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AWHONN ADVANCED FHM COURSE EXAM STUDY GUIDE AND PRACTICE EXAM 2024/2025 | ACCURATE REAL EXAM QUESTIONS WITH VERIFIED ANSWERS | EXPERT VERIFIED FOR A GUARANTEED PASS | LATEST UPDATE$15.99
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AWHONN ADVANCED FHM COURSE EXAM STUDY GUIDE AND PRACTICE EXAM 2024/2025 | ACCURATE REAL EXAM QUESTIONS WITH VERIFIED ANSWERS | EXPERT VERIFIED FOR A GUARANTEED PASS | LATEST UPDATE
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Course
AWHONN ADVANCED FHM
Institution
AWHONN ADVANCED FHM
AWHONN ADVANCED FHM COURSE EXAM STUDY
GUIDE AND PRACTICE EXAM 2024/2025 |
ACCURATE REAL EXAM QUESTIONS WITH
VERIFIED ANSWERS | EXPERT VERIFIED FOR A
GUARANTEED PASS | LATEST UPDATE
AWHONN ADVANCED FHM COURSE EXAM STUDY
GUIDE AND PRACTICE EXAM 2024/2025 |
ACCURATE REAL EXAM QUESTIONS WITH
VERIFIED ANSWERS | EXPERT VERIFIED FOR A
GUARANTEED PASS | LATEST UPDATE
, 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? - ✔✔ANSW✔✔..Variable decelerations
The single umbilical artery impacts which component of the oxygen transfer system? -
✔✔ANSW✔✔..Oxygen delivery
Which of Silvia's findings indicates a potential for chronic fetal hypoxemia? -
✔✔ANSW✔✔..Intrauterine growth restriction (IUGR)
With the finding of a single umbilical artery, what would you expect to occur with fetal
perfusion? - ✔✔ANSW✔✔..Decreased blood perfusion from the fetus to the placenta
Silvia's admission vital signs were BP 109/60, pulse 83 bpm, respirations 18/minute,
temperature 97F (36.6C). Vaginal examination findings were 2-3 cm dilated, 50%
effaced, -1 station, membranes intact, and cephalic presentation. External electronic
fetal monitor devices were placed (ultrasound and tocodynamometer). She denied
having contractions, vaginal leaking or bleeding. Following this admission tracing,
oxytocin was ordered and initiated at 2 mU/min. Within an hour, the rate was increased
to 5 mU/min. PRIMARY BENEFITS ASSOCIATED WITH THE USE OF
STANDARDIZED TERMINOLOGY FOR FHM INTERPRETATION IN THE CLINICAL
SETTING INCLUDE: - ✔✔ANSW✔✔..Enhanced communication among health care
providers and promotion of patient safety
Refer to tracing A-1. Which is the correct assessment of the admission tracing? -
✔✔ANSW✔✔..Moderate variability
Refer to tracing A-1. Based on this tracing, a necessary intervention would be to: -
✔✔ANSW✔✔..Readjust the toco
Refer to tracing A-2. Oxytocin was infusing at 5 mU/min when the provider arrived and
ordered the oxytocin increased to 8 mU/min. A CORRECT INTERPRETATION OF
THIS TRACING IS: - ✔✔ANSW✔✔..An oxygenated, neurologically intact fetus
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