AWHONN INTERMEDIATE FETAL
MONITORING TEST END OF COURSE
STUDY GUIDE LATEST UPDATED ACTUAL
TESTED QUESTIONS AND CORRECT
ANSWERS
⩥ Uterus.
Answer: All Fetuses of mothers in labor experience an interruption of
the oxygenation pathway at which point?
⩥ a) Throughout labor and delivery unless the use of a more accurate
method is clearly indicated.
Answer: The FHR can be monitored using doppler ultrasound?
a) Throughout labor and delivery unless the use of a more accurate
method is clearly indicated
b) Internally
c) Only early in labor
d) The FHR cannot be monitored by doppler ultrasound
⩥ b) 110-160 bpm.
Answer: What is the normal range for FHR base line in a term infant?
a) 80-120 bpm
,b) 110-160 bpm
c) 140-180bpm
d) it depends on the sex of the fetus
⩥ Mother's inhalation to lungs to mat. circulatory system to hemoglobin
in RBC's to bloodstream in uterus. Uterus to spiral arteries to placenta to
intervillous space to travel via simple diffusion into the villi. The
capillaries to the umb. vein to the fetus.
The umb. artery sends waste (CO2) to the intervillous space to the
mothers venous system..
Answer: Trace the flow of oxygen from mother to fetus and back.
⩥ 1. Mother (blood plasma, cardiac output, hemoglobin concentration &
O2 saturation)
2. Placenta/intervillous space (uterine contractions & calcification's)
3. Fetus (vagal response aka decel or cord compression).
Answer: What factors impact maternal oxygen delivery?
⩥ 30-50%
lateral recumbent or semi-Fowler's.
Answer: By what % does maternal cardiac output increase above the
non-pregnant state and what position helps this uteroplacental blood
flow?
,⩥ >5 contractions in 10 min (more frequently than Q 2 min) averaged
over 30 min window.
Caused by oxytocin, aminoinfusion or in rare cases spontaneously..
Answer: Define tachysystole contractions and the cause of.
⩥ Maintaining mat. volume, mat. positioning, intravenous hydration.
Decreasing mat. pain/anxiety.
1. Reposition pt to side.
2. Admin IV fluid bolus.
3. Admin 0.25mg terbutaline SQ.
4. Admin O2 10L via non rebreather face mask..
Answer: List interventions for tachysystole contractions.
⩥ higher conc. to lower concentration.
1.Oxygen from maternal (higher) to fetal compartment (lower) to fetal
hgb then transported to fetal tissue.
2. CO2 returns to intervillous space by passive diffusion and is removed
by the mat. venous system..
Answer: Describe passive diffusion as related to the maternal placental
fetal system.
⩥ Place her in lateral position, & increase IV fluids. If no improvement
may need to give epi to increase vascular tone..
, Answer: Maternal hypotension is a potential side effect of regional
anesthesia and analgesia. What nursing interventions could you use to
raise the client's blood pressure? Choose all that apply.
A) Place the woman in a supine position.
B) Place the woman in a lateral position.
C) Increase intravenous (IV) fluids.
D) Continuous Fetal Monitor
E) Administer ephedrine per MD order
⩥ systolic BP >= 140mm hg, a diastolic BP>= 90 mm hg or MAP of
>=105.
Answer: Define maternal hypertension (gestational).
⩥ 17g/dl, fetal hgb has a higher oxygen affinity than an adult to develop
in an oxygen poor environment. The fetal circulatory pattern ensures
blood with higher O2 and nutrition content is delivered to the vital
organs (brain and heart) to tolerate the stress of labor..
Answer: What is the normal expected value for a term fetal HGB?
⩥ 1 vein, 2 arteries encased in wharton's jelly.
O2 (high content) travels via the vein
CO2 travels via 2 arteries back to placenta.
Answer: detail the umbilical cord
MONITORING TEST END OF COURSE
STUDY GUIDE LATEST UPDATED ACTUAL
TESTED QUESTIONS AND CORRECT
ANSWERS
⩥ Uterus.
Answer: All Fetuses of mothers in labor experience an interruption of
the oxygenation pathway at which point?
⩥ a) Throughout labor and delivery unless the use of a more accurate
method is clearly indicated.
Answer: The FHR can be monitored using doppler ultrasound?
a) Throughout labor and delivery unless the use of a more accurate
method is clearly indicated
b) Internally
c) Only early in labor
d) The FHR cannot be monitored by doppler ultrasound
⩥ b) 110-160 bpm.
Answer: What is the normal range for FHR base line in a term infant?
a) 80-120 bpm
,b) 110-160 bpm
c) 140-180bpm
d) it depends on the sex of the fetus
⩥ Mother's inhalation to lungs to mat. circulatory system to hemoglobin
in RBC's to bloodstream in uterus. Uterus to spiral arteries to placenta to
intervillous space to travel via simple diffusion into the villi. The
capillaries to the umb. vein to the fetus.
The umb. artery sends waste (CO2) to the intervillous space to the
mothers venous system..
Answer: Trace the flow of oxygen from mother to fetus and back.
⩥ 1. Mother (blood plasma, cardiac output, hemoglobin concentration &
O2 saturation)
2. Placenta/intervillous space (uterine contractions & calcification's)
3. Fetus (vagal response aka decel or cord compression).
Answer: What factors impact maternal oxygen delivery?
⩥ 30-50%
lateral recumbent or semi-Fowler's.
Answer: By what % does maternal cardiac output increase above the
non-pregnant state and what position helps this uteroplacental blood
flow?
,⩥ >5 contractions in 10 min (more frequently than Q 2 min) averaged
over 30 min window.
Caused by oxytocin, aminoinfusion or in rare cases spontaneously..
Answer: Define tachysystole contractions and the cause of.
⩥ Maintaining mat. volume, mat. positioning, intravenous hydration.
Decreasing mat. pain/anxiety.
1. Reposition pt to side.
2. Admin IV fluid bolus.
3. Admin 0.25mg terbutaline SQ.
4. Admin O2 10L via non rebreather face mask..
Answer: List interventions for tachysystole contractions.
⩥ higher conc. to lower concentration.
1.Oxygen from maternal (higher) to fetal compartment (lower) to fetal
hgb then transported to fetal tissue.
2. CO2 returns to intervillous space by passive diffusion and is removed
by the mat. venous system..
Answer: Describe passive diffusion as related to the maternal placental
fetal system.
⩥ Place her in lateral position, & increase IV fluids. If no improvement
may need to give epi to increase vascular tone..
, Answer: Maternal hypotension is a potential side effect of regional
anesthesia and analgesia. What nursing interventions could you use to
raise the client's blood pressure? Choose all that apply.
A) Place the woman in a supine position.
B) Place the woman in a lateral position.
C) Increase intravenous (IV) fluids.
D) Continuous Fetal Monitor
E) Administer ephedrine per MD order
⩥ systolic BP >= 140mm hg, a diastolic BP>= 90 mm hg or MAP of
>=105.
Answer: Define maternal hypertension (gestational).
⩥ 17g/dl, fetal hgb has a higher oxygen affinity than an adult to develop
in an oxygen poor environment. The fetal circulatory pattern ensures
blood with higher O2 and nutrition content is delivered to the vital
organs (brain and heart) to tolerate the stress of labor..
Answer: What is the normal expected value for a term fetal HGB?
⩥ 1 vein, 2 arteries encased in wharton's jelly.
O2 (high content) travels via the vein
CO2 travels via 2 arteries back to placenta.
Answer: detail the umbilical cord
