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AWHONN Advanced Fetal Heart Monitoring Course Exam Questions with Verified Answers | Latest 2025/2026 |Graded A.

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CASE STUDY A) HELEN. Helen, a 23 year-old G3 P0020 at 25&6 comes to L&D with a chief complaint of "backache and cramping". Helen is a thin, young woman and her prenatal record indicates she was born prematurely. She's had 2 SABs and multiple uterine/vaginal infections, including treatment for dysplasia with a LEEP procedure. She began prenatal care at 16 weeks and attended 2 appointments due to transportation issues. Following a swab of the fluid in her vagina, which was negative for ferning, SVE findings were 2/70/-3, cephalic presentation. Helen denies recent sexual intercourse. States her baby is active today. FHR is auscultated at 156 bpm and external EFM components are placed. Demographic, obstetric, and socioeconomic factors provide essential information to enable individualized intrapartum care planning. BASED ON STATISTICAL REPORTS AND CURRENT PUBLISHED LITERATURE, BLACK WOMEN HAVE A HIGHER INCIDENCE OF: Preterm birth If visualized, what characteristics of Helen's EFM tracing would be indicative of uninterrupted fetal oxygenation? Accelerations of 10 bpm above baseline lasting at least 10 seconds above baseline, moderate variability, and no FHR decelerations What other assessment parameters are advisable given Helen's history and presenting statements? Vital signs, notation of vaginal bleeding Helen's nurse uses the SBAR framework for communicating patient information to colleagues. What do the letters SBAR stand for? S-situation B-background A-assessment R-recommendation Refer to tracing C-1. Helen's fetal monitoring continues using external components. Which of the following characteristics are most common in the preterm fetus? Baseline rates at high normal and variable decelerations Refer to tracing C-1. What typical characteristics of preterm uterine activity are present in Helen's tracing? Low amplitude, high frequency contractions Which medications used with preterm labor can affect FHR characteristics? Betamethasone and terbutaline What characterizes a preterm fetal response to interruptions in oxygenation? More rapid deterioration from Category I to Category II or III Clinical decision-making at the bedside should include: Integration of physiologic concepts with maternal-fetal assessment findings (CASE STUDY B) NELL. Nell, a 24-year-old G3 P020 at 42&3 weeks arrived on L&D for an evening IOL for post-dates. Nell has had an exploratory lap. to remove scar tissue on her L ovary and intestines and has had infrequent menstrual cycles. She had has 2 SABs - at 12 and 5 weeks. Prenatal labs were WDL. Her thyroid is enlarged; however, her TSH, T4, and T3 were done at 39 weeks and were WDL. Nell has a family history of HTN. An US at 19 weeks revealed a low-lying placenta that resolved by 37 5/7 weeks. Today in triage, an US revealed an EFW of 3300g and an AFI of 3 cm. Nell has had reactive NSTs. Admission vital signs were WDL. SVE findings: fingertip, 40%, and -2 station. Membranes intact and cephalic presentation. Nell denied feeling regular cramping. Category I tracing. A vaginal prostaglandin insert was placed. WHICH COMPROMISE IN FETAL OXYGENATION COULD BE A RESULT OF A POST-DATE PREGNANCY? Decreased placental perfusion

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Voorbeeld van de inhoud

AWHONN Advanced Fetal Heart Monitoring i.- i.- i.- i.- i.-




Course Exam Questions with Verified Answers | i.- i.- i.- i.- i.- i.- i.-




Latest 2025/2026 |Graded A. i.- i.- i.-




CASE STUDY A) HELEN. Helen, a 23 year-old G3 P0020 at 25&6 comes
i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-



to L&D with a chief complaint of "backache and cramping". Helen is a
i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-



thin, young woman and her prenatal record indicates she was born
i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-



prematurely. She's had 2 SABs and multiple uterine/vaginal infections, i.- i.- i.- i.- i.- i.- i.- i.- i.-



including treatment for dysplasia with a LEEP procedure. She began
i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-



prenatal care at 16 weeks and attended 2 appointments due to
i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-



transportation issues. Following a swab of the fluid in her vagina, which i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-



was negative for ferning, SVE findings were 2/70/-3, cephalic
i.- i.- i.- i.- i.- i.- i.- i.- i.-



presentation. Helen denies recent sexual intercourse. States her baby is i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-



active today. FHR is auscultated at 156 bpm and external EFM
i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-



components are placed. Demographic, obstetric, and socioeconomic i.- i.- i.- i.- i.- i.- i.-



factors provide essential information to enable individualized
i.- i.- i.- i.- i.- i.- i.-



intrapartum care planning. BASED ON STATISTICAL REPORTS AND i.- i.- i.- i.- i.- i.- i.- i.-



CURRENT PUBLISHED LITERATURE, BLACK WOMEN HAVE A HIGHER
i.- i.- i.- i.- i.- i.- i.- i.-



INCIDENCE OF: Preterm birth i.- i.-i.- i.- i.-




If visualized, what characteristics of Helen's EFM tracing would be
i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-



indicative of uninterrupted fetal oxygenation? Accelerations of 10
i.- i.- i.- i.- i.-i.- i.- i.- i.- i.-



bpm above baseline lasting at least 10 seconds above baseline,
i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-



moderate variability, and no FHR decelerations i.- i.- i.- i.- i.-




What other assessment parameters are advisable given Helen's history
i.- i.- i.- i.- i.- i.- i.- i.- i.-



and presenting statements?
i.- Vital signs, notation of vaginal bleeding i.- i.-i.- i.- i.- i.- i.- i.- i.-

, Helen's nurse uses the SBAR framework for communicating patient
i.- i.- i.- i.- i.- i.- i.- i.- i.-



information to colleagues. What do the letters SBAR stand for?
i.- S- i.- i.- i.- i.- i.- i.- i.- i.- i.-i.- i.-



situation B-background A-assessment R-recommendation
i.- i.- i.-




Refer to tracing C-1. Helen's fetal monitoring continues using external
i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-



components. Which of the following characteristics are most common
i.- i.- i.- i.- i.- i.- i.- i.- i.-



in the preterm fetus?
i.- i.- Baseline rates at high normal and variable i.- i.-i.- i.- i.- i.- i.- i.- i.- i.- i.-



decelerations


Refer to tracing C-1. What typical characteristics of preterm uterine
i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-



activity are present in Helen's tracing?
i.- Low amplitude, high
i.- i.- i.- i.- i.-i.- i.- i.- i.- i.-



frequency contractions i.-




Which medications used with preterm labor can affect FHR
i.- i.- i.- i.- i.- i.- i.- i.- i.-



characteristics? Betamethasone and terbutaline i.-i.- i.- i.- i.-




What characterizes a preterm fetal response to interruptions in
i.- i.- i.- i.- i.- i.- i.- i.- i.-



oxygenation? More rapid deterioration from Category I to
i.-i.- i.- i.- i.- i.- i.- i.- i.- i.-



Category II or III i.- i.- i.-




Clinical decision-making at the bedside should include:
i.- Integration i.- i.- i.- i.- i.- i.-i.- i.- i.-



of physiologic concepts with maternal-fetal assessment findings
i.- i.- i.- i.- i.- i.-

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