AWHONN ADVANCED FETAL MONITORING EXAM 2024 |
ACCURATE REAL EDXAM QUESTIONS AND ANSWERS
WITH A STUDY GUIDE | ACCURATE AND VERIFIED FOR
GUARANTEED PASS | ALREADY GRADED A
What do you observe in the tracing that rules out metabolic acidemia at this time? -
ACCURATE>>>> A: 15x15 accelerations
What pattern is observed in the fetal heart tracing? - ACCURATE>>>> A. Late decelerations
What extrinsic factor can you identify as a possible cause for the observed pattern? -
ACCURATE>>>> C. Aging placenta
What physiologic goals are priorities for Olivia's care? - ACCURATE>>>> B. Maximize
oxygenation and maintain appropriate uterine activity
What bedside interventions are appropriate for Olivia at this time? - ACCURATE>>>> C.
Position change to a lateral position and initiate a 500-mL IVFB.
What could Olivia's nurse do during second stage of labor to promote oxygenation? -
ACCURATE>>>> B. Encourage Olivia to push with every other contraction
Did the fetal monitor tracing prior to delivery accurately predict the cor - ACCURATE>>>> A>
Yes, the presence of moderate variability rules out the metabolic acidemia.
What is the baseline FHR? - ACCURATE>>>> B. 160 bpm
What type of variability is observed? - ACCURATE>>>> A. Moderate
,What interventions are appropriate at this time? - ACCURATE>>>> C. Reposition Shelby
from left lateral to right lateral
What type of pattern is observed in the tracing? - ACCURATE>>>> B. Variable decelerations
What category is this tracing? - ACCURATE>>>> B. Category II
What is the baseline rate? - ACCURATE>>>> C. Unable to determine
Based on your observation of the tracing, what action(s) is (are) required? - ACCURATE>>>>
B. Palpate Shelby's radial pulse to verify maternal vs. fetal heart rate
Which statement most accurately reflects the EFM tracing? - ACCURATE>>>> A. Maternal and
fetal heart rates should be verified
Which pattern in the fetal heart rate would increase suspicion of a nuchal cord? -
ACCURATE>>>> 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? - ACCURATE>>>> A. Respiratory
academia
Which of the following is an extrinsic influence on the FHR? - ACCURATE>>>> C. Fetal-
placental circulation
, The most highly oxygenated blood in fetal circulation is carried by: - ACCURATE>>>> C.
Ductus venosus
If fetal arterial pressure begins to fall below normal levels: - ACCURATE>>>> A.
Baroreceptors cause vasoconstriction and increase the FHR
Fetal heart rate variability is defined as fluctuations in the baseline that are irregular in and
. - ACCURATE>>>> B. Amplitude and frequency
An increase in the fetal heart rate immediately preceding a variable deceleration is caused by: -
ACCURATE>>>> A. Occlusion of the umbilical vein
When assessing a FHR tracing, the first step is to: - ACCURATE>>>> C. Establish the
baseline rate
Which deceleration in the FHR is considered benign and does not require an intervention to
correct? - ACCURATE>>>> A. Early deceleration
If the umbilical vein is the only vessel occluded during cord compression - ACCURATE>>>>
B. Oxygenated blood may be restricted from being delivered to the fetus
During a fetal sleep cycle, FHR variability is usually . - ACCURATE>>>> C. Minimal
Uterine tachysystole is defined as: - ACCURATE>>>> B. >5 contractions in 10 mind over 30
minutes
Maternal-fetal oxygen and nutrient transfer takes place in the: - ACCURATE>>>> B.
intervillous space
During a contraction, the tocodynamometer detects: - ACCURATE>>>> A. Pressure created by
tensing of uterine muscle
ACCURATE REAL EDXAM QUESTIONS AND ANSWERS
WITH A STUDY GUIDE | ACCURATE AND VERIFIED FOR
GUARANTEED PASS | ALREADY GRADED A
What do you observe in the tracing that rules out metabolic acidemia at this time? -
ACCURATE>>>> A: 15x15 accelerations
What pattern is observed in the fetal heart tracing? - ACCURATE>>>> A. Late decelerations
What extrinsic factor can you identify as a possible cause for the observed pattern? -
ACCURATE>>>> C. Aging placenta
What physiologic goals are priorities for Olivia's care? - ACCURATE>>>> B. Maximize
oxygenation and maintain appropriate uterine activity
What bedside interventions are appropriate for Olivia at this time? - ACCURATE>>>> C.
Position change to a lateral position and initiate a 500-mL IVFB.
What could Olivia's nurse do during second stage of labor to promote oxygenation? -
ACCURATE>>>> B. Encourage Olivia to push with every other contraction
Did the fetal monitor tracing prior to delivery accurately predict the cor - ACCURATE>>>> A>
Yes, the presence of moderate variability rules out the metabolic acidemia.
What is the baseline FHR? - ACCURATE>>>> B. 160 bpm
What type of variability is observed? - ACCURATE>>>> A. Moderate
,What interventions are appropriate at this time? - ACCURATE>>>> C. Reposition Shelby
from left lateral to right lateral
What type of pattern is observed in the tracing? - ACCURATE>>>> B. Variable decelerations
What category is this tracing? - ACCURATE>>>> B. Category II
What is the baseline rate? - ACCURATE>>>> C. Unable to determine
Based on your observation of the tracing, what action(s) is (are) required? - ACCURATE>>>>
B. Palpate Shelby's radial pulse to verify maternal vs. fetal heart rate
Which statement most accurately reflects the EFM tracing? - ACCURATE>>>> A. Maternal and
fetal heart rates should be verified
Which pattern in the fetal heart rate would increase suspicion of a nuchal cord? -
ACCURATE>>>> 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? - ACCURATE>>>> A. Respiratory
academia
Which of the following is an extrinsic influence on the FHR? - ACCURATE>>>> C. Fetal-
placental circulation
, The most highly oxygenated blood in fetal circulation is carried by: - ACCURATE>>>> C.
Ductus venosus
If fetal arterial pressure begins to fall below normal levels: - ACCURATE>>>> A.
Baroreceptors cause vasoconstriction and increase the FHR
Fetal heart rate variability is defined as fluctuations in the baseline that are irregular in and
. - ACCURATE>>>> B. Amplitude and frequency
An increase in the fetal heart rate immediately preceding a variable deceleration is caused by: -
ACCURATE>>>> A. Occlusion of the umbilical vein
When assessing a FHR tracing, the first step is to: - ACCURATE>>>> C. Establish the
baseline rate
Which deceleration in the FHR is considered benign and does not require an intervention to
correct? - ACCURATE>>>> A. Early deceleration
If the umbilical vein is the only vessel occluded during cord compression - ACCURATE>>>>
B. Oxygenated blood may be restricted from being delivered to the fetus
During a fetal sleep cycle, FHR variability is usually . - ACCURATE>>>> C. Minimal
Uterine tachysystole is defined as: - ACCURATE>>>> B. >5 contractions in 10 mind over 30
minutes
Maternal-fetal oxygen and nutrient transfer takes place in the: - ACCURATE>>>> B.
intervillous space
During a contraction, the tocodynamometer detects: - ACCURATE>>>> A. Pressure created by
tensing of uterine muscle
