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AWHONN Advanced FHM Course Exam Questions and Answers 100% Pass

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AWHONN Advanced FHM Course Exam Questions and Answers 100% Pass CASE STUDY A) SILVIA. Silvia, a 28-year-old G1P0000 at 39 1/7 weeks by 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 problems with...

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  • November 25, 2024
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AWHONN Advanced FHM Course Exam
Questions and Answers 100% Pass


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

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

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

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

surgeries. She developed gestational diabetes with this pregnancy, but her

other prenatal labs were all normal. During one of the ultrasound

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

artery was noted. On her most recent biophysical profile (BPP), the

amniotic fluid 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). WHAT FETAL HEART RATE DECELERATION IS MORE

LIKELY TO OCCUR IN THE PRESENCE OF SILVIA'S SINGLE

UMBILICAL ARTERY? - ANSWER✔✔-Variable decelerations


Copyright ©EMILLYCHARLOTE 2025 ACADEMIC YEAR, ALL RIGHTS RESERVED. Page 1/15

, The single umbilical artery impacts which component of the oxygen

transfer system? - ANSWER✔✔-Oxygen delivery


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

- ANSWER✔✔-Intrauterine growth restriction (IUGR)


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

occur with fetal perfusion? - ANSWER✔✔-Decreased blood perfusion from

the fetus to the placenta


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

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

3 cm dilated, 50% effaced, -1 station, membranes intact, and cephalic

presentation. External electronic fetal monitor devices were placed

(ultrasound and tocodynamometer). She denied having contractions,

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

STANDARDIZED TERMINOLOGY FOR FHM INTERPRETATION IN

THE CLINICAL SETTING INCLUDE: - ANSWER✔✔-Enhanced



Copyright ©EMILLYCHARLOTE 2025 ACADEMIC YEAR, ALL RIGHTS RESERVED. Page 2/15

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