Awhonn Advanced Fetal Monitoring Exam Latest Actual Exam II Questions And Correct Detailed Answers With Rationales (Verified Answers) ||Complete A+ Guide

Awhonn Advanced Fetal Monitoring Exam Latest Actual Exam II

Questions And Correct Detailed Answers With Rationales (Verified

Answers) ||Complete A+ Guide




1. when do you assess FHR
m m m m




…Ans>> during labor mm m




Prior to labor stimulants, periods of ambulation, administration of medications,
m m m m m m m m m




m initiation of anesthesiam m




following ROM, vaginal exams, periods of ambulation, and procedures such as
m m m m m m m m m m




m enemas and caths m m




2. why do you assess FHR?
m m m m




…Ans>> to recognize abnormal uterine patterns, evaluate effects of Pitocin
mm m m m m m m m m




m and other meds
m m



1 m/ m
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,3. what are the two methods of fetal monitoring?
m m m m m m m




…Ans>> intermittent (auscultation with fetoscope or doppler)
mm m m m m m




electronic/continuous (External toco transducer with ultrasound, internal scalp elec- m m m m m m m m




m trode with IUPC)
m m




4. intermittent fetal monitoring m m




…Ans>> low risk, one-to-one nurse-to-pt ratio, non inva- sive, mom can be
mm m m m m m m m m m m




m ambulatory


5. disadvantages of intermittent fetal monitoring m m m m




…Ans>> Is a learned skill mm m m m




May miss detection of information with a weak signal or movement of mom and baby
m m m m m m m m m m m m m m




Difficult to identify periodic changes
m m m m m




Difficult to detect variability
m m m




No printed record other than nursing documentation
m m m m m m




6. AWHONN and ACOG Standards for Intermittent fetal monitoring
m m m m m m m




…Ans>> for high risk mom: stage I - Q30min, stage II - Q15min
mm m m m m m m m m m m m




for low risk mom: stage I - Q15min, stage II - Q5 min
m m m m m m m m m m m m




7. advantages of EFM m m




…Ans>> Continuous information Variability
mm m m



2 m/ m
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, m can be determined
m m




Printed record as long as mom is on the monitor
m m m m m m m m m




8. disadvantages of EFM m m




…Ans>> Requires advanced assessment and clinical judgment skills
mm m m m m m m




Has a history of controversy for interpretation and interventions Restriction of
m m m m m m m m m m




m mom's activity m




Expensive
May increase C/S rate, infections
m m m m




Use should be based on risk assessment but also is based on obstetric staff
m m m m m m m m m m m m m




m preference and hosp policy m m m




9. AWHONN standards for EFM m m m




…Ans>> Initiation of monitoring and ongoing evaluation only by licensed
mm m m m m m m m m




m healthcare providers m




Fetal heart rate monitoring includes:
m m m m




m Application of monitoring components m m m




m Initial assessment of mother and fetus
m m m m m




m Intermittent auscultation m




3 m/ m
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