BSMH ADVANCED ARRHYTHMIA COURSE
COMPLETE EXAM REVIEW WITH FULL
SOLUTIONS
●● The single umbilical artery impacts which component of the oxygen
transfer system?
Answer: Oxygen delivery
●● Which of Silvia's findings indicates a potential for chronic fetal
hypoxemia?
Answer: Intrauterine growth restriction (IUGR)
●● With the finding of a single umbilical artery, what would you expect
to occur with fetal perfusion?
Answer: Decreased blood perfusion from the fetus to the placenta
●● Silvia's admission vital signs were BP 109/60, pulse 83 bpm,
respirations 18/minute, temperature 97F (36.6C). Vaginal examination
findings were 2-3 cm dilated, 50% effaced, -1 station, membranes intact,
and cephalic presentation. External electronic fetal monitor devices were
placed (ultrasound and tocodynamometer). She denied having
contractions, vaginal leaking or bleeding. Following this admission
tracing, oxytocin was ordered and initiated at 2 mU/min. Within an hour,
the rate was increased to 5 mU/min. PRIMARY BENEFITS
, ASSOCIATED WITH THE USE OF STANDARDIZED
TERMINOLOGY FOR FHM INTERPRETATION IN THE CLINICAL
SETTING INCLUDE:
Answer: Enhanced communication among health care providers and
promotion of patient safety
●● Refer to tracing A-1. Which is the correct assessment of the
admission tracing?
Answer: Moderate variability
●● Refer to tracing A-1. Based on this tracing, a necessary intervention
would be to:
Answer: Readjust the toco
●● Refer to tracing A-2. Oxytocin was infusing at 5 mU/min when the
provider arrived and ordered the oxytocin increased to 8 mU/min. A
CORRECT INTERPRETATION OF THIS TRACING IS:
Answer: An oxygenated, neurologically intact fetus
●● Refer to tracing A-2. A high-priority intervention at this time is to:
Answer: Readjust the toco
●● One hour later, the nurse observed two 3 cm sized, thick dark blood
clots on the under pad. Silvia denied pain and her abdomen was soft to
COMPLETE EXAM REVIEW WITH FULL
SOLUTIONS
●● The single umbilical artery impacts which component of the oxygen
transfer system?
Answer: Oxygen delivery
●● Which of Silvia's findings indicates a potential for chronic fetal
hypoxemia?
Answer: Intrauterine growth restriction (IUGR)
●● With the finding of a single umbilical artery, what would you expect
to occur with fetal perfusion?
Answer: Decreased blood perfusion from the fetus to the placenta
●● Silvia's admission vital signs were BP 109/60, pulse 83 bpm,
respirations 18/minute, temperature 97F (36.6C). Vaginal examination
findings were 2-3 cm dilated, 50% effaced, -1 station, membranes intact,
and cephalic presentation. External electronic fetal monitor devices were
placed (ultrasound and tocodynamometer). She denied having
contractions, vaginal leaking or bleeding. Following this admission
tracing, oxytocin was ordered and initiated at 2 mU/min. Within an hour,
the rate was increased to 5 mU/min. PRIMARY BENEFITS
, ASSOCIATED WITH THE USE OF STANDARDIZED
TERMINOLOGY FOR FHM INTERPRETATION IN THE CLINICAL
SETTING INCLUDE:
Answer: Enhanced communication among health care providers and
promotion of patient safety
●● Refer to tracing A-1. Which is the correct assessment of the
admission tracing?
Answer: Moderate variability
●● Refer to tracing A-1. Based on this tracing, a necessary intervention
would be to:
Answer: Readjust the toco
●● Refer to tracing A-2. Oxytocin was infusing at 5 mU/min when the
provider arrived and ordered the oxytocin increased to 8 mU/min. A
CORRECT INTERPRETATION OF THIS TRACING IS:
Answer: An oxygenated, neurologically intact fetus
●● Refer to tracing A-2. A high-priority intervention at this time is to:
Answer: Readjust the toco
●● One hour later, the nurse observed two 3 cm sized, thick dark blood
clots on the under pad. Silvia denied pain and her abdomen was soft to
