AWHONN INTERMEDIATE FETAL MONITORING TEST EXAM STUDY GUIDE AND PRACTICE EXAM 2024 2025 ACCURATE REAL EXAM QUESTIONS WITH VERIFIED ANSWERS EXPERT VERIFIED FOR A GUARANTEED PASS LATEST UPDATE Which of the following is an extrinsic influence on the FHR ANSW C Fetal placental circulation The most highly oxygenated blood in fetal circulation is carried by ANSW C Ductus venosus Which of the following is a correct interpretation of the tracing ANSW C The tracing of uterine activity requires palpation for accurate assessment The nurse supports maternal coping to appropriately assist Robin because ANSW A Reducing maternal catecholamine production enhances blood flow to the uterus Describe the type of variability seen in the majority of the tracing ANSW C Absent Identify appropriate interventions to implement based on this tracing ANSW B Palpate uterus adjust toco assist patient to lateral position What does the EFM tracing above and the observed patient assessment raise your suspicion of ANSW B Placental abruption What is the physiologic goal of top priority for Robin ANSW A Maximize oxygenation What bedside interventions are important at this time ANSW C Notify provider of vaginal bleeding EFM tracing and request presence at the bedside If the nurse does not get the appropriate response from the provider the next step is ANSW B Activate the chain of communication command What is the correct interpretation of the tracing ANSW A Sinusoidal pattern The tracing in question 29 is which category ANSW C Category III Robin has a cesarean birth Umbilical arterial cord blood gas results are as follows pH 6 86 pCO2 48 pO2 4 2 BE 23 7 These results meet the criteria for ANSW B Metabolic acidemia What is the baseline rate ANSW B 135 bpm What type of variability is observed ANSW C Moderate What do you observe in the tracing that rules out metabolic acidemia at this time ANSW A 15x15 accelerations What pattern is observed in the fetal heart tracing ANSW A Late decelerations What extrinsic factor can you identify as a possible cause for the observed pattern ANSW C Aging placenta What physiologic goals are priorities for Olivia s care ANSW B Maximize oxygenation and maintain appropriate uterine activity What bedside interventions are appropriate for Olivia at this time ANSW C Position change to a lateral position and initiate a 500 mL IVFB What could Olivia s nurse do during second stage of labor to promote oxygenation ANSW B Encourage Olivia to push with every other contraction Did the fetal monitor tracing prior to delivery accurately predict the cor ANSW A Yes the presence of moderate variability rules out the metabolic acidemia If fetal arterial pressure begins to fall below normal levels ANSW A Baroreceptors cause vasoconstriction and increase the FHR Fetal heart rate variability is defined as fluctuations in the baseline that are irregular in and ANSW B Amplitude and frequency An increase in the fetal heart rate immediately preceding a variable deceleration is caused by ANSW A Occlusion of the umbilical vein When assessing a FHR tracing the first step is to ANSW C Establish the baseline rate Which deceleration in the FHR is considered benign and does not require an intervention to correct ANSW A Early deceleration If the umbilical vein is the only vessel occluded during cord compression ANSW B Oxygenated blood may be restricted from being delivered to the fetus During a fetal sleep cycle FHR variability is usually ANSW C Minimal Uterine tachysystole is defined as ANSW B 5 contractions in 10 mind over 30 minutes Maternal fetal oxygen and nutrient transfer takes place in the ANSW B intervillous space During a contraction the tocodynamometer detects ANSW A Pressure created by tensing of uterine muscle Normal fetal heart rate baseline is ANSW C 110 160 bpm Following birth a fetal cord blood sample is taken The results are pH 6 95 pCO2 86 mmHg pO2 4mmHg BE 18 6 mEq L These results are best interpreted as ANSW C Mixed acidemia A characteristic of variable decelerations is ANSW B The onset of the deceleration is abrupt Stimulation of the vagus nerve in a healthy fetus will cause ANSW A A decrease in the fetal heart rate What is the baseline rate ANSW B 145 bpm What is the correct interpretation ANSW B Baseline of 160 bpm with recurrent late decelerations What is the primary physiologic goal ANSW B Maximize oxygenation Based on the tracing the most appropriate interventions are ANSW B Decrease oxytocin from 14 to 7 mU min and start a 500 mL IVFB What is the baseline FHR ANSW B 160 bpm What type of variability is observed ANSW A Moderate What interventions are appropriate at this time ANSW C Reposition Shelby from left lateral to right lateral What type of pattern is observed in the tracing ANSW B Variable decelerations What category is this tracing ANSW B Category II What is the baseline rate ANSW C Unable to determine Based on your observation of the tracing what action s is are required ANSW B Palpate Shelby s radial pulse to verify maternal vs fetal heart rate Which statement most accurately reflects the EFM tracing ANSW A Maternal and fetal heart rates should be verified Which pattern in the fetal heart rate would increase suspicion of a nuchal cord ANSW C Variable decelerations Shelby delivers a male infant with Apgar scores of 2 and 3 Umbilical arterial cord blood gases show pH 6 92 pCO2 79 pO2 11 BE 7 6 What is the correct interpretation of the cod blood gas ANSW A Respiratory acidemia