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AWHONN Intermediate Fetal Monitoring Exam Questions and Answers 2025–2026 | Comprehensive EFM Certification Review | FHR Interpretation Study Guide | A+ Verified

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Prepare confidently for the AWHONN Intermediate Fetal Monitoring examination with this comprehensive collection of exam questions and verified answers. This study guide covers essential concepts in electronic fetal monitoring (EFM), fetal heart rate (FHR) interpretation, NICHD fetal heart rate categories, variability, accelerations, decelerations, uteroplacental insufficiency, fetal oxygenation, acid-base balance, intrauterine resuscitation, labor management, and obstetric nursing interventions. Designed for labor and delivery nurses, maternity nurses, nursing students, obstetric healthcare professionals, and certification candidates, this resource helps strengthen clinical judgment and fetal assessment skills. The material includes high-yield review questions on fetal physiology, fetal circulation, cord blood gases, tachysystole, amnioinfusion, fetal surveillance, Leopold's maneuvers, and evidence-based intrapartum care.

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Institution
Electronic Fetal Monitoring
Course
Electronic fetal monitoring

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ELECTRONIC FETAL MONITORING EXAM QUESTIONS WITH
CORRECT ANSWERS ASSURED A+

Which of the following dysrhythmias may progress to atrial fibrillation or
atrial flutter? A. Premature atrial contractions (PACs)
B. Supraventricular tachycardia (SVT)

C. Sinus tachycardia - SVT)



Which of the following is not commonly caused by administration of
PR
indomethacin? A. Decreased fetal urine (decreased amniotic fluid index
[AFI])
B. Decreased FHR baseline

C. Increased variable decelerations -
O

Which of the following is not commonly caused by terbutaline
FD
administration? A. Increased FHR baseline
B. Decreased FHR late decelerations

C. Increased maternal HR
O

Which of the following is not commonly caused by nifedipine
C
administration? A. Maternal hypotension

B. Decreased uterine blood flow
C. Increased FHR accelerations

Which of the following would likely be affected by betamethasone

administration? A. Fetal echocardiogram

B. Biophysical profile (BPP) score

C. Contraction stress test (CST) -

,Fetal breathing decreased with betamethasone administration



Which of the following is a common EFM finding when monitoring a
preterm fetus? A. Decreased baseline

B. Variable decelerations



C. Increased FHR variability
decelerations
PR

Which of the following is most strongly correlated with placental
abruption? A. Uncontrolled gestational diabetes
B. Multiple gestation
O

C. Uncontrolled hypertension -
FD

Which of the following is not typically associated with a post-term
pregnancy? A. Meconium-stained amniotic fluid
O
B. Presence of late decelerations in the fetal heart rate
C. Polyhydramnios -
C
Which of the following is the most appropriate method of monitoring a
patient who is a gestational diabetic?
• Daily NSTs

• Twice-weekly BPPs

Weekly contraction stress tests -

Which of the following is not commonly caused by
magnesium sulfate? A. Increased FHR baseline

B. Decreased FHR variability

,C. Decreased FHR accelerations

Which of the following FHR changes would not typically be seen in a mother
with chorioamnionitis?
A. Increased
baseline B.

Increased

variability
C. Decreased accelerations -
PR
Which of the following is false regarding electronic fetal
monitoring of twins? A. Both twins must be monitored, as opposed
to monitoring one twin at a time
B. Twins rarely have accelerations and decelerations
O

simultaneously, and tracings should appear distinctly different
FD
C. Twins must be identified and monitored as A or B throughout the entire

antenatal and intrapartum periods - CORRECT ANSWERS

pH 6.9, PO2 15, PCO2 55, HCO3 18, BE -22
O
C
The nurse reviews the arterial gas results and concludes that the
fetus had acidosis. With results such as these, you would expect a
resuscitation.

A. Metabolic;
lengthy B.
Metabolic; short

C. Respiratory; lengthy -

, Cord blood gases from one of the umbilical arteries best
represent A. The status of fetal acid-base balance

B. The status of maternal oxygenation

C. The status of placental function

A modified biophysical profile (mBPP) is considered normal if

A. NST is reactive and the mother reports at least 10 fetal
movements in 2 hours B. NST is reactive and the amniotic
fluid index (AFI) is greater than 5 cm
PR
C. There are no decelerations following contractions -



Which of the following is not a component of

a BPP? A. Amniotic fluid index (AFI)
O

B. Fetal breathing
FD
C. Nonstress test (NST) -



(Should be volume, no index)
O

A contraction stress test (CST) is done. During the testing, there were
C
three contractions in 10 minutes, no decals, the baseline was 145, and
there was moderate variability. This is interpreted as
A.

Negati
ve B.
Positive

C. Suspicious

Which of the following is most likely to result in absent end diastolic flow

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Institution
Electronic fetal monitoring
Course
Electronic fetal monitoring

Document information

Uploaded on
June 4, 2026
Number of pages
120
Written in
2025/2026
Type
Exam (elaborations)
Contains
Questions & answers

Subjects

  • nichd category i ii iii
  • obstetric nu
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