AWHONN Advanced Fetal Heart Monitoring Exam || Most
Recent Exam 2026-2027 Actual Complete Real Exam
Questions And Correct Answers (Verified Answers)
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Nell, a 24-year-old G3 P020 at 42 3/7 weeks gestation arrived at
the labor unit in the evening for induction for post-dates. Her
husband was with her. She has had two spontaneous
abortions, one at 12 weeks and one at 5 weeks. Her prenatal
labs were within normal limits. Nell has a family history of
hypertension. A prenatal ultrasound (US) at 19 weeks revealed
a low-lying placenta that resolved by 37 5/7 weeks. Today in the
fetal assessment unit, an US revealed an estimated fetal weight
of 3300 g and an AFI of 3 cm. (AFI less than 5 cm is defined as
oligohydramnios).
Which compromise in fetal oxygenation could be a result
of a post-date
pregnancy? - ANSWER -Decreased placental
perfusion
What are the possible implications of oligohydramnios for
labor? - ANSWER -
Potential umbilical cord
compression
, If Nell experienced a large amount of bright red vaginal
bleeding, possibly indicating hemorrhage, what FHM
characteristic could occur? - ANSWER -
Sinusoidal FHR pattern
What clinical intervention is supported by Nell's
gestational age and risk
factors? - ANSWER -Continuous EFM monitoring
through the night
Nell's vaginal exam findings were 2 cm dilation, 80% effaced,
and -2 station and vital signs were BP 108/67, pulse 119 bpm,
respirations 16/minute, and temperature 98.2ºF (36.8ºC).
Oxytocin was infusing at 10 mU/min. 0925 Nell's provider
performed AROM with the return of thick particulate yellow-
green meconium. A fetal spiral electrode (FSE) was placed.
Based on a review of the tracing, the nurse's primary
intervention is: - ANSWER
-Auscultate the FHR to confirm
arrhythmia
In Nell's tracing, what do the FHR spikes likely represent? -
ANSWER -FHR
arrhythmia or
artifact
How could a fetal arrhythmia effect fetal oxygenation? -
ANSWER -By reducing
Recent Exam 2026-2027 Actual Complete Real Exam
Questions And Correct Answers (Verified Answers)
Already Graded A+ | Guaranteed Success!! |
Newwest Exam | Just Released!!
Nell, a 24-year-old G3 P020 at 42 3/7 weeks gestation arrived at
the labor unit in the evening for induction for post-dates. Her
husband was with her. She has had two spontaneous
abortions, one at 12 weeks and one at 5 weeks. Her prenatal
labs were within normal limits. Nell has a family history of
hypertension. A prenatal ultrasound (US) at 19 weeks revealed
a low-lying placenta that resolved by 37 5/7 weeks. Today in the
fetal assessment unit, an US revealed an estimated fetal weight
of 3300 g and an AFI of 3 cm. (AFI less than 5 cm is defined as
oligohydramnios).
Which compromise in fetal oxygenation could be a result
of a post-date
pregnancy? - ANSWER -Decreased placental
perfusion
What are the possible implications of oligohydramnios for
labor? - ANSWER -
Potential umbilical cord
compression
, If Nell experienced a large amount of bright red vaginal
bleeding, possibly indicating hemorrhage, what FHM
characteristic could occur? - ANSWER -
Sinusoidal FHR pattern
What clinical intervention is supported by Nell's
gestational age and risk
factors? - ANSWER -Continuous EFM monitoring
through the night
Nell's vaginal exam findings were 2 cm dilation, 80% effaced,
and -2 station and vital signs were BP 108/67, pulse 119 bpm,
respirations 16/minute, and temperature 98.2ºF (36.8ºC).
Oxytocin was infusing at 10 mU/min. 0925 Nell's provider
performed AROM with the return of thick particulate yellow-
green meconium. A fetal spiral electrode (FSE) was placed.
Based on a review of the tracing, the nurse's primary
intervention is: - ANSWER
-Auscultate the FHR to confirm
arrhythmia
In Nell's tracing, what do the FHR spikes likely represent? -
ANSWER -FHR
arrhythmia or
artifact
How could a fetal arrhythmia effect fetal oxygenation? -
ANSWER -By reducing
