AWHONN IEFM question & answers rated A+ 2023/2024

AWHONN IEFMThe following are components of the basic assessment for maternal and fetal well-being. Maternal vital signs and physical exam Leopold maneuvers and fetal assessment Labor Status and membrane status All of the above - correct answer All of the above A comprehensive maternal-fetal physical assessment is necessary to assess maternal oxygenation, build the maternal-fetal data base, and optimize clinical decisions. TRUE FALSE - correct answer True Extrinsic influences of fetal heart rate patterns include: Placenta, fetal-placental circulation, fetal circulation Fetal-placental circulation, amniotic fluid, baroreceptors Placenta, fetal-placental circulation, umbilical cord Umbilical cord, amniotic fluid, fetal circulation - correct answer Placenta, fetal-placental circulation, umbilical cord Intrinsic influence of fetal heart rate patterns include: Fetal circulation, baroreceptors, fetal-placental circulation Baroreceptors, chemoreceptors, hormonal responses Umbilical cord, fetal circulation, hormonal responses Fetal circulation, chemoreceptors, placenta - correct answer Baroreceptors, chemoreceptors, hormonal responses 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: a) Adrenals b) Brain c) Heart d) Lungs e) a, b, and c f) All of the above - correct answer e) a, b, and c A systematic assessment of the fetal heart rate tracing includes: Uterine activity, baseline rate, variability, periodic/episodic changes Variability, periodic/episodic changes, baseline rate, uterine activity Baseline rate, variability, periodic/episodic changes, uterine activity Trends and patterns over time, variability, baseline rate, uterine activity - correct answer Baseline rate, variability, periodic/episodic changes, uterine activity Recurrent decelerations Occur with ≥ 50% of contractions in a 20-minute period. Occur with 50% of contractions in a 20-minute period. Are not specifically defined. - correct answer Occur with ≥ 50% of contractions in a 20-minute period. Variable decelerations may occur: With a contraction (periodic) Without a contraction (episodic) With or without a contraction (periodic or episodic) - correct answer With or without a contraction (periodic or episodic) The decelerations that may be found in a Category 1 tracing are: Early decelerations