AWHONN INTERMEDIATE FETAL MONITORING EXAM
LATEST 2023-2024 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS |ALREADY GRADED A+
A normal part of labor. As contractions build increased uterine pressure
prevents blood from entering/leaving the intervillous space. During the
peak the fetus relies completely on its oxygen reserve (an aerobic
challenge that is not an issue for a health fetus. - ANSWER--Explain
transient interruptions in fetal oxygen supple during labor.
Chronic deficiency of placenta function, usually from an interruption of
oxygenation pathway due to abruption, mat. hypo or hypertension or
other issues. Infant is not tolerant of contractions. Can result in fetal
grow restrictions (FGR) - ANSWER--Define Uteroplacental
insufficiency (UPI)
Assess baseline FHR
Determine rhythms (regular vs irregular)
ID accelerations and deceleration's but not the type of deceleration
(early/late/variable)
The fetal heartbeat is best heard over the fetal back. - ANSWER--
Auscultation of Fetal Heart Sounds tell you what information?
Where is the best place to listen?
Palpation to determine presentation and position of the fetus and aid in
location of fetal heart sounds.
Head=hard, round, movable object
, AWHONN INTERMEDIATE FETAL MONITORING EXAM
LATEST 2023-2024 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS |ALREADY GRADED A+
Buttocks=soft and irregular shape
Back=smooth, hard surface felt on one side of the abdomen
Irregular knobs and lumps on opposite side of abdomen may be hands,
feet, elbows, and knees - ANSWER--Leopold's Maneuvers
Uses sonar to track the fetal myocardium & converts movement into
sound. If placed incorrectly may pick up maternal heart.
Perform Leopold's maneuvers to find fetal back, locate heartbeat, count
FHR, check mothers pulse and compare. - ANSWER--Handheld Fetal
Doppler
ID risk factors such as HTN (=vasoconstriction), Maternal smoking,
abruption, post-term pregnancy, maternal diabetes and consider FHR
characteristics - ANSWER--How can you determine if the placenta is
functioning optimally?
500-700ml to the uterus per minute, 80% is directed to the placenta -
ANSWER--How much blood normally flows to the placenta?
This depends on oxygenation which is reflected in FHR variability and
accelerations on the fetal monitor tracings. - ANSWER--How many
uterine contractions can be tolerated?
Can Use external Doppler US Device or Internal Fetal Scalp Electrode
Should Be Monitored Every 30 Minutes in Stage I, Every 15 Minutes in
Stage 2 - ANSWER--Fetal Heart Rate Monitoring (two methods)
10-20 mm Hg (this is an arbitrary #)
, AWHONN INTERMEDIATE FETAL MONITORING EXAM
LATEST 2023-2024 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS |ALREADY GRADED A+
Toco detects increases and decreases but can not quantify pressure. -
ANSWER--When using toco what do you set the uterine resting tone or
baseline to?
What is toco measuring?
Between 5-20 mm Hg
IUPC gives a quantified measure of intrauterine pressure. - ANSWER--
When using IUPC what is the resting tone or baseline?
What is the IUPC measuring?
-Duration (the time elapsed from beginning to end) 60-80 seconds = 6-8
small boxes
-Frequency (time elapsed from beginning of one contraction to the
beginning of the next) 2 minutes = 2 darker vertical lines - ANSWER--
What is the duration?
What is the frequency?
Resting tone when assessed externally is termed soft or firm. When
assessed via IUPC 5-20 is normal, >20 may be elevated tonus and can
hinder O2/CO2 exchange. - ANSWER--What is resting tone and how is
it described?
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