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2024 AWHONN ADVANCED FHM COURSE EXAM WITH ANSWERS
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2024 AWHONN ADVANCED FHM COURSE EXAM WITH ANSWERS
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2024 AWHONN ADVANCED FHMCOURSE EXAM WITH ANSWERS
How could a fetal arrhythmia affect fetal oxygenation? - CORRECT-
ANSWERSBy reducing fetal perfusion
Fetal hydrops may present on ultrasound as fetal scalp edema and increased
abdominal fluid as a result of which fetal condition? - CORRECT-
ANSWERSCongestive heart failure
The FSE was removed due to the increased challenges evaluating the tracing
with the arrhythmia. At 1030, oxytocin was infusing at 13 mU/min and SVE
was 2-3/90//-2. Nell's vital signs were 100/66, HR 122, RR 18, T 101.2F
(38.4C). She has not voided and was offered a bedpan. Nell voided 350 mL of
amber colored urine. Refer to tracing B-2. What would increase oxygen
consumption in Nell's fetus? - CORRECT-ANSWERSHyperthermia
Refer to tracing B-2. What is the correct interpretation of fetal oxygenation
status from this tracing? - CORRECT-ANSWERSThe FHR characteristics are
indicative of an indeterminate status
Refer to tracing B-2. Which assessment or intervention would be effective for
increasing fetal oxygenation at this time? - CORRECT-ANSWERSChange
maternal position to right lateral
The fetal heart rate tracing continues for 45 minutes and is unresolved with
intrauterine resuscitative measures. Nell's vaginal exam is unchanged. Nell is
complaining of nausea and increased abdominal pain. Refer to tracing B-2.
Based on a systematic assessment of the fetal heart rate tracing, the
Category of this tracing is: - CORRECT-ANSWERSCategory II
Refer to tracing B-2. Based on the clinical scenario and the fetal heart rate
tracing, the highest priority clinical course of action is to: - CORRECT-
ANSWERSAlert the provider
Refer to tracing B-2. Which of the following would be the most appropriate
care as Nell is prepared for a cesarean delivery? - CORRECT-
ANSWERSTransport Nell to the operating room and assess FHR before the
abdominal prep
, Refer to tracing B-2. What pieces of information would be of highest priority
to report to the neonatal team as they prepare for the delivery? - CORRECT-
ANSWERSGestational age, meconium, and FHR tracing
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-ANSWERSThe source of the ectopic fetal cardiac
stimulation had resolved
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-
ANSWERSPreterm birth
If visualized, what characteristics of Helen's EFM tracing would be indicative
of uninterrupted fetal oxygenation? - CORRECT-ANSWERSAccelerations of 10
bpm above baseline lasting at least 10 seconds above baseline, moderate
variability, and no FHR decelerations
What other assessment parameters are advisable given Helen's history and
presenting statements? - CORRECT-ANSWERSVital signs, notation of vaginal
bleeding
Helen's nurse uses the SBAR framework for communicating patient
information to colleagues. What do the letters SBAR stand for? - CORRECT-
ANSWERSS-situation B-background A-assessment R-recommendation
Refer to tracing C-1. Helen's fetal monitoring continues using external
components. Which of the following characteristics are most common in the
preterm fetus? - CORRECT-ANSWERSBaseline rates at high normal and
variable decelerations
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