AWHONN ADVANCED FETAL MONITORING EXAM
LATEST 2024-2025 WITH ACTUAL QUESTIONS AND
CORRECT VERIFIED ANSWERS ALREADY GRADED A+
100% GUARANTEED PASS!
What will ST-segment analysis tell you? - CORRECT ANSWER-- 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? - CORRECT ANSWER-with
myocardial ischemia, prior to permanent cell damage.
What are ST-segment and T-wave elevation indicative of? - CORRECT ANSWER-
fetus at risk of developing hypoxia but still capable of responding against
hypoxemia.
What are ST-segment and T-wave depression indicative of? - CORRECT
ANSWER-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? - CORRECT ANSWER-when they
coincide with category 2 tracings
How do you differentiate an irregular heart rate from possible artifact or
electronic interference? - CORRECT ANSWER-- auscultation
- ultrasound
- echocardiogram
- ecg
What is an arrhythmia? - CORRECT ANSWER-- 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? - CORRECT ANSWER-- based upon the
anatomical site of variant impulse formation, conduction, or a combination of
both
What is the prognosis regarding arryhtmias? - CORRECT ANSWER-- 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? - CORRECT ANSWER-in the SA Node located in the right atrium
Where does the electrical impulse that governs heart rate and rhythm spread
from the SA node? - CORRECT ANSWER-downward to the atrioventricular (AV)
node, the bundle of His, & the Purkinje fibers
, What are some causes of arythmias? - CORRECT ANSWER-- 99% disappear
shortly after birth & pose no long term consequences
- Most of the patterns are premature beats
- Most are benign
- Electrolyte imbalance
- Congenital malformations of the heart
- Infection
- Acidosis
- Hydrops fetalis
What are characteristics of a dysrhythmia on an FHR strip? - CORRECT
ANSWER-- Irregular but organized pattern
- Excursions can be either below or above the
baseline and look like "hatch marks"
What interventions are required if you see a dysrhythmia? - CORRECT
ANSWER-- If the monitor has a logic switch, turn it to the off position
- Evaluate the FHTs with a fetoscope
- Evaluate variability between dysrhythmic episodes
- Identify causal factors that can contribute to
dysrhythmic development (hypoxia, infection)
- Notify the collaborative physician or midwife of the findings
Characteristics of Supraventricular dysrhythmic patterns? - CORRECT
ANSWER-- Often referred to as "premature beat" patterns
- Typically considered benign requiring no intervention other than observation
LATEST 2024-2025 WITH ACTUAL QUESTIONS AND
CORRECT VERIFIED ANSWERS ALREADY GRADED A+
100% GUARANTEED PASS!
What will ST-segment analysis tell you? - CORRECT ANSWER-- 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? - CORRECT ANSWER-with
myocardial ischemia, prior to permanent cell damage.
What are ST-segment and T-wave elevation indicative of? - CORRECT ANSWER-
fetus at risk of developing hypoxia but still capable of responding against
hypoxemia.
What are ST-segment and T-wave depression indicative of? - CORRECT
ANSWER-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? - CORRECT ANSWER-when they
coincide with category 2 tracings
How do you differentiate an irregular heart rate from possible artifact or
electronic interference? - CORRECT ANSWER-- auscultation
- ultrasound
- echocardiogram
- ecg
What is an arrhythmia? - CORRECT ANSWER-- 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? - CORRECT ANSWER-- based upon the
anatomical site of variant impulse formation, conduction, or a combination of
both
What is the prognosis regarding arryhtmias? - CORRECT ANSWER-- 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? - CORRECT ANSWER-in the SA Node located in the right atrium
Where does the electrical impulse that governs heart rate and rhythm spread
from the SA node? - CORRECT ANSWER-downward to the atrioventricular (AV)
node, the bundle of His, & the Purkinje fibers
, What are some causes of arythmias? - CORRECT ANSWER-- 99% disappear
shortly after birth & pose no long term consequences
- Most of the patterns are premature beats
- Most are benign
- Electrolyte imbalance
- Congenital malformations of the heart
- Infection
- Acidosis
- Hydrops fetalis
What are characteristics of a dysrhythmia on an FHR strip? - CORRECT
ANSWER-- Irregular but organized pattern
- Excursions can be either below or above the
baseline and look like "hatch marks"
What interventions are required if you see a dysrhythmia? - CORRECT
ANSWER-- If the monitor has a logic switch, turn it to the off position
- Evaluate the FHTs with a fetoscope
- Evaluate variability between dysrhythmic episodes
- Identify causal factors that can contribute to
dysrhythmic development (hypoxia, infection)
- Notify the collaborative physician or midwife of the findings
Characteristics of Supraventricular dysrhythmic patterns? - CORRECT
ANSWER-- Often referred to as "premature beat" patterns
- Typically considered benign requiring no intervention other than observation
