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AWHONN Advanced FHM Course Exam Questions & Answers.
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AWHONN Advanced FHM Course Exam Questions & Answers.
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AWHONN Advanced FHM Course ExamQuestions & Answers
CASE gSTUDY gA) gSILVIA. gSilvia, ga g28-year-old gG1P0000 gat g39 g1/7 gweeks gby
gsonogram, gand gher gpartner garrived gon gthe glabor gunit gat g0730 gfor gscheduled
ginduction gfor gIUGR/FGR. gSilvia's gfamily ghistory gis gnegative gfor gmedical gproblems
gwith gthe gexception gof gher gmother's glong-term ghistory gof gdiabetes. gSilvia ghas gno
ghistory gof gmedical gproblems gand gshe ghas gnever ghad gany gsurgeries. gShe
gdeveloped ggestational gdiabetes gwith gthis gpregnancy, gbut gher gother gprenatal glabs
gwere gall gnormal. gDuring gone gof gthe gultrasound gexaminations gperformed gto
gevaluate gthe gIUGR/FGR, ga gsingle gumbilical gartery gwas gnoted. gOn gher gmost
grecent gbiophysical gprofile g(BPP), gthe gamniotic gfluid gindex g(AFI) gwas g11 gcm g(AFI
gless gthan g5 gcm gis gdefined gas goligohydramnios) gand gthe gestimated gfetal gweight
g(EFW) gwas g2524 ggrams g(7th gpercentile). gWHAT gFETAL gHEART gRATE
gDECELERATION gIS gMORE gLIKELY gTO gOCCUR gIN gTHE gPRESENCE gOF
gSILVIA'S gSINGLE gUMBILICAL gARTERY? g- gANS-Variable gdecelerations
The gsingle gumbilical gartery gimpacts gwhich gcomponent gof gthe goxygen gtransfer
gsystem? g- gANS-Oxygen gdelivery
, Which gof gSilvia's gfindings gindicates ga gpotential gfor gchronic gfetal ghypoxemia? g-
gANS-Intrauterine ggrowth grestriction g(IUGR)
With gthe gfinding gof ga gsingle gumbilical gartery, gwhat gwould gyou gexpect gto goccur
gwith gfetal gperfusion? g- gANS-Decreased gblood gperfusion gfrom gthe gfetus gto gthe
gplacenta
Silvia's gadmission gvital gsigns gwere gBP g109/60, gpulse g83 gbpm, grespirations
g18/minute, gtemperature g97F g(36.6C). gVaginal gexamination gfindings gwere g2-3 gcm
gdilated, g50% geffaced, g-1 gstation, gmembranes gintact, gand gcephalic gpresentation.
gExternal gelectronic gfetal gmonitor gdevices gwere gplaced g(ultrasound gand
gtocodynamometer). gShe gdenied ghaving gcontractions, gvaginal gleaking gor gbleeding.
gFollowing gthis gadmission gtracing, goxytocin gwas gordered gand ginitiated gat g2
gmU/min. gWithin gan ghour, gthe grate gwas gincreased gto g5 gmU/min. gPRIMARY
gBENEFITS gASSOCIATED gWITH gTHE gUSE gOF gSTANDARDIZED gTERMINOLOGY
gFOR gFHM gINTERPRETATION gIN gTHE gCLINICAL gSETTING gINCLUDE: g- gANS-
Enhanced gcommunication gamong ghealth gcare gproviders gand gpromotion gof gpatient
gsafety
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