2024 ADVANCED FHM EXAM WITH
ANSWERS
key pieces to report to the neonatal team - CORRECT-ANSWERS1. gest age
2. presence of mec
3. arrythmia
post date pregnancies r/o - CORRECT-ANSWERSdecreased gas exchange
old placenta = decrease o2 saturation
what provides perfusion assessment from the fetus to the placenta -
CORRECT-ANSWERSdoppler flow studies
what increases the potential for umb cord compression - CORRECT-
ANSWERSlow AFI
what does betamethasone and mag cause in FHR - CORRECT-
ANSWERSalterations in fetal movements supressing variablilty (decreased)
and decreased biophysical activities
reactive term NST - CORRECT-ANSWERS>2 FHR accels (15X15)in a 20 min
window (may extend to 40m)
non reactive term NST - CORRECT-ANSWERSno FHR accels in max of 40 min
reactive pre term NST - CORRECT-ANSWERS2 fhr accels (10 X10) in 20 min,
may be increased to 60-90
non reactive pre term NST - CORRECT-ANSWERSno FHR accels in 60-90
before doing a vibroacustic stim (VAS) eastablish what first - CORRECT-
ANSWERSbaseline, and only use VAS if normal, never use if abnormal or
prolonged decel
how do i do a VAS vibroacustic stim - CORRECT-ANSWERSestablish baseline,
apply for 3 sec
goal of VAS vibroacustic stim - CORRECT-ANSWERS2 or more FHR accels in
20 min following the VAS
BPP - CORRECT-ANSWERSdo with NST over 30 min
, 4 components of BPP plus NST - CORRECT-ANSWERSfetal movement, fetal
tone, fetal breathing, Amniotic fluid vol(AFI)
decreased amniotic fluid is a - CORRECT-ANSWERSvariable that can be
reflective of more chronic fetal problems
amniotic fluid vol is a direct reflection of - CORRECT-ANSWERSfetal urine
production during times of stress
blood flow to the kidneys decreases in the presence of _______&________ thus
decreasing the fluid volume - CORRECT-ANSWERShypoxemia and acidemia
decreased AFI increases ______ __________ - CORRECT-ANSWERScord
compression
_______ to relieve cord compressin - CORRECT-ANSWERSamnio infusion
how do i distinguish between artifact and arrythmias? - CORRECT-
ANSWERSassess the shape and regularity of the spikes
ectopic beats have ________ ____ after the contractions - CORRECT-
ANSWERScompensatory pauses
if unsure of whether tachycardia vs artifact - CORRECT-ANSWERSausculate
the FHR by listening with the fetoscope or doppler
fetal arrythmias affect fetal _____ by reducing fetal ______ - CORRECT-
ANSWERSfetal arrythmias affect fetal oxygenation by reducing fetal
perfusion
How do i maximize uterine blood flow? - CORRECT-ANSWERSPosition
change,hydration, decrease uterine ctx(meds), reduce fear and anxiety
How do i maximize umbilical circulation? - CORRECT-ANSWERSPosition
change and amnioinfusion
How do i maximize oxygenation? - CORRECT-ANSWERSPosition change, o2,
maternal hydration, breathing techniques, correct or treat underlying disease
BPP - CORRECT-ANSWERSBiophysical profile
My job as a LD RN is to assess fetal oxygenation of laboring woman with the
following: - CORRECT-ANSWERS1. Maximize uterine blood flow
2. Maximize umbilical circulation
ANSWERS
key pieces to report to the neonatal team - CORRECT-ANSWERS1. gest age
2. presence of mec
3. arrythmia
post date pregnancies r/o - CORRECT-ANSWERSdecreased gas exchange
old placenta = decrease o2 saturation
what provides perfusion assessment from the fetus to the placenta -
CORRECT-ANSWERSdoppler flow studies
what increases the potential for umb cord compression - CORRECT-
ANSWERSlow AFI
what does betamethasone and mag cause in FHR - CORRECT-
ANSWERSalterations in fetal movements supressing variablilty (decreased)
and decreased biophysical activities
reactive term NST - CORRECT-ANSWERS>2 FHR accels (15X15)in a 20 min
window (may extend to 40m)
non reactive term NST - CORRECT-ANSWERSno FHR accels in max of 40 min
reactive pre term NST - CORRECT-ANSWERS2 fhr accels (10 X10) in 20 min,
may be increased to 60-90
non reactive pre term NST - CORRECT-ANSWERSno FHR accels in 60-90
before doing a vibroacustic stim (VAS) eastablish what first - CORRECT-
ANSWERSbaseline, and only use VAS if normal, never use if abnormal or
prolonged decel
how do i do a VAS vibroacustic stim - CORRECT-ANSWERSestablish baseline,
apply for 3 sec
goal of VAS vibroacustic stim - CORRECT-ANSWERS2 or more FHR accels in
20 min following the VAS
BPP - CORRECT-ANSWERSdo with NST over 30 min
, 4 components of BPP plus NST - CORRECT-ANSWERSfetal movement, fetal
tone, fetal breathing, Amniotic fluid vol(AFI)
decreased amniotic fluid is a - CORRECT-ANSWERSvariable that can be
reflective of more chronic fetal problems
amniotic fluid vol is a direct reflection of - CORRECT-ANSWERSfetal urine
production during times of stress
blood flow to the kidneys decreases in the presence of _______&________ thus
decreasing the fluid volume - CORRECT-ANSWERShypoxemia and acidemia
decreased AFI increases ______ __________ - CORRECT-ANSWERScord
compression
_______ to relieve cord compressin - CORRECT-ANSWERSamnio infusion
how do i distinguish between artifact and arrythmias? - CORRECT-
ANSWERSassess the shape and regularity of the spikes
ectopic beats have ________ ____ after the contractions - CORRECT-
ANSWERScompensatory pauses
if unsure of whether tachycardia vs artifact - CORRECT-ANSWERSausculate
the FHR by listening with the fetoscope or doppler
fetal arrythmias affect fetal _____ by reducing fetal ______ - CORRECT-
ANSWERSfetal arrythmias affect fetal oxygenation by reducing fetal
perfusion
How do i maximize uterine blood flow? - CORRECT-ANSWERSPosition
change,hydration, decrease uterine ctx(meds), reduce fear and anxiety
How do i maximize umbilical circulation? - CORRECT-ANSWERSPosition
change and amnioinfusion
How do i maximize oxygenation? - CORRECT-ANSWERSPosition change, o2,
maternal hydration, breathing techniques, correct or treat underlying disease
BPP - CORRECT-ANSWERSBiophysical profile
My job as a LD RN is to assess fetal oxygenation of laboring woman with the
following: - CORRECT-ANSWERS1. Maximize uterine blood flow
2. Maximize umbilical circulation
