Awhonn Fetal Heart Monitoring Basics Questions And Correct Detailed Answers With Rationales (Verified Answers) ||Complete A+ Guide

Awhonn Fetal Heart Monitoring Basics Questions And Correct

Detailed Answers With Rationales (Verified Answers)

||Complete A+ Guide




1. Which contraction characteristics can be assessed with a tocodynamome-
m m m m m m m m




ter?
m




a) Frequency
b) Duration
c) Intensity
…Ans>> a) Frequency
m m




b) Duration
m




2. All Fetuses of mothers in labor experience an interruption of the oxygena-
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tion pathway at which point?
m m m m m




…Ans>> Uterus mm




3. The FHR can be monitored using doppler ultrasound?
m m m m m m m




a) Throughout labor and delivery unless the use of a more accurate method is
m m m m m m m m m m m m




1 m/ m52

,m clearly indicated
m




b) Internally
c) Only early in labor
m m m




d) The FHR cannot be monitored by doppler ultrasound
m m m m m m m




…Ans>> a) Throughout labor and delivery unless the use of a more accurate
mm m m m m m m m m m m m




method is clearly indicated
m m m m




4. What is the normal range for FHR base line in a term infant?
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a) 80-120 bpm m




b) 110-160 bpm m




c) 140-180bpm
d) it depends on the sex of the fetus
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…Ans>> b) 110-160 bpm m m m




5. Trace the flow of oxygen from mother to fetus and back.
m m m m m m m m m m




…Ans>> Mother's inhalation to lungs to mat. circulatory system to hemoglobin in
mm m m m m m m m m m m




RBC's to bloodstream in uterus. Uterus to spiral arteries to placenta to intervillous
m m m m m m m m m m m m m




space to travel via simple diffusion into the villi. The capillaries to the umb. vein to
m m m m m m m m m m m m m m m m




the fetus.
m m




The umb. artery sends waste (CO2) to the intervillous space to the mothers venous
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system.
m




6. What factors impact maternal oxygen delivery?
m m m m m




…Ans>> 1. Mother (blood plasma, cardiac output, hemoglobin concentration &
m m m m m m m m m




O2 saturation)
m m




2. Placenta/intervillous space (uterine contractions & calcification's) m m m m m

2 m/ m52

,3. Fetus (vagal response aka decel or cord compression)
m m m m m m m




7. By what % does maternal cardiac output increase above the non-pregnant
m m m m m m m m m m




m state and what position helps this uteroplacental blood flow?
m m m m m m m m




…Ans>> 30-50% mm




lateral recumbent or semi-Fowler's
m m m




8. Define tachysystole contractions and the cause of.
m m m m m m




…Ans>> >5 contractions in 10 min (more frequently than Q 2 min) averaged over
mm m m m m m m m m m m m m




30 min window.
m m m




Caused by oxytocin, aminoinfusion or in rare cases spontaneously.
m m m m m m m m




9. List interventions for tachysystole contractions.
m m m m




…Ans>> Maintaining mat. volume, mat. positioning, intravenous hydration.
mm m m m m m m




Decreasing mat. pain/anxiety.
m m m




1. Reposition pt to side. m m m




3 m/ m52

, 2. Admin IV fluid bolus.
m m m




3. Admin 0.25mg terbutaline SQ.
m m m




4. Admin O2 10L via non rebreather face mask.
m m m m m m m




10. Describe passive diffusion as related to the maternal placental fetal sys-
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m tem.
…Ans>> higher conc. to lower concentration.
m m m m m




1. Oxygen from maternal (higher) to fetal compartment (lower) to fetal hgb then
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m transported to fetal tissue. m m m




2. CO2 returns to intervillous space by passive diffusion and is removed by the mat.
m m m m m m m m m m m m m




m venous system.
m




11. Maternal hypotension is a potential side effect of regional anesthesia and
m m m m m m m m m m




m analgesia. What nursing interventions could you use to raise the client's blood
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m pressure? Choose all that apply.
m m m m




A) Place the woman in a supine position.
m m m m m m




B) Place the woman in a lateral position.
m m m m m m




C) Increase intravenous (IV) fluids. m m m




D) Continuous Fetal Monitor m m




E) Administer ephedrine per MD order m m m m




…Ans>> Place her in lateral position, & increase IV fluids. If no improvement
mm m m m m m m m m m m m




m may need to give epi to increase vascular tone.
m m m m m m m m




12. Define maternal hypertension (gestational).
m m m




…Ans>> systolic BP >= 140mm hg, a diastolic BP>= 90 mm hg or MAP of
mm m m m m m m m m m m m m m




4 m/ m52