AWHONN ADVANCED FHM COURSE
EXAM ANSWERS LATEST 2026/2027
ACTUAL EXAM QUESTIONS WITH
CORRECT ANSWERS 100% VERIFIED
GRADED A+
CASEmSTUDYmA)mSILVIA.mSilvia,mam28-year-
oldmG1P0000matm39m1/7mweeksmbymsonogram,mandmhermpartnermarrivedmonmthemlabormunitmatm073
0mformscheduledminductionmformIUGR/FGR.mSilvia'smfamilymhistorymismnegativemformmedicalmproble
msmwithmthemexceptionmofmhermmother'smlong-
termmhistorymofmdiabetes.mSilviamhasmnomhistorymofmmedicalmproblemsmandmshemhasmnevermhadman
ymsurgeries.mShemdevelopedmgestationalmdiabetesmwithmthismpregnancy,mbutmhermothermprenatalml
absmweremallmnormal.mDuringmonemofmthemultrasoundmexaminationsmperformedmtomevaluatemthemI
UGR/FGR,mamsinglemumbilicalmarterymwasmnoted.mOnmhermmostmrecentmbiophysicalmprofilem(BPP),m
themamnioticmfluidmindexm(AFI)mwasm11mcmm(AFImlessmthanm5mcmmismdefinedmasmoligohydramnios)m
andmthemestimatedmfetalmweightm(EFW)mwasm2524mgramsm(7thmpercentile).mWHATmFETALmHEARTm
RATEmDECELERATIONmISmMOREmLIKELYmTOmOCCURmINmTHEmPRESENCEmOFmSILVIA'SmSINGLEmUMBIL
ICALmARTERY?m-mCORRECTmANSWERmVariablemdecelerations
Themsinglemumbilicalmarterymimpactsmwhichmcomponentmofmthemoxygenmtransfermsystem?m-
mCORRECTmANSWERmOxygenmdelivery
WhichmofmSilvia'smfindingsmindicatesmampotentialmformchronicmfetalmhypoxemia?m-
mCORRECTmANSWERmIntrauterinemgrowthmrestrictionm(IUGR)
Withmthemfindingmofmamsinglemumbilicalmartery,mwhatmwouldmyoumexpectmtomoccurmwithmfetalmperf
usion?m-mCORRECTmANSWERmDecreasedmbloodmperfusionmfrommthemfetusmtomthemplacenta
Silvia'smadmissionmvitalmsignsmweremBPm109/60,mpulsem83mbpm,mrespirationsm18/minute,mtempera
turem97Fm(36.6C).mVaginalmexaminationmfindingsmwerem2-3mcmmdilated,m50%meffaced,m-
1mstation,mmembranesmintact,mandmcephalicmpresentation.mExternalmelectronicmfetalmmonitormdev
icesmweremplacedm(ultrasoundmandmtocodynamometer).mShemdeniedmhavingmcontractions,mvagina
, lmleakingmormbleeding.mFollowingmthismadmissionmtracing,moxytocinmwasmorderedmandminitiatedmatm
2mmU/min.mWithinmanmhour,mthemratemwasmincreasedmtom5mmU/min.mPRIMARYmBENEFITSmASSOCI
ATEDmWITHmTHEmUSEmOFmSTANDARDIZEDmTERMINOLOGYmFORmFHMmINTERPRETATIONmINmTHEmCL
INICALmSETTINGmINCLUDE:m-
mCORRECTmANSWERmEnhancedmcommunicationmamongmhealthmcaremprovidersmandmpromotionmo
fmpatientmsafety
RefermtomtracingmA-1.mWhichmismthemcorrectmassessmentmofmthemadmissionmtracing?m-
mCORRECTmANSWERmModeratemvariability
RefermtomtracingmA-1.mBasedmonmthismtracing,mamnecessaryminterventionmwouldmbemto:m-
mCORRECTmANSWERmReadjustmthemtoco
RefermtomtracingmA-
2.mOxytocinmwasminfusingmatm5mmU/minmwhenmthemprovidermarrivedmandmorderedmthemoxytocinmi
ncreasedmtom8mmU/min.mAmCORRECTmINTERPRETATIONmOFmTHISmTRACINGmIS:m-
mCORRECTmANSWERmAnmoxygenated,mneurologicallymintactmfetus
RefermtomtracingmA-2.mAmhigh-priorityminterventionmatmthismtimemismto:m-
mCORRECTmANSWERmReadjustmthemtoco
Onemhourmlater,mthemnursemobservedmtwom3mcmmsized,mthickmdarkmbloodmclotsmonmthemundermpad.
mSilviamdeniedmpainmandmhermabdomenmwasmsoftmtompalpation.mWhichmcomponentmofmoxygenmtra
nsportmtomthemfetusmcouldmpotentiallymbemcompromisedmbymthismbleeding?m-
mCORRECTmANSWERmDelivery
RefermtomtracingmA-
3.mSilvia'smvitalmsignsmweremBPm123/70,mpulsem86mbpm,mrespirationsm18/minute.mThemoxytocinmwa
sminfusingmatm11mmU/minmandmVEmfindingsmwerem3-4mcm,m80%meffaced,m-
2mstation,mmembranesmintactmandmcephalicmpresentation,mwithmammoderatemamountmofmbloodmon
mvaginalmexam.mWHICHmOFmTHEmFOLLOWINGmISmANmAPPROPRIATEmPHYSIOLOGICmGOALmBASEDmO
NmTRACINGmA-3?m-mCORRECTmANSWERmMaximizemutero-placentalmcirculation
EXAM ANSWERS LATEST 2026/2027
ACTUAL EXAM QUESTIONS WITH
CORRECT ANSWERS 100% VERIFIED
GRADED A+
CASEmSTUDYmA)mSILVIA.mSilvia,mam28-year-
oldmG1P0000matm39m1/7mweeksmbymsonogram,mandmhermpartnermarrivedmonmthemlabormunitmatm073
0mformscheduledminductionmformIUGR/FGR.mSilvia'smfamilymhistorymismnegativemformmedicalmproble
msmwithmthemexceptionmofmhermmother'smlong-
termmhistorymofmdiabetes.mSilviamhasmnomhistorymofmmedicalmproblemsmandmshemhasmnevermhadman
ymsurgeries.mShemdevelopedmgestationalmdiabetesmwithmthismpregnancy,mbutmhermothermprenatalml
absmweremallmnormal.mDuringmonemofmthemultrasoundmexaminationsmperformedmtomevaluatemthemI
UGR/FGR,mamsinglemumbilicalmarterymwasmnoted.mOnmhermmostmrecentmbiophysicalmprofilem(BPP),m
themamnioticmfluidmindexm(AFI)mwasm11mcmm(AFImlessmthanm5mcmmismdefinedmasmoligohydramnios)m
andmthemestimatedmfetalmweightm(EFW)mwasm2524mgramsm(7thmpercentile).mWHATmFETALmHEARTm
RATEmDECELERATIONmISmMOREmLIKELYmTOmOCCURmINmTHEmPRESENCEmOFmSILVIA'SmSINGLEmUMBIL
ICALmARTERY?m-mCORRECTmANSWERmVariablemdecelerations
Themsinglemumbilicalmarterymimpactsmwhichmcomponentmofmthemoxygenmtransfermsystem?m-
mCORRECTmANSWERmOxygenmdelivery
WhichmofmSilvia'smfindingsmindicatesmampotentialmformchronicmfetalmhypoxemia?m-
mCORRECTmANSWERmIntrauterinemgrowthmrestrictionm(IUGR)
Withmthemfindingmofmamsinglemumbilicalmartery,mwhatmwouldmyoumexpectmtomoccurmwithmfetalmperf
usion?m-mCORRECTmANSWERmDecreasedmbloodmperfusionmfrommthemfetusmtomthemplacenta
Silvia'smadmissionmvitalmsignsmweremBPm109/60,mpulsem83mbpm,mrespirationsm18/minute,mtempera
turem97Fm(36.6C).mVaginalmexaminationmfindingsmwerem2-3mcmmdilated,m50%meffaced,m-
1mstation,mmembranesmintact,mandmcephalicmpresentation.mExternalmelectronicmfetalmmonitormdev
icesmweremplacedm(ultrasoundmandmtocodynamometer).mShemdeniedmhavingmcontractions,mvagina
, lmleakingmormbleeding.mFollowingmthismadmissionmtracing,moxytocinmwasmorderedmandminitiatedmatm
2mmU/min.mWithinmanmhour,mthemratemwasmincreasedmtom5mmU/min.mPRIMARYmBENEFITSmASSOCI
ATEDmWITHmTHEmUSEmOFmSTANDARDIZEDmTERMINOLOGYmFORmFHMmINTERPRETATIONmINmTHEmCL
INICALmSETTINGmINCLUDE:m-
mCORRECTmANSWERmEnhancedmcommunicationmamongmhealthmcaremprovidersmandmpromotionmo
fmpatientmsafety
RefermtomtracingmA-1.mWhichmismthemcorrectmassessmentmofmthemadmissionmtracing?m-
mCORRECTmANSWERmModeratemvariability
RefermtomtracingmA-1.mBasedmonmthismtracing,mamnecessaryminterventionmwouldmbemto:m-
mCORRECTmANSWERmReadjustmthemtoco
RefermtomtracingmA-
2.mOxytocinmwasminfusingmatm5mmU/minmwhenmthemprovidermarrivedmandmorderedmthemoxytocinmi
ncreasedmtom8mmU/min.mAmCORRECTmINTERPRETATIONmOFmTHISmTRACINGmIS:m-
mCORRECTmANSWERmAnmoxygenated,mneurologicallymintactmfetus
RefermtomtracingmA-2.mAmhigh-priorityminterventionmatmthismtimemismto:m-
mCORRECTmANSWERmReadjustmthemtoco
Onemhourmlater,mthemnursemobservedmtwom3mcmmsized,mthickmdarkmbloodmclotsmonmthemundermpad.
mSilviamdeniedmpainmandmhermabdomenmwasmsoftmtompalpation.mWhichmcomponentmofmoxygenmtra
nsportmtomthemfetusmcouldmpotentiallymbemcompromisedmbymthismbleeding?m-
mCORRECTmANSWERmDelivery
RefermtomtracingmA-
3.mSilvia'smvitalmsignsmweremBPm123/70,mpulsem86mbpm,mrespirationsm18/minute.mThemoxytocinmwa
sminfusingmatm11mmU/minmandmVEmfindingsmwerem3-4mcm,m80%meffaced,m-
2mstation,mmembranesmintactmandmcephalicmpresentation,mwithmammoderatemamountmofmbloodmon
mvaginalmexam.mWHICHmOFmTHEmFOLLOWINGmISmANmAPPROPRIATEmPHYSIOLOGICmGOALmBASEDmO
NmTRACINGmA-3?m-mCORRECTmANSWERmMaximizemutero-placentalmcirculation
