AWHONN Intermediate Fetal Monitoring TEST

AWHONN Intermediate Fetal Monitoring TEST Latest Update - Actual Exam 150 Questions and 100% Verified Correct Answers Guaranteed A+

A characteristic of variable decelerations is: - CORRECT ANSWER: B. The onset of the deceleration is abrupt

An increase in the fetal heart rate immediately preceding a variable deceleration is caused by: - CORRECT ANSWER: A. Occlusion of the umbilical vein

Based on the tracing, the most appropriate interventions are: - CORRECT ANSWER: B.Decrease oxytocin from 14 to 7 mU/min and start a 500-mL IVFB.

Based on your observation of the tracing, what action(s) is (are) required? - CORRECT ANSWER: B. Palpate Shelby's radial pulse to verify maternal vs. fetal heart rate

Describe the type of variability seen in the majority of the tracing. - CORRECT

ANSWER: C. Absent

Did the fetal monitor tracing prior to delivery accurately predict the cor - CORRECT

ANSWER: A> Yes, the presence of moderate variability rules out the metabolic

acidemia.

During a contraction, the tocodynamometer detects: - CORRECT ANSWER: A.Pressure created by tensing of uterine muscle

During a fetal sleep cycle, FHR variability is usually ____. - CORRECT ANSWER: C.Minimal

Fetal heart rate variability is defined as fluctuations in the baseline that are irregular in

_____ and _____. - CORRECT ANSWER: B. Amplitude and frequency

Following birth, a fetal cord blood sample is taken. The results are:

pH: 6.95

pCO2: 86 mmHg

pO2: 4mmHg

BE: -18.6 mEq/L

These results are best interpreted as: - CORRECT ANSWER: C. Mixed acidemia

Identify appropriate interventions to implement based on this tracing. - CORRECT

ANSWER: B. Palpate uterus, adjust toco, assist patient to lateral position.

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If fetal arterial pressure begins to fall below normal levels: - CORRECT ANSWER: A.Baroreceptors cause vasoconstriction and increase the FHR

If the nurse does not get the appropriate response from the provider, the next step is -

CORRECT ANSWER: B. Activate the chain of communication (command)

If the umbilical vein is the only vessel occluded during cord compression - CORRECT

ANSWER: B. Oxygenated blood may be restricted from being delivered to the fetus

Maternal-fetal oxygen and nutrient transfer takes place in the: - CORRECT ANSWER:

• intervillous space

Normal fetal heart rate baseline is: - CORRECT ANSWER: C. 110-160 bpm

Robin has a cesarean birth, Umbilical arterial cord blood gas results are as follows:

pH: 6.86

pCO2: 48

pO2: 4.2

BE: -23.7

These results meet the criteria for: - CORRECT ANSWER: B. Metabolic acidemia

Shelby delivers a male infant with Apgar scores of 2 and 3. Umbilical arterial cord blood

gases show:

pH: 6.92

pCO2: 79

pO2: 11

BE: -7.6

What is the correct interpretation of the cod blood gas? - CORRECT ANSWER: A.

Respiratory acidemia

Stimulation of the vagus nerve in a healthy fetus will cause: - CORRECT ANSWER: A.A decrease in the fetal heart rate

The most highly oxygenated blood in fetal circulation is carried by: - CORRECT

ANSWER: C. Ductus venosus

The nurse supports maternal coping to appropriately assist Robin because - CORRECT ANSWER: A. Reducing maternal catecholamine production enhances blood flow to the uterus

The tracing in question 29 is which category? - CORRECT ANSWER: C. Category III

Uterine tachysystole is defined as: - CORRECT ANSWER: B. >5 contractions in 10 mind over 30 minutes

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