Exam Answers: AWHONN Advanced FHM
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CASE STUDY A) SILVIA. Variable decelerations
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 induction 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
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SILVIA'S SINGLE
UMBILICAL ARTERY?
The single umbilical Oxygen delivery
artery impacts which
component of the
oxygen transfer system?
Which of Silvia's findings Intrauterine growth restriction (IUGR)
indicates a potential for
chronic fetal hypoxemia?
With the finding of a Decreased blood perfusion from the fetus to the
single umbilical artery, placenta
what would you expect
to occur with fetal
perfusion?
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