AWHONN ADVANCED FETAL MONITORING EXAM LATEST ACTUAL EXAM 13
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
Study online at https://quizlet.com/_j399oc
1. Michelle is a 31-year-old G1P0 at 38 6/7 weeks who Initiate electronic fetal
arrives to triage holding her abdomen while moaning monitoring and reassess
in pain. She is accompanied by her sister. The nurse Michelle's blood pressure
greets Michelle in triage and accompanies her to the in 15 minutes
evaluation room. Michelle reports a history of normal
blood pressure during the pregnancy, opioid use dis-
order, and attendance at all her prenatal visits. Her ab-
dominal 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 move-
ment. 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:
2. Michelle's blood pressure continues to be elevated in Antihypertensive therapy
the 165/105 to 180/110 ranges. Lab work is drawn and
results are pending. Anticipated initial medical care for
Michelle includes:
3. The perinatal team discussed Michelle's clinical picture Starting magnesium sul-
with Michelle and her sister, including her abnormal fate
lab results. Her epigastric pain remains severe. The an-
ticipated best plan of care includes admitting Michelle,
continuing with antihypertensive therapy, and:
4. After a discussion with Michelle and her health care
team. The decision is made to admit Michelle for in-
, AWHONN ADVANCED FETAL MONITORING EXAM LATEST ACTUAL EXAM 13
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
Study online at https://quizlet.com/_j399oc
duction. Magnesium Sulfate is initiated, and oxytocin is Assess Michelle, evaluate
started at 2 mU/min. Over the next two hours, Michelle her vital signs, and attempt
received 3 doses of IV Labetalol and 1 dose of IV intrauterine resuscitation
Hydralazine to reduce her blood pressure out of the
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?
5. What category is the tracing? Category III
6. Upon entry into the room, Michelle is found to be in Pulmonary edema
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?
7. A healthcare organization that reflects a culture of Blame-free and uses
safety establishes an environment that is non-threatening process-
es in the presence of med-
ical errors
8. Consistent systematic assessment of the fetal heart Normal baseline rate, ab-
rate tracing is essential to observe pattern evolution sent variability, and recur-
and identify tracings at are at an increased risk for rent variable decelerations
adverse fetal-acid base status, which includes
9. Silvia, a 28-year-old G1P0000 at 39 1/7 weeks by sono- Oxygen delivery
gram, and her partner arrived at the labor unit at
0730 for scheduled induction for intrauterine grown
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
Study online at https://quizlet.com/_j399oc
1. Michelle is a 31-year-old G1P0 at 38 6/7 weeks who Initiate electronic fetal
arrives to triage holding her abdomen while moaning monitoring and reassess
in pain. She is accompanied by her sister. The nurse Michelle's blood pressure
greets Michelle in triage and accompanies her to the in 15 minutes
evaluation room. Michelle reports a history of normal
blood pressure during the pregnancy, opioid use dis-
order, and attendance at all her prenatal visits. Her ab-
dominal 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 move-
ment. 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:
2. Michelle's blood pressure continues to be elevated in Antihypertensive therapy
the 165/105 to 180/110 ranges. Lab work is drawn and
results are pending. Anticipated initial medical care for
Michelle includes:
3. The perinatal team discussed Michelle's clinical picture Starting magnesium sul-
with Michelle and her sister, including her abnormal fate
lab results. Her epigastric pain remains severe. The an-
ticipated best plan of care includes admitting Michelle,
continuing with antihypertensive therapy, and:
4. After a discussion with Michelle and her health care
team. The decision is made to admit Michelle for in-
, AWHONN ADVANCED FETAL MONITORING EXAM LATEST ACTUAL EXAM 13
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
Study online at https://quizlet.com/_j399oc
duction. Magnesium Sulfate is initiated, and oxytocin is Assess Michelle, evaluate
started at 2 mU/min. Over the next two hours, Michelle her vital signs, and attempt
received 3 doses of IV Labetalol and 1 dose of IV intrauterine resuscitation
Hydralazine to reduce her blood pressure out of the
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?
5. What category is the tracing? Category III
6. Upon entry into the room, Michelle is found to be in Pulmonary edema
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?
7. A healthcare organization that reflects a culture of Blame-free and uses
safety establishes an environment that is non-threatening process-
es in the presence of med-
ical errors
8. Consistent systematic assessment of the fetal heart Normal baseline rate, ab-
rate tracing is essential to observe pattern evolution sent variability, and recur-
and identify tracings at are at an increased risk for rent variable decelerations
adverse fetal-acid base status, which includes
9. Silvia, a 28-year-old G1P0000 at 39 1/7 weeks by sono- Oxygen delivery
gram, and her partner arrived at the labor unit at
0730 for scheduled induction for intrauterine grown
