AWHONN ADVANCED FETAL HEART
MONITORING ACTUAL EXAM PAPER 2026
FULL QUESTIONS AND CORRECT ANSWERS
GRADED A+
●● 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 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 her mother's long-term history of diabetes.
Silvia developed gestational diabetes with this pregnancy, but her other
prenatal labs were all normal. During one of the ultrasound examinations
MONITORING ACTUAL EXAM PAPER 2026
FULL QUESTIONS AND CORRECT ANSWERS
GRADED A+
●● 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 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 her mother's long-term history of diabetes.
Silvia developed gestational diabetes with this pregnancy, but her other
prenatal labs were all normal. During one of the ultrasound examinations
