AWHONN Intermediate Fetal Monitoring questions with 100% Verified answers

AWHONN Intermediate Fetal Monitoring questions with 100% Verified answers Which pattern in the fetal heart rate would increase suspicion of a nuchal cord? - ANSWER -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? - ANSWER -A. Respiratory academia Which of the following is an extrinsic influence on the FHR? - ANSWER -C. Fetal-placental circulation The most highly oxygenated blood in fetal circulation is carried by: - ANSWER C. Ductus venosus If fetal arterial pressure begins to fall below normal levels: - ANSWER -A. Baroreceptors cause vasoconstriction and increase the FHR Fetal heart rate variability is defined as fluctuations in the baseline that are irregular in _____ and _____. - ANSWER -B. Amplitude and frequency An increase in the fetal heart rate immediately preceding a variable deceleration is caused by: - ANSWER -A. Occlusion of the umbilical vein When assessing a FHR tracing, the first step is to: - ANSWER -C. Establish the baseline rate Which deceleration in the FHR is considered benign and does not require an intervention to correct? - ANSWER -A. Early deceleration If the umbilical vein is the only vessel occluded during cord compression - ANSWER -B. Oxygenated blood may be restricted from being delivered to the fetus During a fetal sleep cycle, FHR variability is usually ____. - ANSWER -C. Minimal Uterine tachysystole is defined as: - ANSWER -B. 5 contractions in 10 mind over 30 minutes Maternal-fetal oxygen and nutrient transfer takes place in the: - ANSWER -B. intervillous space During a contraction, the tocodynamometer detects: - ANSWER -A. Pressure created by tensing of uterine muscle Normal fetal heart rate baseline is: - ANSWER -C. 110-160 bpm Following birth, a fetal cord blood sample is taken. The results are: pH: 6.95 pCO2: 86 mmHg pO2: 4mmHg BE: -18.6 mEq/L These results are best interpreted as: - ANSWER -C. Mixed acidemia A characteristic of variable decelerations is: - ANSWER -B. The onset of the deceleration is abrupt Stimulation of the vagus nerve in a healthy fetus will cause: - ANSWER -A. A decrease in the fetal heart rate What is the baseline rate? - ANSWER -B. 145 bpm What is the correct interpretation? - ANSWER -B. Baseline of 160 bpm with recurrent late decelerations What is the primary physiologic goal? - ANSWER -B. Maximize oxygenation Based on the tracing, the most appropriate interventions are: - ANSWER -B. Decrease oxytocin from 14 to 7 mU/min and start a 500-mL IVFB. Which of the following is a correct interpretation of the tracing? - ANSWER -C. The tracing of uterine activity requires palpation for accurate assessment The nurse supports maternal coping to appropriately assist Robin because - ANSWER -A. Reducing maternal catecholamine production enhances blood flow to the uterus Describe the type of variability seen in the majority of the tracing. – ANSWER What category is this tracing? - ANSWER -B. Category II What bedside interventions are important at this time? - ANSWER -C. Notify provider of vaginal bleeding, EFM tracing, and request presence at the bedside. If the nurse does not get the appropriate response from the provider, the next step is - ANSWER -B. Activate the chain of communication (command) What is the correct interpretation of the tracing? - ANSWER -A. Sinusoidal pattern The tracing in question 29 is which category? - ANSWER -C. Category III Robin has a cesarean birth, Umbilical arterial cord blood gas results are as follows: pH: 6.86 pCO2: 48 pO2: 4.2 BE: -23.7 These results meet the criteria for: - ANSWER -B. Metabolic acidemia What is the baseline rate? - ANSWER -B. 135 bpm What type of variability is observed? - ANSWER -C. Moderate What do you observe in the tracing that rules out metabolic acidemia at this time? - ANSWER -A: 15x15 accelerations What pattern is observed in the fetal heart tracing? - ANSWER -A. Late decelerations What extrinsic factor can you identify as a possible cause for the observed