the single umbilical artery impacts which componen
which of silvias findings indicates a potential f
Written for
AWHONN
AWHONN
7
reviews
By: tristangirl01 • 1 month ago
By: youen1229 • 1 month ago
By: jac517 • 1 month ago
By: logcrew7 • 3 months ago
By: tpanelo • 4 months ago
By: monicagarciarn • 8 months ago
By: FLYINGHIGHER • 8 months ago
Thank you for taking the time to share your feedback .If there's anything specific you'd like us to address or if you have additional information about your order, please contact us directly at flyinghigher725@gmail.com .Your feedback is invaluable to us. Thank you again for choosing flyinghigher
By: drlisamonsivais • 8 months ago
By: FLYINGHIGHER • 8 months ago
Thank you for taking the time to share your feedback .If there's anything specific you'd like us to address or if you have additional information about your order, please contact us directly at flyinghigher725@gmail.com .Your feedback is invaluable to us. Thank you again for choosing flyinghigher
Seller
Follow
FLYINGHIGHER
Reviews received
Content preview
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
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller FLYINGHIGHER. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £7.36. You're not tied to anything after your purchase.