AWHONN Intermediate Fetal Monitoring TEST Questions and Answers 2024, Exams of Nursing

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