AWHONN Advanced FHM Course Exam Answers

AWHONN Advanced FHM Course Exam Answers Latest Update -from Credible Sources with Questions and 100% Verified Correct Answers Guaranteed A+ Verified by Professor

A female was delivered by cesarean at 1211 and thick meconium was noted. Apgar scores were 4/5/7 at 1/5/10. Arterial umbilical cord gas results are: pH 7.26/pCO2 56.5/pO2 23/BE -19. The newborn had a normal sinus rhythm, normal ECG, and echocardiogram and was discharged to home with mother. What is the most plausible explanation for the neonate's normal sinus rhythm at birth? - CORRECT ANSWER: The source of the ectopic fetal cardiac stimulation had resolved

At 1410, the nurse again telephoned the provider to report Silvia's status, including two more dark red blood clots and absent variability with recurrent decelerations, and asked the provider to come to the bedside for evaluation. The provider indicated she was "on the way to the hospital" and ordered an emergency cesarean to be started by the senior resident. Silvia was prepped for cesarean birth. The nurse is planning to document her telephone report to the attending physician. Given the emergent situation, the best approach to documentation would be: - CORRECT ANSWER: Continue providing care for Silvia and write a late entry summarizing the conversation after the cesarean is completed

CASE STUDY A) SILVIA. Silvia, a 28-year-old G1P0000 at 39 1/7 weeks by sonogram, and her partner arrived on the labor unit at 0730 for scheduled induction for IUGR/FGR.Silvia's family history is negative for medical problems with the exception of her mother's long-term history of diabetes. Silvia has no history of medical problems and she has never had any surgeries. She developed gestational diabetes with this pregnancy, but her other prenatal labs were all normal. During one of the ultrasound examinations performed to evaluate the IUGR/FGR, a single umbilical artery was noted.On her most recent biophysical profile (BPP), the amniotic fluid index (AFI) was 11 cm (AFI less than 5 cm is defined as oligohydramnios) and the estimated fetal weight (EFW) was 2524 grams (7th percentile). WHAT FETAL HEART RATE DECELERATION

IS MORE LIKELY TO OCCUR IN THE PRESENCE OF SILVIA'S SINGLE UMBILICAL

ARTERY? - CORRECT ANSWER: Variable decelerations

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CASE STUDY B) NELL. Nell, a 24-year-old G3 P020 at 42&3 weeks arrived on L&D for an evening IOL for post-dates. Nell has had an exploratory lap. to remove scar tissue on her L ovary and intestines and has had infrequent menstrual cycles. She had has 2 SABs - at 12 and 5 weeks. Prenatal labs were WDL. Her thyroid is enlarged; however, her TSH, T4, and T3 were done at 39 weeks and were WDL. Nell has a family history of HTN. An US at 19 weeks revealed a low-lying placenta that resolved by 37 5/7 weeks.Today in triage, an US revealed an EFW of 3300g and an AFI of 3 cm. Nell has had reactive NSTs. Admission vital signs were WDL. SVE findings: fingertip, 40%, and -2 station. Membranes intact and cephalic presentation. Nell denied feeling regular cramping. Category I tracing. A vaginal prostaglandin insert was placed. WHICH

COMPROMISE IN FETAL OXYGENATION COULD BE A RESULT OF A POST -DATE

PREGNANCY? - CORRECT ANSWER: Decreased placental perfusion

CASE STUDY C) HELEN. Helen, a 23 year-old G3 P0020 at 25&6 comes to L&D with a chief complaint of "backache and cramping". Helen is a thin, young woman and her prenatal record indicates she was born prematurely. She's had 2 SABs and multiple uterine/vaginal infections, including treatment for dysplasia with a LEEP procedure. She began prenatal care at 16 weeks and attended 2 appointments due to transportation issues. Following a swab of the fluid in her vagina, which was negative for ferning, SVE findings were 2/70/-3, cephalic presentation. Helen denies recent sexual intercourse.States her baby is active today. FHR is auscultated at 156 bpm and external EFM components are placed. Demographic, obstetric, and socioeconomic factors provide essential information to enable individualized intrapartum care planning. BASED ON

STATISTICAL REPORTS AND CURRENT PUBLISHED LITERATURE, BLACK

WOMEN HAVE A HIGHER INCIDENCE OF: - CORRECT ANSWER: Preterm birth

CASE STUDY D) MICHELLE. Michelle is a 31-year-old G1P0 at 38&6 who arrives to triage holding her abdomen while moaning in pain. Michelle reports a history of normal BP during this pregnancy and opioid use disorder. Abdominal pain started 12 hours ago and has increased in intensity. Michelle has had loose stools and kept down water and electrolyte drinks all day but continues to have the urge to have a bowel movement.Vital signs: T 97F (36.6C), BP 165/105, HR 100, RR 23. The nurse uses a doppler for intermittent auscultation during the evaluation, auscultating a regular fetal heart rate rhythm within a normal baseline range. Michelle reports fetal movement. The nurse palpates Michelle's abdomen as intermittently strong contractions with periods of relaxed tone. Michelle reports more pain in right upper quadrant. WHICH MICHELLE'S

PRESENTING HISTORY, WHAT IS THE NURSE'S FIRST PRIORITY CARE? -

CORRECT ANSWER: Reassess Michelle's blood pressure using the correct sized

blood pressure cuff

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