AWHONN ADVANCED FETAL MONITORING EXAM LATEST ACTUAL EXAM 300 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
A comprehensive maternal-fetal physical assessment is necessary to assess maternal
oxygenation, build the maternal-fetal data base, and optimize clinical decisions. -
ansTRUE
A systematic assessment of the fetal heart rate tracing includes: - ansBaseline rate,
variability, periodic/episodic changes, uterine activity
Decreased umbilical blood flow stimulates the chemoreceptors and/or baroreceptors,
increasing catecholamine production leading to an increase in blood flow to the
essential organs, including: - ans-adrenals
-brain
-heart
Extrinsic influences of fetal heart rate patterns include: - ansPlacenta, fetal-placental
circulation, umbilical cord
Intrinsic influence of fetal heart rate patterns include: - ansBaroreceptors,
chemoreceptors, hormonal responses
Recurrent decelerations - ansOccur with ≥ 50% of contractions in a 20-minute period.
The decelerations that may be found in a Category 1 tracing are: - ansearly
decelerations
The following are components of the basic assessment for maternal and fetal well-
being: - ans-maternal vital signs and physical exam
-leopold maneuvers and fetal assessment
-labor and membrane status
The only true method of contraction strength assessment when using external fetal
monitors is through: - anspalpation
Variable decelerations may occur: - ansWith or without a contraction (periodic or
episodic)A nurse at a clinic is preparing to administer immunizations to a 5-year-old
child. Which of the following immunizations should the nurse plan to give? -
ansDiphtheria, tetanus, and pertussis (DTaP)
A nurse is admitting a child who has a cute lymphocyte leukemia. Which of the following
laboratory values should the nurse expect? - ansRBC 2.5 million/uL
A nurse is assessing an adolescent who has sustained a broken tibia. Following the
application of a fiberglass cast, the adolescent reports pain and a tingling feeling in the
limb. Which of the following actions should the nurse take first? - ansAssess for
manifestations of circulatory impairment
,AWHONN ADVANCED FETAL MONITORING EXAM LATEST ACTUAL EXAM 300 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
A nurse is assessing the pain level of a 3-year-old who is postoperative following
abdominal surgery. Which of the following pain scales should the nurse use? -
ansFACES pain rating scale
A nurse is caring for a 2-day-old infant who has a myelomeningocele. Which of the
following actions should the nurse take? - ansMonitor the infant's head circumference
A nurse is caring for a 2-year old child who has frequent highlight urinary tract
infections. When educating the parents about the prevention of urinary tract infections,
which of the following instructions should the nurse include in the teaching? - ansTeach
the child to wipe from front to back
A nurse is caring for a 4-month old child who has acute otitis media and a fever of 38.3
C (101 F). Which of the following medications should the nurse administer? -
ansAmoxicillin
A nurse is caring for a 4-year-old child who has pneumonia. The child's mother left 2
hours ago, and he is currently experiencing the separation anxiety stage of despair.
Which of the following findings should the nurse expect? - ansInactive and thumb
sucking
A nurse is caring for a 4-year-old child who has superficial partial-thickness burns over
50% of his body. When planning for the nutritional needs of the child, which of the
following actions should the nurse plan to take? - ansSupplement the child's feedings
with enteral feedings
A nurse is caring for a 6-month-old infant who has intussusception. Which of the
following actions should the nurse take? - ansPrepare the child for a barium enema
A nurse is caring for a 10-year-old child who should reduce his fat intake. Which of the
following menu choices should the nurse suggest? - ans3 oz of baked chicken on a
whole wheat roll
A nurse is caring for a child who adheres to a vegetarian diet and has sustained
superficial partial-thickness burns. The nurse should recommend which of the following
food choices as having the highest protein content? - ans½ cup of peanut butter with
apple slices
A nurse is caring for a child who has a vesicular rash. The parents of the child ask the
nurse what illness can cause this rash for 6 days. The nurse should expect that the child
has which of the following conditions? - ansVaricella
A nurse is caring for a child who has acute glomerulonephritis. Which of the following
actions should the nurse take? - ansCheck the child's blood pressure every 4 hours
,AWHONN ADVANCED FETAL MONITORING EXAM LATEST ACTUAL EXAM 300 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
A nurse is caring for a child who has an exacerbation of cystic fibrosis. Which of the
following laboratory findings should the nurse report to the provider immediately? -
ansOxygen saturation 85%
A nurse is caring for a child who has been in Buck's traction for 2 days. Which of the
following actions should the nurse take to prevent complications? - ansCheck for pulses
in the affected leg every 4 hours
A nurse is caring for a child who has cystic fibrosis and a pulmonary infection. Which of
the following finding sis the nurse's priority? - ansInability to clear secretions
A nurse is caring for a child who has epistaxis. Which of the following actions should the
nurse take? - ansApply continuous pressure to the child's nose for at least 10 minutes
A nurse is caring for a child who has suspected nephrotic syndrome. Which of the
following laboratory values should the nurse expect? - ansSerum cholesterol 700mg/dL
A nurse is caring for a child who has Tetralogy of Fallot. Which of the following
laboratory values should the nurse expect to find? - ansRBC 6.8 million/uL
A nurse is caring for a child who is in the emergency department after ingestion a bottle
of acetaminophen. Which of the following medications should the nurse plan to
administer? - ansAcetylcysteine
A nurse is caring for a child who is receiving treatment for diabetic ketoacidosis and has
current blood glucose level of 250mg/dL. Which of the following actions should the
nurse take? - ansAdminister D5NS by continuous IV infusion
A nurse is caring for a group of infants who have congenital heart defects. For which of
the following defects should the nurse expect to observe cyanosis? - ansTransposition
of great arteries
A nurse is caring for a preschool-age child who has mucosal ulceration after receiving
chemotherapy. Which of the following actions should the nurse take? - ansInstruct the
child to use a soft sponge toothbrush when brushing her teeth
A nurse is caring for a school-age child who has glomerulonephritis. The child has
decreased urinary output, a blood pressure of 160/78 mmHg, and is receiving
hydralazine. Which of the following lunch choices should the nurse recommend? - ans3
oz grilled chicken, 1 cup of pear slices, and 120 ml (4oz) of apple juice
A nurse is caring for a toddler who has asthma. The parents care concerned about the
toddler's reaction to the hospitalization. Which of the following actions should the nurse
take to decrease the child's anxiety? - ansEncourage rooming-in
, AWHONN ADVANCED FETAL MONITORING EXAM LATEST ACTUAL EXAM 300 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
A nurse is caring for an 8-year-old child who has sickle cell anemia. Which of the
following actions should the nurse take first? - ansGive the child flavored popsicles
A nurse is planning care for a 6-year-old child who is receiving chemotherapy. The child
has a highlight platelet count of 20,000/mm3. Based on this laboratory value, which of
the following interventions should the nurse include in the plan of care? - ansEncourage
quiet play
A nurse is planning care for a preschool-age child who has autism and is being admitted
to the facility. Which of the following actions should the nurse plan to take? -
ansEncourage the parents to bring in the child's stuffed animal
A nurse is preparing a school-age child for a tonsillectomy. Which of the following
actions should the nurse take? - ansSchedule the child for a preoperative visit to the
facility
A nurse is preparing to administer acetaminophen 240mg PO daily to a child who has a
temperature of 38.9 C (102 F). The amount available is acetaminophen oral solution
160mg/5ml. How many ml should the nurse administer per dose? - ans7.5 ml
A nurse is preparing to administer an intramuscular injection to a 2-month-old infant. In
which of the following sties should the nurse plan to administer the injection? -
ansVastus lateralis
A nurse is preparing to administer diphenhydramine 5mg/kg/day PO to divide equally
every 8 hours to a school-age child who weighs 50 lb. Available is diphenhydramine oral
solution 12.5mg/5ml. How many ml should the nurse administer per dose? - ans15 ml
A nurse is providing postoperative teaching for the parent of a 3-month-old infant who is
recovering from an umbilical hernia repair. Which of the following statements by the
parent indicates an understanding of the teaching? - ansI will fold my baby's diaper
away from the incision
A nurse is reviewing the medical record of a 2-month-old infant who has rotavirus. The
nurse notes a hemoglobin level of 12g/dL and a hematocrit of 51%. Which of the
following statements by the nurse indicates an understanding of the laboratory values? -
ansThe infant might be dehydrated
A nurse is teaching a group of parents of toddlers about growth and development. A
parent asks, "Why does my child's abdomen stick out?" Which of the following
statements should the nurse make? - ansToddlers don't have well developed abdominal
muscles
A nurse is teaching a parent of an infant who has a colostomy. Which of the following
statements by the parent indicates an understanding of the teaching? - ansI need to
apply paste to the back of the wafer of my child's appliance
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
A comprehensive maternal-fetal physical assessment is necessary to assess maternal
oxygenation, build the maternal-fetal data base, and optimize clinical decisions. -
ansTRUE
A systematic assessment of the fetal heart rate tracing includes: - ansBaseline rate,
variability, periodic/episodic changes, uterine activity
Decreased umbilical blood flow stimulates the chemoreceptors and/or baroreceptors,
increasing catecholamine production leading to an increase in blood flow to the
essential organs, including: - ans-adrenals
-brain
-heart
Extrinsic influences of fetal heart rate patterns include: - ansPlacenta, fetal-placental
circulation, umbilical cord
Intrinsic influence of fetal heart rate patterns include: - ansBaroreceptors,
chemoreceptors, hormonal responses
Recurrent decelerations - ansOccur with ≥ 50% of contractions in a 20-minute period.
The decelerations that may be found in a Category 1 tracing are: - ansearly
decelerations
The following are components of the basic assessment for maternal and fetal well-
being: - ans-maternal vital signs and physical exam
-leopold maneuvers and fetal assessment
-labor and membrane status
The only true method of contraction strength assessment when using external fetal
monitors is through: - anspalpation
Variable decelerations may occur: - ansWith or without a contraction (periodic or
episodic)A nurse at a clinic is preparing to administer immunizations to a 5-year-old
child. Which of the following immunizations should the nurse plan to give? -
ansDiphtheria, tetanus, and pertussis (DTaP)
A nurse is admitting a child who has a cute lymphocyte leukemia. Which of the following
laboratory values should the nurse expect? - ansRBC 2.5 million/uL
A nurse is assessing an adolescent who has sustained a broken tibia. Following the
application of a fiberglass cast, the adolescent reports pain and a tingling feeling in the
limb. Which of the following actions should the nurse take first? - ansAssess for
manifestations of circulatory impairment
,AWHONN ADVANCED FETAL MONITORING EXAM LATEST ACTUAL EXAM 300 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
A nurse is assessing the pain level of a 3-year-old who is postoperative following
abdominal surgery. Which of the following pain scales should the nurse use? -
ansFACES pain rating scale
A nurse is caring for a 2-day-old infant who has a myelomeningocele. Which of the
following actions should the nurse take? - ansMonitor the infant's head circumference
A nurse is caring for a 2-year old child who has frequent highlight urinary tract
infections. When educating the parents about the prevention of urinary tract infections,
which of the following instructions should the nurse include in the teaching? - ansTeach
the child to wipe from front to back
A nurse is caring for a 4-month old child who has acute otitis media and a fever of 38.3
C (101 F). Which of the following medications should the nurse administer? -
ansAmoxicillin
A nurse is caring for a 4-year-old child who has pneumonia. The child's mother left 2
hours ago, and he is currently experiencing the separation anxiety stage of despair.
Which of the following findings should the nurse expect? - ansInactive and thumb
sucking
A nurse is caring for a 4-year-old child who has superficial partial-thickness burns over
50% of his body. When planning for the nutritional needs of the child, which of the
following actions should the nurse plan to take? - ansSupplement the child's feedings
with enteral feedings
A nurse is caring for a 6-month-old infant who has intussusception. Which of the
following actions should the nurse take? - ansPrepare the child for a barium enema
A nurse is caring for a 10-year-old child who should reduce his fat intake. Which of the
following menu choices should the nurse suggest? - ans3 oz of baked chicken on a
whole wheat roll
A nurse is caring for a child who adheres to a vegetarian diet and has sustained
superficial partial-thickness burns. The nurse should recommend which of the following
food choices as having the highest protein content? - ans½ cup of peanut butter with
apple slices
A nurse is caring for a child who has a vesicular rash. The parents of the child ask the
nurse what illness can cause this rash for 6 days. The nurse should expect that the child
has which of the following conditions? - ansVaricella
A nurse is caring for a child who has acute glomerulonephritis. Which of the following
actions should the nurse take? - ansCheck the child's blood pressure every 4 hours
,AWHONN ADVANCED FETAL MONITORING EXAM LATEST ACTUAL EXAM 300 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
A nurse is caring for a child who has an exacerbation of cystic fibrosis. Which of the
following laboratory findings should the nurse report to the provider immediately? -
ansOxygen saturation 85%
A nurse is caring for a child who has been in Buck's traction for 2 days. Which of the
following actions should the nurse take to prevent complications? - ansCheck for pulses
in the affected leg every 4 hours
A nurse is caring for a child who has cystic fibrosis and a pulmonary infection. Which of
the following finding sis the nurse's priority? - ansInability to clear secretions
A nurse is caring for a child who has epistaxis. Which of the following actions should the
nurse take? - ansApply continuous pressure to the child's nose for at least 10 minutes
A nurse is caring for a child who has suspected nephrotic syndrome. Which of the
following laboratory values should the nurse expect? - ansSerum cholesterol 700mg/dL
A nurse is caring for a child who has Tetralogy of Fallot. Which of the following
laboratory values should the nurse expect to find? - ansRBC 6.8 million/uL
A nurse is caring for a child who is in the emergency department after ingestion a bottle
of acetaminophen. Which of the following medications should the nurse plan to
administer? - ansAcetylcysteine
A nurse is caring for a child who is receiving treatment for diabetic ketoacidosis and has
current blood glucose level of 250mg/dL. Which of the following actions should the
nurse take? - ansAdminister D5NS by continuous IV infusion
A nurse is caring for a group of infants who have congenital heart defects. For which of
the following defects should the nurse expect to observe cyanosis? - ansTransposition
of great arteries
A nurse is caring for a preschool-age child who has mucosal ulceration after receiving
chemotherapy. Which of the following actions should the nurse take? - ansInstruct the
child to use a soft sponge toothbrush when brushing her teeth
A nurse is caring for a school-age child who has glomerulonephritis. The child has
decreased urinary output, a blood pressure of 160/78 mmHg, and is receiving
hydralazine. Which of the following lunch choices should the nurse recommend? - ans3
oz grilled chicken, 1 cup of pear slices, and 120 ml (4oz) of apple juice
A nurse is caring for a toddler who has asthma. The parents care concerned about the
toddler's reaction to the hospitalization. Which of the following actions should the nurse
take to decrease the child's anxiety? - ansEncourage rooming-in
, AWHONN ADVANCED FETAL MONITORING EXAM LATEST ACTUAL EXAM 300 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
A nurse is caring for an 8-year-old child who has sickle cell anemia. Which of the
following actions should the nurse take first? - ansGive the child flavored popsicles
A nurse is planning care for a 6-year-old child who is receiving chemotherapy. The child
has a highlight platelet count of 20,000/mm3. Based on this laboratory value, which of
the following interventions should the nurse include in the plan of care? - ansEncourage
quiet play
A nurse is planning care for a preschool-age child who has autism and is being admitted
to the facility. Which of the following actions should the nurse plan to take? -
ansEncourage the parents to bring in the child's stuffed animal
A nurse is preparing a school-age child for a tonsillectomy. Which of the following
actions should the nurse take? - ansSchedule the child for a preoperative visit to the
facility
A nurse is preparing to administer acetaminophen 240mg PO daily to a child who has a
temperature of 38.9 C (102 F). The amount available is acetaminophen oral solution
160mg/5ml. How many ml should the nurse administer per dose? - ans7.5 ml
A nurse is preparing to administer an intramuscular injection to a 2-month-old infant. In
which of the following sties should the nurse plan to administer the injection? -
ansVastus lateralis
A nurse is preparing to administer diphenhydramine 5mg/kg/day PO to divide equally
every 8 hours to a school-age child who weighs 50 lb. Available is diphenhydramine oral
solution 12.5mg/5ml. How many ml should the nurse administer per dose? - ans15 ml
A nurse is providing postoperative teaching for the parent of a 3-month-old infant who is
recovering from an umbilical hernia repair. Which of the following statements by the
parent indicates an understanding of the teaching? - ansI will fold my baby's diaper
away from the incision
A nurse is reviewing the medical record of a 2-month-old infant who has rotavirus. The
nurse notes a hemoglobin level of 12g/dL and a hematocrit of 51%. Which of the
following statements by the nurse indicates an understanding of the laboratory values? -
ansThe infant might be dehydrated
A nurse is teaching a group of parents of toddlers about growth and development. A
parent asks, "Why does my child's abdomen stick out?" Which of the following
statements should the nurse make? - ansToddlers don't have well developed abdominal
muscles
A nurse is teaching a parent of an infant who has a colostomy. Which of the following
statements by the parent indicates an understanding of the teaching? - ansI need to
apply paste to the back of the wafer of my child's appliance
