AWHONN Intermediate Fetal Monitoring TEST Questions and Answers

AWHONN Intermediate Fetal Monitoring TEST
Questions and Answers



WhichzofzthezfollowingziszanzextrinsiczinfluencezonzthezFHR?z-zCORRECTzANSWER-C.zFetal-
placentalzcirculation



Thezmostzhighlyzoxygenatedzbloodzinzfetalzcirculationziszcarriedzby:z-zCORRECTzANSWER-
C.zDuctuszvenosus



Ifzfetalzarterialzpressurezbeginsztozfallzbelowznormalzlevels:z-zCORRECTzANSWER-
A.zBaroreceptorszcausezvasoconstrictionzandzincreasezthezFHR



Fetalzheartzratezvariabilityziszdefinedzaszfluctuationszinzthezbaselinezthatzarezirregularzinz_____zandz_____.z
-zCORRECTzANSWER-B.zAmplitudezandzfrequency



Anzincreasezinzthezfetalzheartzratezimmediatelyzprecedingzazvariablezdecelerationziszcausedzby:z-
zCORRECTzANSWER-A.zOcclusionzofzthezumbilicalzvein




WhenzassessingzazFHRztracing,zthezfirstzstepziszto:z-zCORRECTzANSWER-C.zEstablishzthezbaselinezrate



WhichzdecelerationzinzthezFHRziszconsideredzbenignzandzdoesznotzrequirezanzinterventionztozcorrect?z-
zCORRECTzANSWER-A.zEarlyzdeceleration




Ifzthezumbilicalzveinziszthezonlyzvesselzoccludedzduringzcordzcompressionz-zCORRECTzANSWER-
B.zOxygenatedzbloodzmayzbezrestrictedzfromzbeingzdeliveredztozthezfetus



Duringzazfetalzsleepzcycle,zFHRzvariabilityziszusuallyz____.z-zCORRECTzANSWER-C.zMinimal



Uterineztachysystoleziszdefinedzas:z-zCORRECTzANSWER-B.z>5zcontractionszinz10zmindzoverz30zminutes

, Maternal-fetalzoxygenzandznutrientztransferztakeszplacezinzthe:z-zCORRECTzANSWER-B.zintervillouszspace



Duringzazcontraction,ztheztocodynamometerzdetects:z-zCORRECTzANSWER-
A.zPressurezcreatedzbyztensingzofzuterinezmuscle



Normalzfetalzheartzratezbaselinezis:z-zCORRECTzANSWER-C.z110-160zbpm



Followingzbirth,zazfetalzcordzbloodzsamplezisztaken.zThezresultszare:

z pH:z6.95

z pCO2:z86zmmHg

z pO2:z4mmHg

z BE:z-18.6zmEq/L

Thesezresultszarezbestzinterpretedzas:z-zCORRECTzANSWER-C.zMixedzacidemia



Azcharacteristiczofzvariablezdecelerationszis:z-zCORRECTzANSWER-
B.zThezonsetzofzthezdecelerationziszabrupt



Stimulationzofzthezvagusznervezinzazhealthyzfetuszwillzcause:z-zCORRECTzANSWER-
A.zAzdecreasezinzthezfetalzheartzrate



Whatziszthezbaselinezrate?z-zCORRECTzANSWER-B.z145zbpm



Whatziszthezcorrectzinterpretation?z-zCORRECTzANSWER-
B.zBaselinezofz160zbpmzwithzrecurrentzlatezdecelerations



Whatziszthezprimaryzphysiologiczgoal?z-zCORRECTzANSWER-B.zMaximizezoxygenation



Basedzonztheztracing,zthezmostzappropriatezinterventionszare:z-zCORRECTzANSWER-
B.zDecreasezoxytocinzfromz14ztoz7zmU/minzandzstartzaz500-mLzIVFB.