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AWHONN ADVANCED FETAL MONITORING EXAM|REAL EXAM QUESTIONS AND CORRECT VERIFIED ANSSWERS|LATEST UPDATE |ALREADY GRADED A+

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AWHONN ADVANCED FETAL MONITORING EXAM|REAL EXAM QUESTIONS AND CORRECT VERIFIED ANSSWERS|LATEST UPDATE |ALREADY GRADED A+

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AWHONN ADVANCED FETAL MONITORING
EXAM|REAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSSWERS|LATEST UPDATE |ALREADY
GRADED A+
What will ST-segment analysis tell you? - ...(ANSWERS)....- Theoretically, ST-
segment analysis of the fetal ECG provides continuous information regarding the
ability of the fetal heart to respond to stress in labor by providing information
about intracardiac responses to intrapartum hypoxia.

- Analysis of the ST segment may permit detection of myocardial ischemia and the
fetus' ability to respond to stress prior to peripheral organ and central nervous
system damage.



When do ST-segment and T-wave changes occur? - ...(ANSWERS)....with
myocardial ischemia, prior to permanent cell damage.



What are ST-segment and T-wave elevation indicative of? - ...(ANSWERS)....fetus
at risk of developing hypoxia but still capable of responding against hypoxemia.



What are ST-segment and T-wave depression indicative of? - ...(ANSWERS)....has
been associated with the inability of the fetal heart to further respond to hypoxia,
indicating that the fetus either had no time to respond or has exhausted
compensatory mechanisms.



When are fetal ST changes clinically relevant? - ...(ANSWERS)....when they
coincide with category 2 tracings

, How do you differentiate an irregular heart rate from possible artifact or
electronic interference? - ...(ANSWERS)....- auscultation

- ultrasound

- echocardiogram

- ecg



What is an arrhythmia? - ...(ANSWERS)....- the sporadic, irregular beats typical of
the frequent fetal events heard or recorded on the tracing

- When there is a disturbance in the heart cell's ability to form and discharge an
impulse independently (automaticity & excitability), cardiac rhythm may become
tachycardic, bradycardic, or irregular with ectopic beats or premature rhythms
such as premature atrial contractions.



How are arrythmias categorized? - ...(ANSWERS)....- based upon the anatomical
site of variant impulse formation, conduction, or a combination of both



What is the prognosis regarding arryhtmias? - ...(ANSWERS)....- Most are benign
and require no intervention

- Most will convert to a normal sinus rhythm after birth



Where does the electrical impulse that governs heart rate and rhythm originate? -
...(ANSWERS)....in the SA Node located in the right atrium

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