AWHONN Intermediate Fetal Monitoring TEST Latest Update 2024-2025 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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