Download AWHONN Intermediate Fetal Monitoring TEST Questions and Answers 2024 and more Exams Nursing in PDF only on Docsity! 1 / 3 AWHONN Intermediate Fetal Monitoring TEST Questions and Answers 2024 1. Which of the following is an extrinsic influence on the FHR?:ANS: C. Fetal-placen-tal circulation 2. The most highly oxygenated blood in fetal circulation is carried by:ANS: C.Ductus venosus 3. If fetal arterial pressure begins to fall below normal levels:ANS: A. Baroreceptorscause vasoconstriction and increase the FHR 4. Fetal heart rate variability is defined as fluctuations in the baseline that areirregular in and .:ANS: B. Amplitude and frequency 5. An increase in the fetal heart rate immediately preceding a variable decel-eration is caused by:ANS: A. Occlusion of the umbilical vein 6. When assessing a FHR tracing, the first step is to:ANS: C. Establish the baselinerate 7. Which deceleration in the FHR is considered benign and does not requirean intervention to correct?:ANS: A. Early deceleration 8. If the umbilical vein is the only vessel occluded during cord compression:ANS: B.Oxygenated blood may be restricted from being delivered to the fetus 9. During a fetal sleep cycle, FHR variability is usually .:ANS: C. Minimal 2 / 3 10. Uterine tachysystole is defined as:ANS: B. >5 contractions in 10 mind over 30minutes 11. Maternal-fetal oxygen and nutrient transfer takes place in the:ANS: B. intervil-lous space 12. During a contraction, the tocodynamometer detects:ANS: A. Pressure createdby tensing of uterine muscle 13. Normal fetal heart rate baseline is:ANS: C. 110-160 bpm 14. Following birth, a fetal cord blood sample is taken.The results are:ANS:pH:ANS: 6.95 pCO2:ANS: 86 mmHgpO2:ANS: 4mmHg BE:ANS: -18.6 mEq/L These results are best interpreted as:ANS: C. Mixed acidemia 15. A characteristic of variable decelerations is:ANS: B.The onset of the decelerationis abrupt 16. Stimulation of the vagus nerve in a healthy fetus will cause:ANS: A. A decreasein the fetal heart rate 17. What is the baseline rate?:ANS: B. 145 bpm 18. What is the correct interpretation?:ANS: B. Baseline of 160 bpm with recurrent latedecelerations 19. What is the primary physiologic goal?:ANS: B. Maximize oxygenation 20. Based on the tracing, the most appropriate interventions are:ANS: B. Decreaseoxytocin from 14 to 7 mU/min and start a 500-mL IVFB. 21. Which of the following is a correct interpretation of the tracing?:ANS: C. Thetracing of uterine activity requires palpation for 5 / 3 cor:ANS: A>Yes, the presence of moderate variability rules out the metabolic acidemia. 41. What is the baseline FHR?:ANS: B. 160 bpm 42. What type of variability is observed?:ANS: A. Moderate 43. What interventions are appropriate at this time?:ANS: C. Reposition Shelby fromleft lateral to right lateral 44. What type of pattern is observed in the tracing?:ANS: B. Variable decelerations 45. What category is this tracing?:ANS: B. Category II 46. What is the baseline rate?:ANS: C. Unable to determine 47. Based on your observation of the tracing, what action(s) is (are) required?- :ANS: B. Palpate Shelby's radial pulse to verify maternal vs. fetal heart rate 48. Which statement most accurately reflects the EFM tracing?:ANS: A. Maternaland fetal heart rates should be verified 49. Which pattern in the fetal heart rate would increase suspicion of a nuchalcord?:ANS: C. Variable decelerations 50. Shelby delivers a male infant with Apgar scores of 2 and 3. Umbilicalarterial cord blood gases show:ANS: pH:ANS: 6.92 pCO2:ANS: 79 pO2:ANS: 11 6 / 3 BE:ANS: -7.6 What is the correct interpretation of the cod blood gas?:ANS: A. Respiratoryacidemia