Download AWHONN INTERMEDIATE FETAL MONITORING EXAM 2024 WITH 100% ACCURATE SOLUTIONS and more Exams Nursing in PDF only on Docsity! AWHONN INTERMEDIATE FETAL MONITORING EXAM 2024 WITH 100% ACCURATE SOLUTIONS Which of the following is an extrinsic influence on the FHR? - Precise Answer C. Fetal-placental circulation The most highly oxygenated blood in fetal circulation is carried by: - Precise Answer C. Ductus venosus If fetal arterial pressure begins to fall below normal levels: - Precise 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 _____. - Precise Answer B. Amplitude and frequency An increase in the fetal heart rate immediately preceding a variable deceleration is caused by: - Precise Answer A. Occlusion of the umbilical vein When assessing a FHR tracing, the first step is to: - Precise Answer C. Establish the baseline rate Which deceleration in the FHR is considered benign and does not require an intervention to correct? - Precise Answer A. Early deceleration If the umbilical vein is the only vessel occluded during cord compression - Precise Answer B. Oxygenated blood may be restricted from being delivered to the fetus During a fetal sleep cycle, FHR variability is usually ____. - Precise Answer C. Minimal Uterine tachysystole is defined as: - Precise Answer B. >5 contractions in 10 mind over 30 minutes Maternal-fetal oxygen and nutrient transfer takes place in the: - Precise Answer B. intervillous space During a contraction, the tocodynamometer detects: - Precise Answer A. Pressure created by tensing of uterine muscle Normal fetal heart rate baseline is: - Precise 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: - Precise Answer C. Mixed acidemia A characteristic of variable decelerations is: - Precise Answer B. The onset of the deceleration is abrupt Stimulation of the vagus nerve in a healthy fetus will cause: - Precise Answer A. A decrease in the fetal heart rate What is the baseline rate? - Precise Answer B. 145 bpm What is the correct interpretation? - Precise Answer B. Baseline of 160 bpm with recurrent late decelerations What is the primary physiologic goal? - Precise Answer B. Maximize oxygenation Based on the tracing, the most appropriate interventions are: - Precise 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? - Precise Answer C. The tracing of uterine activity requires palpation for accurate assessment