AWHONN ADVANCED FHM COURSE EXAM
QUESTIONS WIT VERIFIED ANSWERS
1.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 in- duction 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?: Variable decelerations
, 2.The single umbilical artery impacts which component of the oxygen transfer system?:
Oxygen delivery
3.Which of Silvia's findings indicates a potential for chronic fetal hypoxemia?-
: Intrauterine growth restriction (IUGR)
4.With the finding of a single umbilical artery, what would you expect to occur with
fetal perfusion?: Decreased blood perfusion from the fetus to the placenta
5. 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 pre- sentation.
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 ASSOCIATE
WITH THE USE OF STANDARDIZED TERMINOLOGY FOR FHM INTERPRETATION IN THE
CLINICAL SETTING INCLUDE:: Enhanced
communication among health care providers and promotion of patient
safety
QUESTIONS WIT VERIFIED ANSWERS
1.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 in- duction 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?: Variable decelerations
, 2.The single umbilical artery impacts which component of the oxygen transfer system?:
Oxygen delivery
3.Which of Silvia's findings indicates a potential for chronic fetal hypoxemia?-
: Intrauterine growth restriction (IUGR)
4.With the finding of a single umbilical artery, what would you expect to occur with
fetal perfusion?: Decreased blood perfusion from the fetus to the placenta
5. 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 pre- sentation.
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 ASSOCIATE
WITH THE USE OF STANDARDIZED TERMINOLOGY FOR FHM INTERPRETATION IN THE
CLINICAL SETTING INCLUDE:: Enhanced
communication among health care providers and promotion of patient
safety
