AWHONN ADVANCED FHM COURSE EXAM
2025| BRANDNEW ACTUAL EXAM WITH 100%
VERIFIED QUESTIONS AND CORRECT
SOLUTIONS| GUARANTEED VALUE PACK| ACE
YOUR GRADES.
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 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 SILVIA'S SINGLE UMBILICAL ARTERY? - Correct Answer-Variable
decelerations
2. The single umbilical artery impacts which component of the oxygen
transfer system? - Correct Answer-Oxygen delivery
3. Which of Silvia's findings indicates a potential for chronic fetal
hypoxemia? - Correct Answer-Intrauterine growth restriction (IUGR)
, 4. With the finding of a single umbilical artery, what would you expect to
occur with fetal perfusion? - Correct Answer-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 presentation. 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
ASSOCIATED WITH THE USE OF STANDARDIZED TERMINOLOGY
FOR FHM INTERPRETATION IN THE CLINICAL SETTING INCLUDE: -
Correct Answer-Enhanced communication among health care providers
and promotion of patient safety
6. Refer to tracing A-1. Which is the correct assessment of the admission
tracing? - Correct Answer-Moderate variability
7. Refer to tracing A-1. Based on this tracing, a necessary intervention
would be to: - Correct Answer-Readjust the toco
8. Refer to tracing A-2. Oxytocin was infusing at 5 mU/min when the
provider arrived and ordered the oxytocin increased to 8 mU/min. A
2025| BRANDNEW ACTUAL EXAM WITH 100%
VERIFIED QUESTIONS AND CORRECT
SOLUTIONS| GUARANTEED VALUE PACK| ACE
YOUR GRADES.
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 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 SILVIA'S SINGLE UMBILICAL ARTERY? - Correct Answer-Variable
decelerations
2. The single umbilical artery impacts which component of the oxygen
transfer system? - Correct Answer-Oxygen delivery
3. Which of Silvia's findings indicates a potential for chronic fetal
hypoxemia? - Correct Answer-Intrauterine growth restriction (IUGR)
, 4. With the finding of a single umbilical artery, what would you expect to
occur with fetal perfusion? - Correct Answer-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 presentation. 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
ASSOCIATED WITH THE USE OF STANDARDIZED TERMINOLOGY
FOR FHM INTERPRETATION IN THE CLINICAL SETTING INCLUDE: -
Correct Answer-Enhanced communication among health care providers
and promotion of patient safety
6. Refer to tracing A-1. Which is the correct assessment of the admission
tracing? - Correct Answer-Moderate variability
7. Refer to tracing A-1. Based on this tracing, a necessary intervention
would be to: - Correct Answer-Readjust the toco
8. Refer to tracing A-2. Oxytocin was infusing at 5 mU/min when the
provider arrived and ordered the oxytocin increased to 8 mU/min. A
