AWHONN ADVANCED FETAL MONITORING EXAM |
ACCURATE REAL EXAM QUESTIONS AND ACCURATE
ANSWERS VERIFIED FOR GUARANTEED PASS
What do you observe in the tracing that rules out metabolic acidemia at this time? - CORRECT
ANSWER A: 15x15 accelerations
What pattern is observed in the fetal heart tracing? - CORRECT ANSWER A. Late
decelerations
What extrinsic factor can you identify as a possible cause for the observed pattern? - CORRECT
ANSWER C. Aging placenta
What physiologic goals are priorities for Olivia's care? - CORRECT ANSWER B. Maximize
oxygenation and maintain appropriate uterine activity
What bedside interventions are appropriate for Olivia at this time? - CORRECT ANSWER C.
Position change to a lateral position and initiate a 500-mL IVFB.
What could Olivia's nurse do during second stage of labor to promote oxygenation? -
CORRECT ANSWER B. Encourage Olivia to push with every other contraction
Did the fetal monitor tracing prior to delivery accurately predict the cor - CORRECT ANSWER
A> Yes, the presence of moderate variability rules out the metabolic acidemia.
What is the baseline FHR? - CORRECT ANSWER B. 160 bpm
What type of variability is observed? - CORRECT ANSWER A. Moderate
,What interventions are appropriate at this time? - CORRECT ANSWER C. Reposition Shelby
from left lateral to right lateral
What type of pattern is observed in the tracing? - CORRECT ANSWER B. Variable
decelerations
What category is this tracing? - CORRECT ANSWER B. Category II
What is the baseline rate? - CORRECT ANSWER C. Unable to determine
Based on your observation of the tracing, what action(s) is (are) required? - CORRECT
ANSWER B. Palpate Shelby's radial pulse to verify maternal vs. fetal heart rate
Which statement most accurately reflects the EFM tracing? - CORRECT ANSWER A. Maternal
and fetal heart rates should be verified
Which pattern in the fetal heart rate would increase suspicion of a nuchal cord? - CORRECT
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? - CORRECT ANSWER A. Respiratory
academia
Which of the following is an extrinsic influence on the FHR? - CORRECT ANSWER C. Fetal-
placental circulation
, The most highly oxygenated blood in fetal circulation is carried by: - CORRECT ANSWER C.
Ductus venosus
If fetal arterial pressure begins to fall below normal levels: - CORRECT 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
. - CORRECT ANSWER B. Amplitude and frequency
An increase in the fetal heart rate immediately preceding a variable deceleration is caused by: -
CORRECT ANSWER A. Occlusion of the umbilical vein
When assessing a FHR tracing, the first step is to: - CORRECT ANSWER C. Establish the
baseline rate
Which deceleration in the FHR is considered benign and does not require an intervention to
correct? - CORRECT ANSWER A. Early deceleration
If the umbilical vein is the only vessel occluded during cord compression - CORRECT
ANSWER B. Oxygenated blood may be restricted from being delivered to the fetus
During a fetal sleep cycle, FHR variability is usually . - CORRECT ANSWER C. Minimal
Uterine tachysystole is defined as: - CORRECT ANSWER B. >5 contractions in 10 mind over
30 minutes
Maternal-fetal oxygen and nutrient transfer takes place in the: - CORRECT ANSWER B.
intervillous space
During a contraction, the tocodynamometer detects: - CORRECT ANSWER A. Pressure created
by tensing of uterine muscle
ACCURATE REAL EXAM QUESTIONS AND ACCURATE
ANSWERS VERIFIED FOR GUARANTEED PASS
What do you observe in the tracing that rules out metabolic acidemia at this time? - CORRECT
ANSWER A: 15x15 accelerations
What pattern is observed in the fetal heart tracing? - CORRECT ANSWER A. Late
decelerations
What extrinsic factor can you identify as a possible cause for the observed pattern? - CORRECT
ANSWER C. Aging placenta
What physiologic goals are priorities for Olivia's care? - CORRECT ANSWER B. Maximize
oxygenation and maintain appropriate uterine activity
What bedside interventions are appropriate for Olivia at this time? - CORRECT ANSWER C.
Position change to a lateral position and initiate a 500-mL IVFB.
What could Olivia's nurse do during second stage of labor to promote oxygenation? -
CORRECT ANSWER B. Encourage Olivia to push with every other contraction
Did the fetal monitor tracing prior to delivery accurately predict the cor - CORRECT ANSWER
A> Yes, the presence of moderate variability rules out the metabolic acidemia.
What is the baseline FHR? - CORRECT ANSWER B. 160 bpm
What type of variability is observed? - CORRECT ANSWER A. Moderate
,What interventions are appropriate at this time? - CORRECT ANSWER C. Reposition Shelby
from left lateral to right lateral
What type of pattern is observed in the tracing? - CORRECT ANSWER B. Variable
decelerations
What category is this tracing? - CORRECT ANSWER B. Category II
What is the baseline rate? - CORRECT ANSWER C. Unable to determine
Based on your observation of the tracing, what action(s) is (are) required? - CORRECT
ANSWER B. Palpate Shelby's radial pulse to verify maternal vs. fetal heart rate
Which statement most accurately reflects the EFM tracing? - CORRECT ANSWER A. Maternal
and fetal heart rates should be verified
Which pattern in the fetal heart rate would increase suspicion of a nuchal cord? - CORRECT
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? - CORRECT ANSWER A. Respiratory
academia
Which of the following is an extrinsic influence on the FHR? - CORRECT ANSWER C. Fetal-
placental circulation
, The most highly oxygenated blood in fetal circulation is carried by: - CORRECT ANSWER C.
Ductus venosus
If fetal arterial pressure begins to fall below normal levels: - CORRECT 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
. - CORRECT ANSWER B. Amplitude and frequency
An increase in the fetal heart rate immediately preceding a variable deceleration is caused by: -
CORRECT ANSWER A. Occlusion of the umbilical vein
When assessing a FHR tracing, the first step is to: - CORRECT ANSWER C. Establish the
baseline rate
Which deceleration in the FHR is considered benign and does not require an intervention to
correct? - CORRECT ANSWER A. Early deceleration
If the umbilical vein is the only vessel occluded during cord compression - CORRECT
ANSWER B. Oxygenated blood may be restricted from being delivered to the fetus
During a fetal sleep cycle, FHR variability is usually . - CORRECT ANSWER C. Minimal
Uterine tachysystole is defined as: - CORRECT ANSWER B. >5 contractions in 10 mind over
30 minutes
Maternal-fetal oxygen and nutrient transfer takes place in the: - CORRECT ANSWER B.
intervillous space
During a contraction, the tocodynamometer detects: - CORRECT ANSWER A. Pressure created
by tensing of uterine muscle
