2025 LATEST AWHONN ADVANCED FETAL
MONITORING ACTUAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED
A++
0.5-2 - RIGHT ANSWER -starting dose of oxytocin
1-2 - RIGHT ANSWER -increase ocxytoci ____ mU/minute every 30-60 minutes
10 liters per minute nonrebreather - RIGHT ANSWER -administer how much supplemental
oxygen and with what mask
10-12 minutes - RIGHT ANSWER -half life of oxytocin; need 3-4 half lives to reach steady
concentration
10, 10 - RIGHT ANSWER -if fetus less than 32 weeks, the accelerations peak ____ bpm and last
for ___ seconds from onset to return to baseline
110-160 - RIGHT ANSWER -normal fetal heart rate range
110, 10 - RIGHT ANSWER -bradycardia is a baseline of < ____ bpm for > ___ minutes
12 or lower - RIGHT ANSWER -what should base excess or base deficit be
,15, 15 - RIGHT ANSWER -in fetus 32 weeks or more, the accelerations peak ____ bpm and last
for ____ seconds from onset o return to baseline
160, 10 - RIGHT ANSWER -tachycardia is a baseline of >___ bpm for >___ minutes
2 - RIGHT ANSWER -category ____ tracing, indeterminate, not predictive of abnormal fetal
aid-base status, require evaluation , surveillance
2 - RIGHT ANSWER -what category is absent variability without recurrent decels
2 - RIGHT ANSWER -what category tracing is absent variability without decels
2 - RIGHT ANSWER -what category tracing?
-bradycardia without absent variability
-tachycardia
-minimal baseline variability
-absence of induced acceleration after fetal stimulation
-prolonged decels
-recurrent late decels with moderate variability
2, 10 - RIGHT ANSWER -for baseline fetal heart rate there must be at least ___ minutes of
identifiable baseline segments in a ___ minute window or the baseline for that period is
indeterminate
3 - RIGHT ANSWER -what category is absent variability with recurrent decels
3 - RIGHT ANSWER -what category tracing is absent variability with decels
,3 - RIGHT ANSWER -what tracing requires prompt evaluation and expeditious resolution
30 - RIGHT ANSWER -accelerations go from onset to peak in less than ____ seconds
5, 10, 30 - RIGHT ANSWER -normal uterine activity- less than or equal to____ contractions in
_____ minutes averaged over a _____ minute window
5, 10, 30 - RIGHT ANSWER -tachysystole - greater than ____ contractions in ____ minutes
averaged over a _____ minute window
60 or lower - RIGHT ANSWER -what should CO2 be
7.10 - RIGHT ANSWER -moderate variability is a good sign of an adequately oxygenated baby,
guarantees a ph of ____
7.10 or higher - RIGHT ANSWER -what should pH be
abrupt onset less than 30 seconds from onset to beginning of nadir, lasting more than 15
seconds but less than 2 minutes, depth more than 15 bpm - RIGHT ANSWER -variable decel
definition
absent baseline variability and recurrent late decels, recurrent variable decels, bradycardia, OR
sinusoidal - RIGHT ANSWER -category 3 tracings include either
absent variability - RIGHT ANSWER -undetectable amplitude range
accelerations - RIGHT ANSWER -visually apparent abrupt increases in FHR above the baseline
,amnioinfusion - RIGHT ANSWER -what do you do if theres low amniotic fluid, variable decels
artifact - RIGHT ANSWER -results from mechanical limitations of the monitor, electronic
interference or weak signal. appears as gaps or dots with external monitoring and irregular lines
of varying lengths with a fetal scalp electrode
baseline 110-160, moderate variability, no late or variable decels - RIGHT ANSWER -what does
category 1 tracing need
baseline fetal heart rate, 5, 10 - RIGHT ANSWER -the approximate mean FHR rounded to
increments of ____ bpm during a ____ minute window, excluding:
-accelerations and deceleratons
-periods of marked variability
baseline variability - RIGHT ANSWER -fluctuations in the baseline FHR that are irregular in
amplitude and frequency
bleeding - RIGHT ANSWER -what can cause sinusoidal FHR
category 3 - RIGHT ANSWER -never have pitocin running with this tracing
change position - RIGHT ANSWER -what is the first thing you should do with recurrent late decels
contractions, high pitocin - RIGHT ANSWER -what can cause bradycardia
cord compression - RIGHT ANSWER -when is the only time you give an amnioinfusion
MONITORING ACTUAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED
A++
0.5-2 - RIGHT ANSWER -starting dose of oxytocin
1-2 - RIGHT ANSWER -increase ocxytoci ____ mU/minute every 30-60 minutes
10 liters per minute nonrebreather - RIGHT ANSWER -administer how much supplemental
oxygen and with what mask
10-12 minutes - RIGHT ANSWER -half life of oxytocin; need 3-4 half lives to reach steady
concentration
10, 10 - RIGHT ANSWER -if fetus less than 32 weeks, the accelerations peak ____ bpm and last
for ___ seconds from onset to return to baseline
110-160 - RIGHT ANSWER -normal fetal heart rate range
110, 10 - RIGHT ANSWER -bradycardia is a baseline of < ____ bpm for > ___ minutes
12 or lower - RIGHT ANSWER -what should base excess or base deficit be
,15, 15 - RIGHT ANSWER -in fetus 32 weeks or more, the accelerations peak ____ bpm and last
for ____ seconds from onset o return to baseline
160, 10 - RIGHT ANSWER -tachycardia is a baseline of >___ bpm for >___ minutes
2 - RIGHT ANSWER -category ____ tracing, indeterminate, not predictive of abnormal fetal
aid-base status, require evaluation , surveillance
2 - RIGHT ANSWER -what category is absent variability without recurrent decels
2 - RIGHT ANSWER -what category tracing is absent variability without decels
2 - RIGHT ANSWER -what category tracing?
-bradycardia without absent variability
-tachycardia
-minimal baseline variability
-absence of induced acceleration after fetal stimulation
-prolonged decels
-recurrent late decels with moderate variability
2, 10 - RIGHT ANSWER -for baseline fetal heart rate there must be at least ___ minutes of
identifiable baseline segments in a ___ minute window or the baseline for that period is
indeterminate
3 - RIGHT ANSWER -what category is absent variability with recurrent decels
3 - RIGHT ANSWER -what category tracing is absent variability with decels
,3 - RIGHT ANSWER -what tracing requires prompt evaluation and expeditious resolution
30 - RIGHT ANSWER -accelerations go from onset to peak in less than ____ seconds
5, 10, 30 - RIGHT ANSWER -normal uterine activity- less than or equal to____ contractions in
_____ minutes averaged over a _____ minute window
5, 10, 30 - RIGHT ANSWER -tachysystole - greater than ____ contractions in ____ minutes
averaged over a _____ minute window
60 or lower - RIGHT ANSWER -what should CO2 be
7.10 - RIGHT ANSWER -moderate variability is a good sign of an adequately oxygenated baby,
guarantees a ph of ____
7.10 or higher - RIGHT ANSWER -what should pH be
abrupt onset less than 30 seconds from onset to beginning of nadir, lasting more than 15
seconds but less than 2 minutes, depth more than 15 bpm - RIGHT ANSWER -variable decel
definition
absent baseline variability and recurrent late decels, recurrent variable decels, bradycardia, OR
sinusoidal - RIGHT ANSWER -category 3 tracings include either
absent variability - RIGHT ANSWER -undetectable amplitude range
accelerations - RIGHT ANSWER -visually apparent abrupt increases in FHR above the baseline
,amnioinfusion - RIGHT ANSWER -what do you do if theres low amniotic fluid, variable decels
artifact - RIGHT ANSWER -results from mechanical limitations of the monitor, electronic
interference or weak signal. appears as gaps or dots with external monitoring and irregular lines
of varying lengths with a fetal scalp electrode
baseline 110-160, moderate variability, no late or variable decels - RIGHT ANSWER -what does
category 1 tracing need
baseline fetal heart rate, 5, 10 - RIGHT ANSWER -the approximate mean FHR rounded to
increments of ____ bpm during a ____ minute window, excluding:
-accelerations and deceleratons
-periods of marked variability
baseline variability - RIGHT ANSWER -fluctuations in the baseline FHR that are irregular in
amplitude and frequency
bleeding - RIGHT ANSWER -what can cause sinusoidal FHR
category 3 - RIGHT ANSWER -never have pitocin running with this tracing
change position - RIGHT ANSWER -what is the first thing you should do with recurrent late decels
contractions, high pitocin - RIGHT ANSWER -what can cause bradycardia
cord compression - RIGHT ANSWER -when is the only time you give an amnioinfusion
