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AWHONN Advanced Fetal Heart Monitoring Exam
|Questions with Correct Answers 2025 latest update!!
Michelle is a 31-year-old G1P0 at 38 6/7 weeks who arrives to triage holding her
abdomen while moaning in pain. She is accompanied by her sister. The nurse
greets Michelle in triage and accompanies her to the evaluation room. Michelle
reports a history of normal blood pressure during the pregnancy, opioid use
disorder, and attendance at all her prenatal visits. Her abdominal pain started
approximately twelve hours ago and has increased in intensity. Michelle reports
that she had loose stools while having the abdominal pain and has kept down
water and electrolyte drinks all day but continues to feel the urge to have a bowel
movement. She states that her vaccinations are up-to-date and that there is no
history of recent illness in her home.
With Michelle's presenting history, what are the nurse's priority interventions in
Michelle's care: - (ANSWER)Initiate electronic fetal monitoring and reassess
Michelle's blood pressure in 15 minutes
Michelle's blood pressure continues to be elevated in the 165/105 to 180/110
ranges. Lab work is drawn and results are pending. Anticipated initial medical care
for Michelle includes: - (ANSWER)Antihypertensive therapy
The perinatal team discussed Michelle's clinical picture with Michelle and her
sister, including her abnormal lab results. Her epigastric pain remains severe. The
anticipated best plan of care includes admitting Michelle, continuing with
antihypertensive therapy, and: - (ANSWER)Starting magnesium sulfate
After a discussion with Michelle and her health care team. The decision is made to
admit Michelle for induction. Magnesium Sulfate is initiated, and oxytocin is
started at 2 mU/min. Over the next two hours, Michelle received 3 doses of IV
Labetalol and 1 dose of IV Hydralazine to reduce her blood pressure out of the
, 2
severe range. She received an epidural approximately 45 minutes ago and the
oxytocin is currently infusing at 10 mu/min.
What is the priority nursing intervention at this time? - (ANSWER)Assess
Michelle, evaluate her vital signs, and attempt intrauterine resuscitation
What category is the tracing? - (ANSWER)Category III
Upon entry into the room, Michelle is found to be in the high fowler's position.
Vital signs are as follows: BP 157/89, HR 134, RR 32, SPO2 86%, urine output
200mL for the last 2 hours.
What is the most likely physiologic cause of impaired Oxygen delivery in
Michelle's case? - (ANSWER)Pulmonary edema
A healthcare organization that reflects a culture of safety establishes an
environment that is - (ANSWER)Blame-free and uses non-threatening processes
in the presence of medical errors
Consistent systematic assessment of the fetal heart rate tracing is essential to
observe pattern evolution and identify tracings at are at an increased risk for
adverse fetal-acid base status, which includes - (ANSWER)Normal baseline rate,
absent variability, and recurrent variable decelerations
Silvia, a 28-year-old G1P0000 at 39 1/7 weeks by sonogram, and her partner
arrived at the labor unit at 0730 for scheduled induction for intrauterine grown
restriction (IUGR). Silvia's family history is negative for medical problems except
AWHONN Advanced Fetal Heart Monitoring Exam
|Questions with Correct Answers 2025 latest update!!
Michelle is a 31-year-old G1P0 at 38 6/7 weeks who arrives to triage holding her
abdomen while moaning in pain. She is accompanied by her sister. The nurse
greets Michelle in triage and accompanies her to the evaluation room. Michelle
reports a history of normal blood pressure during the pregnancy, opioid use
disorder, and attendance at all her prenatal visits. Her abdominal pain started
approximately twelve hours ago and has increased in intensity. Michelle reports
that she had loose stools while having the abdominal pain and has kept down
water and electrolyte drinks all day but continues to feel the urge to have a bowel
movement. She states that her vaccinations are up-to-date and that there is no
history of recent illness in her home.
With Michelle's presenting history, what are the nurse's priority interventions in
Michelle's care: - (ANSWER)Initiate electronic fetal monitoring and reassess
Michelle's blood pressure in 15 minutes
Michelle's blood pressure continues to be elevated in the 165/105 to 180/110
ranges. Lab work is drawn and results are pending. Anticipated initial medical care
for Michelle includes: - (ANSWER)Antihypertensive therapy
The perinatal team discussed Michelle's clinical picture with Michelle and her
sister, including her abnormal lab results. Her epigastric pain remains severe. The
anticipated best plan of care includes admitting Michelle, continuing with
antihypertensive therapy, and: - (ANSWER)Starting magnesium sulfate
After a discussion with Michelle and her health care team. The decision is made to
admit Michelle for induction. Magnesium Sulfate is initiated, and oxytocin is
started at 2 mU/min. Over the next two hours, Michelle received 3 doses of IV
Labetalol and 1 dose of IV Hydralazine to reduce her blood pressure out of the
, 2
severe range. She received an epidural approximately 45 minutes ago and the
oxytocin is currently infusing at 10 mu/min.
What is the priority nursing intervention at this time? - (ANSWER)Assess
Michelle, evaluate her vital signs, and attempt intrauterine resuscitation
What category is the tracing? - (ANSWER)Category III
Upon entry into the room, Michelle is found to be in the high fowler's position.
Vital signs are as follows: BP 157/89, HR 134, RR 32, SPO2 86%, urine output
200mL for the last 2 hours.
What is the most likely physiologic cause of impaired Oxygen delivery in
Michelle's case? - (ANSWER)Pulmonary edema
A healthcare organization that reflects a culture of safety establishes an
environment that is - (ANSWER)Blame-free and uses non-threatening processes
in the presence of medical errors
Consistent systematic assessment of the fetal heart rate tracing is essential to
observe pattern evolution and identify tracings at are at an increased risk for
adverse fetal-acid base status, which includes - (ANSWER)Normal baseline rate,
absent variability, and recurrent variable decelerations
Silvia, a 28-year-old G1P0000 at 39 1/7 weeks by sonogram, and her partner
arrived at the labor unit at 0730 for scheduled induction for intrauterine grown
restriction (IUGR). Silvia's family history is negative for medical problems except
