Exam (elaborations)
AWHONN Advanced FHM Course Exam With Correct Answers.
- Course
- Institution
AWHONN Advanced FHM Course Exam With Correct Answers.
[Show more]
Seller
Follow
Content preview
AWHONN Advanced FHM Course ExamWith Correct Answers
CASE nnSTUDY nnA) nnSILVIA. nnSilvia, nna nn28-year-old nnG1P0000 nnat nn39 nn1/7 nnweeks nnby nnsonogram, nnand nnher
nnpartner nnarrived nnon nnthe nnlabor nnunit nnat nn0730 nnfor nnscheduled nninduction nnfor nnIUGR/FGR. nnSilvia's
nnfamily nnhistory nnis nnnegative nnfor nnmedical nnproblems nnwith nnthe nnexception nnof nnher nnmother's nnlong-term
nnhistory nnof nndiabetes. nnSilvia nnhas nnno nnhistory nnof nnmedical nnproblems nnand nnshe nnhas nnnever nnhad nnany
nnsurgeries. nnShe nndeveloped nngestational nndiabetes nnwith nnthis nnpregnancy, nnbut nnher nnother nnprenatal
nnlabs nnwere nnall nnnormal. nnDuring nnone nnof nnthe nnultrasound nnexaminations nnperformed nnto nnevaluate nnthe
nnIUGR/FGR, nna nnsingle nnumbilical nnartery nnwas nnnoted. nnOn nnher nnmost nnrecent nnbiophysical nnprofile nn(BPP),
nnthe nnamniotic nnfluid nnindex nn(AFI) nnwas nn11 nncm nn(AFI nnless nnthan nn5 nncm nnis nndefined nnas
nnoligohydramnios) nnand nnthe nnestimated nnfetal nnweight nn(EFW) nnwas nn2524 nngrams nn(7th nnpercentile).
nnWHAT nnFETAL nnHEART nnRATE nnDECELERATION nnIS nnMORE nnLIKELY nnTO nnOCCUR nnIN nnTHE nnPRESENCE nnOF
nnSILVIA'S nnSINGLE nnUMBILICAL nnARTERY? nn- nncorrect nnanswer-Variable nndecelerations
The nnsingle nnumbilical nnartery nnimpacts nnwhich nncomponent nnof nnthe nnoxygen nntransfer nnsystem? nn- nncorrect
nnanswer-Oxygen nndelivery
Which nnof nnSilvia's nnfindings nnindicates nna nnpotential nnfor nnchronic nnfetal nnhypoxemia? nn- nncorrect nnanswer-
Intrauterine nngrowth nnrestriction nn(IUGR)
With nnthe nnfinding nnof nna nnsingle nnumbilical nnartery, nnwhat nnwould nnyou nnexpect nnto nnoccur nnwith nnfetal
nnperfusion? nn- nncorrect nnanswer-Decreased nnblood nnperfusion nnfrom nnthe nnfetus nnto nnthe nnplacenta
Silvia's nnadmission nnvital nnsigns nnwere nnBP nn109/60, nnpulse nn83 nnbpm, nnrespirations nn18/minute,
nntemperature nn97F nn(36.6C). nnVaginal nnexamination nnfindings nnwere nn2-3 nncm nndilated, nn50% nneffaced, nn-1
nnstation, nnmembranes nnintact, nnand nncephalic nnpresentation. nnExternal nnelectronic nnfetal nnmonitor nndevices
nnwere nnplaced nn(ultrasound nnand nntocodynamometer). nnShe nndenied nnhaving nncontractions, nnvaginal
nnleaking nnor nnbleeding. nnFollowing nnthis nnadmission nntracing, nnoxytocin nnwas nnordered nnand nninitiated nnat nn2
nnmU/min. nnWithin nnan nnhour, nnthe nnrate nnwas nnincreased nnto nn5 nnmU/min. nnPRIMARY nnBENEFITS
nnASSOCIATED nnWITH nnTHE nnUSE nnOF nnSTANDARDIZED nnTERMINOLOGY nnFOR nnFHM nnINTERPRETATION nnIN
nnTHE nnCLINICAL nnSETTING nnINCLUDE: nn- nncorrect nnanswer-Enhanced nncommunication nnamong nnhealth
nncare nnproviders nnand nnpromotion nnof nnpatient nnsafety
, Refer nnto nntracing nnA-1. nnWhich nnis nnthe nncorrect nnassessment nnof nnthe nnadmission nntracing? nn- nncorrect
nnanswer-Moderate nnvariability
Refer nnto nntracing nnA-1. nnBased nnon nnthis nntracing, nna nnnecessary nnintervention nnwould nnbe nnto: nn- nncorrect
nnanswer-Readjust nnthe nntoco
Refer nnto nntracing nnA-2. nnOxytocin nnwas nninfusing nnat nn5 nnmU/min nnwhen nnthe nnprovider nnarrived nnand
nnordered nnthe nnoxytocin nnincreased nnto nn8 nnmU/min. nnA nnCORRECT nnINTERPRETATION nnOF nnTHIS nnTRACING
nnIS: nn- nncorrect nnanswer-An nnoxygenated, nnneurologically nnintact nnfetus
Refer nnto nntracing nnA-2. nnA nnhigh-priority nnintervention nnat nnthis nntime nnis nnto: nn- nncorrect nnanswer-Readjust
nnthe nntoco
One nnhour nnlater, nnthe nnnurse nnobserved nntwo nn3 nncm nnsized, nnthick nndark nnblood nnclots nnon nnthe nnunder
nnpad. nnSilvia nndenied nnpain nnand nnher nnabdomen nnwas nnsoft nnto nnpalpation. nnWhich nncomponent nnof
nnoxygen nntransport nnto nnthe nnfetus nncould nnpotentially nnbe nncompromised nnby nnthis nnbleeding? nn- nncorrect
nnanswer-Delivery
Refer nnto nntracing nnA-3. nnSilvia's nnvital nnsigns nnwere nnBP nn123/70, nnpulse nn86 nnbpm, nnrespirations
nn18/minute. nnThe nnoxytocin nnwas nninfusing nnat nn11 nnmU/min nnand nnVE nnfindings nnwere nn3-4 nncm, nn80%
nneffaced, nn-2 nnstation, nnmembranes nnintact nnand nncephalic nnpresentation, nnwith nna nnmoderate nnamount nnof
nnblood nnon nnvaginal nnexam. nnWHICH nnOF nnTHE nnFOLLOWING nnIS nnAN nnAPPROPRIATE nnPHYSIOLOGIC nnGOAL
nnBASED nnON nnTRACING nnA-3? nn- nncorrect nnanswer-Maximize nnutero-placental nncirculation
Refer nnto nntracing nnA-3. nnThe nncorrect nnassessment nnof nnthis nntracing nnincludes: nn- nncorrect nnanswer-
Sinusoidal nnpattern
Refer nnto nntracing nnA-4. nnAt nnthe nntime nnof nntracing nn4, nnthe nnresident nnperformed nnan nnAROM nnand nnfluid
nnwas nnclear. nnA nnvaginal nnexam nnindicated nnthe nncervix nnwas nnunchanged. nnThe nnresident nnplaced nna nnfetal
nnspiral nnelectrode nnand nnhad nndifficulty nnplacing nnan nnIUPC. nnThe nnnurse nncould nnpalpate nncontractions nnbut
nncould nnnot nndetermine nnthe nnfrequency nnand nnduration nnby nnpalpation. nnThe nnoxytocin nnwas
nndiscontinued, nnan nnintravenous nnfluid nnbolus nnwas nnadministered, nnand nnSilvia nnwas nnrepositioned. nnWHAT
nnFHR nnCHARACTERISTICS nnSHOULD nnTHE nnNURSE nnREPORT nnTO nnTHE nnPROVIDER? nn- nncorrect nnanswer-
Recurrent nndecelerations
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 or Stuvia-credit 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 Lectphilip. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
73243 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now