Download AWHONN Intermediate Fetal Monitoring Test and more Exams Nursing in PDF only on Docsity! AWHONN (INTERMEDIATE FETAL MONITORING) TEST AWHONN (INTERMEDIATE FETAL MONITORING) TEST |ACCURATE ANSWERS |VERIFIED Which of the following is an extrinsic influence on the FHR? - Accurate Answers✔✔C. Fetal-placental circulation The most highly oxygenated blood in fetal circulation is carried by: - Accurate Answers✔✔C. Ductus venosus If fetal arterial pressure begins to fall below normal levels: - Accurate Answers✔✔A. Baroreceptors cause vasoconstriction and increase the FHR Fetal heart rate variability is defined as fluctuations in the baseline that are irregular in _____ and _____. - Accurate Answers✔✔B. Amplitude and frequency An increase in the fetal heart rate immediately preceding a variable deceleration is caused by: - Accurate Answers✔✔A. Occlusion of the umbilical vein When assessing a FHR tracing, the first step is to: - Accurate Answers✔✔C. Establish the baseline rate Which deceleration in the FHR is considered benign and does not require an intervention to correct? - Accurate Answers✔✔A. Early deceleration If the umbilical vein is the only vessel occluded during cord compression - Accurate Answers✔✔B. Oxygenated blood may be restricted from being delivered to the fetus During a fetal sleep cycle, FHR variability is usually ____. - Accurate Answers✔✔C. Minimal Uterine tachysystole is defined as: - Accurate Answers✔✔B. >5 contractions in 10 mind over 30 minutes Maternal-fetal oxygen and nutrient transfer takes place in the: - Accurate Answers✔✔B. intervillous space During a contraction, the tocodynamometer detects: - Accurate Answers✔✔A. Pressure created by tensing of uterine muscle What bedside interventions are important at this time? - Accurate Answers✔✔C. Notify provider of vaginal bleeding, EFM tracing, and request presence at the bedside. If the nurse does not get the appropriate response from the provider, the next step is - Accurate Answers✔✔B. Activate the chain of communication (command) What is the correct interpretation of the tracing? - Accurate Answers✔✔A. Sinusoidal pattern The tracing in question 29 is which category? - Accurate Answers✔✔C. Category III Robin has a cesarean birth, Umbilical arterial cord blood gas results are as follows: pH: 6.86 pCO2: 48 pO2: 4.2 BE: -23.7 These results meet the criteria for: - Accurate Answers✔✔B. Metabolic acidemia What is the baseline rate? - Accurate Answers✔✔B. 135 bpm What type of variability is observed? - Accurate Answers✔✔C. Moderate What do you observe in the tracing that rules out metabolic acidemia at this time? - Accurate Answers✔✔A: 15x15 accelerations What pattern is observed in the fetal heart tracing? - Accurate Answers✔✔A. Late decelerations What extrinsic factor can you identify as a possible cause for the observed pattern? - Accurate Answers✔✔C. Aging placenta What physiologic goals are priorities for Olivia's care? - Accurate Answers✔✔B. Maximize oxygenation and maintain appropriate uterine activity What bedside interventions are appropriate for Olivia at this time? - Accurate Answers✔✔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? - Accurate Answers✔✔B. Encourage Olivia to push with every other contraction Did the fetal monitor tracing prior to delivery accurately predict the cor - Accurate Answers✔✔A> Yes, the presence of moderate variability rules out the metabolic acidemia. What is the baseline FHR? - Accurate Answers✔✔B. 160 bpm What type of variability is observed? - Accurate Answers✔✔A. Moderate What interventions are appropriate at this time? - Accurate Answers✔✔C. Reposition Shelby from left lateral to right lateral What type of pattern is observed in the tracing? - Accurate Answers✔✔B. Variable decelerations What category is this tracing? - Accurate Answers✔✔B. Category II What is the baseline rate? - Accurate Answers✔✔C. Unable to determine Based on your observation of the tracing, what action(s) is (are) required? - Accurate Answers✔✔B. Palpate Shelby's radial pulse to verify maternal vs. fetal heart rate Which statement most accurately reflects the EFM tracing? - Accurate Answers✔✔A. Maternal and fetal heart rates should be verified
