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

A series of questions and answers related to fetal monitoring, covering topics such as fetal heart rate patterns, variability, decelerations, and interventions. It is designed to help students prepare for the awhonn intermediate fetal monitoring test. A variety of questions, including multiple choice, true/false, and short answer. It also provides detailed explanations for each answer, making it a valuable resource for learning and understanding fetal monitoring.

Typology: Exams

2024/2025

Available from 10/30/2024

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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