulation, baroreceptor function, FHR variability, decelerations, uterine activity, acidemia interpretation, and oxygenation interventions. Clinical scenarios like placental abruption and nuchal cord are addressed, emphasizing communication among healthcare providers. This resource enhances fetal monitoring knowledge and skills for healthcare professionals, improving patient outcomes during labor and delivery. It's useful for medical students, nurses, and others in obstetric care, reinforcing key concepts and promoting critical thinking.

Typology: Exams

2024/2025

Available from 07/25/2025

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AWHONN Intermediate Fetal Monitoring
TEST | 100% Correct Answers | Verified |
Latest Version
Which of the following is an extrinsic influence on the FHR? - โœ”โœ”C. Fetal-placental circulation
The most highly oxygenated blood in fetal circulation is carried by: - โœ”โœ”C. Ductus venosus
If fetal arterial pressure begins to fall below normal levels: - โœ”โœ”A. Baroreceptors cause vasoconstriction
and increase the FHR
Fetal heart rate variability is defined as fluctuations in the baseline that are irregular in _____ and _____.
- โœ”โœ”B. Amplitude and frequency
An increase in the fetal heart rate immediately preceding a variable deceleration is caused by: - โœ”โœ”A.
Occlusion of the umbilical vein
When assessing a FHR tracing, the first step is to: - โœ”โœ”C. Establish the baseline rate
Which deceleration in the FHR is considered benign and does not require an intervention to correct? -
โœ”โœ”A. Early deceleration
If the umbilical vein is the only vessel occluded during cord compression - โœ”โœ”B. Oxygenated blood may
be restricted from being delivered to the fetus
During a fetal sleep cycle, FHR variability is usually ____. - โœ”โœ”C. Minimal
Uterine tachysystole is defined as: - โœ”โœ”B. >5 contractions in 10 mind over 30 minutes
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Download AWHONN Intermediate Fetal Monitoring Exam: Questions and Answers and more Exams Nursing in PDF only on Docsity!

AWHONN Intermediate Fetal Monitoring

TEST | 100% Correct Answers | Verified |

Latest Version

Which of the following is an extrinsic influence on the FHR? - โœ”โœ”C. Fetal-placental circulation The most highly oxygenated blood in fetal circulation is carried by: - โœ”โœ”C. Ductus venosus If fetal arterial pressure begins to fall below normal levels: - โœ”โœ”A. Baroreceptors cause vasoconstriction and increase the FHR Fetal heart rate variability is defined as fluctuations in the baseline that are irregular in _____ and _____.

  • โœ”โœ”B. Amplitude and frequency An increase in the fetal heart rate immediately preceding a variable deceleration is caused by: - โœ”โœ”A. Occlusion of the umbilical vein When assessing a FHR tracing, the first step is to: - โœ”โœ”C. Establish the baseline rate Which deceleration in the FHR is considered benign and does not require an intervention to correct? - โœ”โœ”A. Early deceleration If the umbilical vein is the only vessel occluded during cord compression - โœ”โœ”B. Oxygenated blood may be restricted from being delivered to the fetus During a fetal sleep cycle, FHR variability is usually ____. - โœ”โœ”C. Minimal Uterine tachysystole is defined as: - โœ”โœ”B. >5 contractions in 10 mind over 30 minutes

Maternal-fetal oxygen and nutrient transfer takes place in the: - โœ”โœ”B. intervillous space During a contraction, the tocodynamometer detects: - โœ”โœ”A. Pressure created by tensing of uterine muscle Normal fetal heart rate baseline is: - โœ”โœ”C. 110-160 bpm Following birth, a fetal cord blood sample is taken. The results are: pH: 6. pCO2: 86 mmHg pO2: 4mmHg BE: - 18.6 mEq/L These results are best interpreted as: - โœ”โœ”C. Mixed acidemia A characteristic of variable decelerations is: - โœ”โœ”B. The onset of the deceleration is abrupt Stimulation of the vagus nerve in a healthy fetus will cause: - โœ”โœ”A. A decrease in the fetal heart rate What is the baseline rate? - โœ”โœ”B. 145 bpm What is the correct interpretation? - โœ”โœ”B. Baseline of 160 bpm with recurrent late decelerations What is the primary physiologic goal? - โœ”โœ”B. Maximize oxygenation Based on the tracing, the most appropriate interventions are: - โœ”โœ”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? - โœ”โœ”C. The tracing of uterine activity requires palpation for accurate assessment

What is the baseline rate? - โœ”โœ”B. 135 bpm What type of variability is observed? - โœ”โœ”C. Moderate What do you observe in the tracing that rules out metabolic acidemia at this time? - โœ”โœ”A: 15x accelerations What pattern is observed in the fetal heart tracing? - โœ”โœ”A. Late decelerations What extrinsic factor can you identify as a possible cause for the observed pattern? - โœ”โœ”C. Aging placenta What physiologic goals are priorities for Olivia's care? - โœ”โœ”B. Maximize oxygenation and maintain appropriate uterine activity What bedside interventions are appropriate for Olivia at this time? - โœ”โœ”C. 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? - โœ”โœ”B. Encourage Olivia to push with every other contraction Did the fetal monitor tracing prior to delivery accurately predict the cor - โœ”โœ”A> Yes, the presence of moderate variability rules out the metabolic acidemia. What is the baseline FHR? - โœ”โœ”B. 160 bpm What type of variability is observed? - โœ”โœ”A. Moderate

What interventions are appropriate at this time? - โœ”โœ”C. Reposition Shelby from left lateral to right lateral What type of pattern is observed in the tracing? - โœ”โœ”B. Variable decelerations What category is this tracing? - โœ”โœ”B. Category II What is the baseline rate? - โœ”โœ”C. Unable to determine Based on your observation of the tracing, what action(s) is (are) required? - โœ”โœ”B. Palpate Shelby's radial pulse to verify maternal vs. fetal heart rate Which statement most accurately reflects the EFM tracing? - โœ”โœ”A. Maternal and fetal heart rates should be verified Which pattern in the fetal heart rate would increase suspicion of a nuchal cord? - โœ”โœ”C. Variable decelerations Shelby delivers a male infant with Apgar scores of 2 and 3. Umbilical arterial cord blood gases show: pH: 6. pCO2: 79 pO2: 11 BE: - 7. What is the correct interpretation of the cod blood gas? - โœ”โœ”A. Respiratory acidemia