*NURSING > QUESTIONS and ANSWERS > AWHONN Advanced FHM Course Exam Answers & Answers 2024 update( A+ GRADED 100% VERIFIED (All)

AWHONN Advanced FHM Course Exam Answers & Answers 2024 update( A+ GRADED 100% VERIFIED

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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 nega... tive 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? - Answer--Variable decelerations The single umbilical artery impacts which component of the oxygen transfer system? - Answer--Oxygen delivery Which of Silvia's findings indicates a potential for chronic fetal hypoxemia? - Answer--Intrauterine growth restriction (IUGR) With the finding of a single umbilical artery, what would you expect to occur with fetal perfusion? - Answer--Decreased blood perfusion from the fetus to the placenta Silvia's admission vital signs were [Show More]

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