CERTIFICATION EXAM: ADVANCED
FHM, 2025/2026 WITH
CORRECT/ACCURATE ANSWERS
4 components of BPP plus NST - CORRECT ANSWERS- fetal
movement, fetal tone, fetal breathing, Amniotic fluid vol(AFI)
_________ factors cause umbilical cord compromise which
compromises ___ _______, causing _______ - CORRECT ANSWERS-
extrinsic factors cause umb cord complications, which
compromises o2 transport, leading to hypoxemia
what is my top priority with cord compression? - CORRECT
ANSWERS- maximize umbilical circulation (pos change and
amnioinfusion)
what should i do when a ctx is difficult to trace? - CORRECT
ANSWERS- palpate and adjust toco
intervention for hypersystole? - CORRECT ANSWERS- terb
when is terb contraindicated? - CORRECT ANSWERS- r/o placental
seperation, uteroplacental bleeding, mat hr of 118-122
, assess FHR before when in the OR? - CORRECT ANSWERS- abd
prep, bc it will then be sterile
key pieces to report to the neonatal team - CORRECT ANSWERS-
1. gest age
2. presence of mec
3. arrythmia
post date pregnancies r/o - CORRECT ANSWERS- decreased gas
exchange
old placenta = decrease o2 saturation
what provides perfusion assessment from the fetus to the
placenta - CORRECT ANSWERS- doppler flow studies
what increases the potential for umb cord compression -
CORRECT ANSWERS- low AFI
what does betamethasone and mag cause in FHR - CORRECT
ANSWERS- alterations 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)
FHM, 2025/2026 WITH
CORRECT/ACCURATE ANSWERS
4 components of BPP plus NST - CORRECT ANSWERS- fetal
movement, fetal tone, fetal breathing, Amniotic fluid vol(AFI)
_________ factors cause umbilical cord compromise which
compromises ___ _______, causing _______ - CORRECT ANSWERS-
extrinsic factors cause umb cord complications, which
compromises o2 transport, leading to hypoxemia
what is my top priority with cord compression? - CORRECT
ANSWERS- maximize umbilical circulation (pos change and
amnioinfusion)
what should i do when a ctx is difficult to trace? - CORRECT
ANSWERS- palpate and adjust toco
intervention for hypersystole? - CORRECT ANSWERS- terb
when is terb contraindicated? - CORRECT ANSWERS- r/o placental
seperation, uteroplacental bleeding, mat hr of 118-122
, assess FHR before when in the OR? - CORRECT ANSWERS- abd
prep, bc it will then be sterile
key pieces to report to the neonatal team - CORRECT ANSWERS-
1. gest age
2. presence of mec
3. arrythmia
post date pregnancies r/o - CORRECT ANSWERS- decreased gas
exchange
old placenta = decrease o2 saturation
what provides perfusion assessment from the fetus to the
placenta - CORRECT ANSWERS- doppler flow studies
what increases the potential for umb cord compression -
CORRECT ANSWERS- low AFI
what does betamethasone and mag cause in FHR - CORRECT
ANSWERS- alterations 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)
