Page |1
AWHONN ADVANCED FHM COURSE EXAM
2025| BRAND NEW ACTUAL EXAM WITH
100% VERIFIED QUESTIONS AND
CORRECT ANSWERS| GUARANTEED
SUCCESS
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
, Page |2
The single umbilical artery impacts which component of the oxygen
transfer system? - Correct-Answer-Oxygen delivery
Which of Silvia's findings indicates a potential for chronic fetal
hypoxemia? - Correct-Answer-Intrauterine growth restriction (IUGR)
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
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-
, Page |3
Answer-Enhanced communication among health care providers and
promotion of patient safety
Refer to tracing A-1. Which is the correct assessment of the admission
tracing? - Correct-Answer-Moderate variability
Refer to tracing A-1. Based on this tracing, a necessary intervention
would be to: - Correct-Answer-Readjust the toco
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
CORRECT INTERPRETATION OF THIS TRACING IS: - Correct-Answer-An
oxygenated, neurologically intact fetus
Refer to tracing A-2. A high-priority intervention at this time is to: -
Correct-Answer-Readjust the toco
AWHONN ADVANCED FHM COURSE EXAM
2025| BRAND NEW ACTUAL EXAM WITH
100% VERIFIED QUESTIONS AND
CORRECT ANSWERS| GUARANTEED
SUCCESS
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
, Page |2
The single umbilical artery impacts which component of the oxygen
transfer system? - Correct-Answer-Oxygen delivery
Which of Silvia's findings indicates a potential for chronic fetal
hypoxemia? - Correct-Answer-Intrauterine growth restriction (IUGR)
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
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-
, Page |3
Answer-Enhanced communication among health care providers and
promotion of patient safety
Refer to tracing A-1. Which is the correct assessment of the admission
tracing? - Correct-Answer-Moderate variability
Refer to tracing A-1. Based on this tracing, a necessary intervention
would be to: - Correct-Answer-Readjust the toco
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
CORRECT INTERPRETATION OF THIS TRACING IS: - Correct-Answer-An
oxygenated, neurologically intact fetus
Refer to tracing A-2. A high-priority intervention at this time is to: -
Correct-Answer-Readjust the toco
