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

Download AWHONN Intermediate Fetal Monitoring Test: Questions and Answers and more Exams Nursing in PDF only on Docsity! AWHONN INTERMEDIATE FETAL MONITORING TEST | QUESTIONS AND CORRECT ANSWERS | GRADED A+ | VERIFIED ANSWERS | JUST RELEASED (LATEST TEST) What category is this tracing? ---------CORRECT ANSWER-----------------B. Category II What is the baseline rate? ---------CORRECT ANSWER-----------------C. Unable to determine Based on your observation of the tracing, what action(s) is (are) required? - --------CORRECT ANSWER-----------------B. Palpate Shelby's radial pulse to verify maternal vs. fetal heart rate Which statement most accurately reflects the EFM tracing? --------- CORRECT ANSWER-----------------A. Maternal and fetal heart rates should be verified Which pattern in the fetal heart rate would increase suspicion of a nuchal cord? ---------CORRECT ANSWER-----------------C. Variable decelerations Shelby delivers a male infant with Apgar scores of 2 and 3. Umbilical arterial cord blood gases show: pH: 6.92 pCO2: 79 pO2: 11 BE: -7.6 What is the correct interpretation of the cod blood gas? ---------CORRECT ANSWER-----------------A. Respiratory acidemia What is the primary physiologic goal? ---------CORRECT ANSWER----------- ------B. Maximize oxygenation Based on the tracing, the most appropriate interventions are: --------- CORRECT 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? --------- CORRECT ANSWER-----------------C. The tracing of uterine activity requires palpation for accurate assessment The nurse supports maternal coping to appropriately assist Robin because ---------CORRECT ANSWER-----------------A. Reducing maternal catecholamine production enhances blood flow to the uterus Describe the type of variability seen in the majority of the tracing. --------- CORRECT ANSWER-----------------C. Absent Identify appropriate interventions to implement based on this tracing. -------- -CORRECT ANSWER-----------------B. Palpate uterus, adjust toco, assist patient to lateral position. What could Olivia's nurse do during second stage of labor to promote oxygenation? ---------CORRECT ANSWER-----------------B. Encourage Olivia to push with every other contraction Did the fetal monitor tracing prior to delivery accurately predict the cor ------- --CORRECT ANSWER-----------------A> Yes, the presence of moderate variability rules out the metabolic acidemia. Which of the following is an extrinsic influence on the FHR? --------- CORRECT ANSWER-----------------C. Fetal-placental circulation The most highly oxygenated blood in fetal circulation is carried by: --------- CORRECT ANSWER-----------------C. Ductus venosus If fetal arterial pressure begins to fall below normal levels: --------- CORRECT 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 _____. ---------CORRECT ANSWER-----------------B. Amplitude and frequency An increase in the fetal heart rate immediately preceding a variable deceleration is caused by: ---------CORRECT ANSWER-----------------A. Occlusion of the umbilical vein When assessing a FHR tracing, the first step is to: ---------CORRECT ANSWER-----------------C. Establish the baseline rate Which deceleration in the FHR is considered benign and does not require an intervention to correct? ---------CORRECT ANSWER-----------------A. Early deceleration If the umbilical vein is the only vessel occluded during cord compression --- ------CORRECT ANSWER-----------------B. Oxygenated blood may be restricted from being delivered to the fetus During a fetal sleep cycle, FHR variability is usually ____. --------- CORRECT ANSWER-----------------C. Minimal Uterine tachysystole is defined as: ---------CORRECT ANSWER---------------- -B. >5 contractions in 10 mind over 30 minutes Maternal-fetal oxygen and nutrient transfer takes place in the: --------- CORRECT ANSWER-----------------B. intervillous space During a contraction, the tocodynamometer detects: ---------CORRECT ANSWER-----------------A. Pressure created by tensing of uterine muscle Normal fetal heart rate baseline is: ---------CORRECT 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: ---------CORRECT ANSWER----------- ------C. Mixed acidemia A characteristic of variable decelerations is: ---------CORRECT ANSWER--- --------------B. The onset of the deceleration is abrupt Stimulation of the vagus nerve in a healthy fetus will cause: --------- CORRECT ANSWER-----------------A. A decrease in the fetal heart rate What is the baseline rate? ---------CORRECT ANSWER-----------------B. 145 bpm What is the correct interpretation? ---------CORRECT ANSWER---------------- -B. Baseline of 160 bpm with recurrent late decelerations What is the baseline FHR? ---------CORRECT ANSWER-----------------B. 160 bpm What type of variability is observed? ---------CORRECT ANSWER------------- ----A. Moderate