AWHONN INTERMEDIATE FETAL MONITORING
EXAM NEWEST ACTUAL EXAM WITH
COMPLETE 165 QUESTIONS AND DETAILED
VERIFIED ANSWERS GRADED A+ | 100%
VERIFIED | 2024 UPDATE!!!
Define fetal tachycardia and factors that contribute to fetal
tachycardia. - ✔✔✔ Correct Answer > A baseline FHR of
160 BPM for at least 10 min.
Contributing factors include hyperthermia, infections (maternal
or fetal), maternal dehydration, hyperthyroidism, anxiety, drugs
that stimulate the central nervous system, fetal immaturity, a
cardiac conduction defect, or hypoxemia.
What the possible cause for the problem with this tracing? -
✔✔✔ Correct Answer > Maternal pulse detected
Intermittent markings
There is no problem
Turn off logic switch, check circuitry by a self test, check
electrode placement, confirm FHR by auscultation
,What the possible cause for the problem with this tracing ? -
✔✔✔ Correct Answer > Maternal pulse detected
There is no problem
The FHR is abnormally low. Confirm maternal pulse by
palpation and replace FSE. OR
It is possible the fetus is bradycardic.
What the possible cause for the problem with this tracing ? -
✔✔✔ Correct Answer > Maternal pulse detected
Intermittent markings
There is no problem
What does the Tocodynamometer measure? - ✔✔✔ Correct
Answer > Contractions by detecting abdominal wall contour
changes. The device converts this to electronic impulses that
register and print out on paper.
Toco does NOT quantify resting tone or intensity of
contractions. Changes of the abd wall can be caused by a
number of events besides contractions (mat. respirations,
pushing, vomiting, seizures, fetal activity and movement). A
,normal contraction creates a smooth and even fall on the
tracing
Identify the uterine contraction variation: - ✔✔✔ Correct
Answer > a. Uterine contraction wave form normal
b. Maternal respiration
c. Valsalva maneuver or pushing
d. Maternal activity such as vomiting or seizure
e. Fetal movement/activity
f. Maternal position change or sudden baseline shift
g. Obscured or low baseline setting
h. Inverted waveform r/t placement of toco
Identify the uterine contraction variation: - ✔✔✔ Correct
Answer > a. Uterine contraction wave form normal
b. Maternal respiration
c. Valsalva maneuver or pushing
d. Maternal activity such as vomiting or seizure
e. Fetal movement/activity
f. Maternal position change or sudden baseline shift
g. Obscured or low baseline setting
, h. Inverted waveform r/t placement of toco
Define fetal bradycardia and factors that contribute to fetal
bradycardia. - ✔✔✔ Correct Answer > A baseline FHR of
<110 BPM for at least 10 min.
Contributing factor include stimulation the fetal vagus nerve
possibly due to prolonged head compression or application of
the forceps or vacuum, fetal cardiac conduction defect such as
heart block, maternal hypotension and drugs that timulate the
parasympathetic branch or block the sympathetic branch of the
autonomic nervous system such as anesthesia and regional
analgesia or hypoxemia. Hypoxic causes include maternal
hypotension, placental abruption, cord prolapse or uterine
rupture.
Sympathetic impulses decrease or increase a fetal heart rate? -
✔✔✔ Correct Answer > increase or speed up
Parasympathetic impulses decrease or increase a fetal heart
rate? - ✔✔✔ Correct Answer > decrease or slow down
Define fetal variability. - ✔✔✔ Correct Answer >
Fluctuations in the baseline FHR that are irregular in amplitude
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