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AWHONN Advanced FHM Course Exam Answers & Answers 2024 ( A+ GRADED 100% VERIFIED) £7.36   Add to cart

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AWHONN Advanced FHM Course Exam Answers & Answers 2024 ( A+ GRADED 100% VERIFIED)

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AWHONN Advanced FHM Course Exam Answers & Answers 2024 ( A+ GRADED 100% VERIFIED)

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  • February 29, 2024
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AWHONN Advanced FHM Course Exam
Answers


CASE STUDY A) SILVIA. Silvia, a 28-year-old G1P0000 at 39 1/7 weeks by




ER
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




H
problems with the exception of her mother's long-term history of diabetes.


IG
Silvia has no history of medical problems and she has never had any

surgeries. She developed gestational diabetes with this pregnancy, but her
H
other prenatal labs were all normal. During one of the ultrasound

examinations performed to evaluate the IUGR/FGR, a single umbilical artery
G

was noted. On her most recent biophysical profile (BPP), the amniotic fluid
IN


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).
Y



WHAT FETAL HEART RATE DECELERATION IS MORE LIKELY TO OCCUR
FL




IN THE PRESENCE OF SILVIA'S SINGLE UMBILICAL ARTERY? - ANS

Variable decelerations



The single umbilical artery impacts which component of the oxygen

transfer system? - ANS Oxygen delivery

, Which of Silvia's findings indicates a potential for chronic fetal hypoxemia?

- ANS Intrauterine growth restriction (IUGR)



With the finding of a single umbilical artery, what would you expect to




ER
occur with fetal perfusion? - ANS Decreased blood perfusion from the

fetus to the placenta




H
Silvia's admission vital signs were BP 109/60, pulse 83 bpm, respirations

IG
18/minute, temperature 97F (36.6C). Vaginal examination findings were 2-3

cm dilated, 50% effaced, -1 station, membranes intact, and cephalic
H
presentation. External electronic fetal monitor devices were placed
G

(ultrasound and tocodynamometer). She denied having contractions,
IN


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
Y



5 mU/min. PRIMARY BENEFITS ASSOCIATED WITH THE USE OF
FL




STANDARDIZED TERMINOLOGY FOR FHM INTERPRETATION IN THE

CLINICAL SETTING INCLUDE: - ANS Enhanced communication among

health care providers and promotion of patient safety

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