4/8/25, 8:25 AM 1 AWHONN Fetal Heart monitoring basics
1 AWHONN Fetal Heart monitoring basics
AWHONN FETAL HEART MONITORING BASICS
NEWEST VERSION \\ACTUAL COMPLETYE EXAM
WITH ALL TESTED QUESTIONS AND CORRECT
DETAILED ANSWERS \\VERIFIED SOLUTIONS
ALREADY GRADED A+
Which contraction characteristics can be assessed with a
a) Frequency tocodynamometer?
b) Duration a) Frequency
b) Duration
c) Intensity
All Fetuses of mothers in labor experience an
Uterus
interruption of the oxygenation pathway at which
point?
Maternal hypotension is a potential side effect of
regional anesthesia and analgesia. What nursing
interventions could you use to raise the client's blood
Place her in lateral position,
pressure?
& increase IV fluids. If no
Choose all that apply.
improvement may need to A) Place the woman in a supine position.
give epi to increase B) Place the woman in a lateral position.
vascular tone. C) Increase intravenous (IV) fluids.
D) Continuous Fetal Monitor
E) Administer ephedrine per MD order
systolic BP >= 140mm hg, a Define maternal hypertension (gestational).
diastolic BP>= 90 mm hg or
MAP of >=105
17g/dl, fetal hgb has a What is the normal expected value for a term fetal HGB?
higher oxygen affinity than
an adult to develop in an
oxygen poor environment.
The fetal circulatory
pattern ensures blood with
/ 1/56
,4/8/25, 8:25 AM 1 AWHONN Fetal Heart monitoring basics
higher O2 and nutrition
content is delivered to the
vital organs (brain and
heart) to tolerate the
stress of labor.
detail the umbilical cord
1 vein, 2 arteries encased in
wharton's jelly. O2 (high
content) travels via the vein
CO2 travels via 2 arteries back
to placenta
A decrease of blood flow Define cord compression.
and O2 delivery to fetus &
increases CO2 level in
fetus.
Transient cord
compression can be
common in labor. Variable
FHR decel's is frequently
associated with cord
compression.
May lead to hypoxemia and Explain persistent or recurrent cord compression concerns and
fetal acidemia. The depth of what to look at.
variable deceleration's is
not enough to determine
degree. Evaluate
oxygenation through
baseline heart rate
characteristics through rate,
variability and presence or
absence of accelerations.
A normal part of labor. As Explain transient interruptions in fetal oxygen supple during
contractions build labor.
increased uterine pressure
prevents blood from
entering/leaving the
intervillous space. During
the peak the fetus relies
/ 2/56
,4/8/25, 8:25 AM 1 AWHONN Fetal Heart monitoring basics
completely on its oxygen
reserve (an aerobic
challenge that is not an
issue for a health fetus.
Chronic deficiency of Define Uteroplacental insufficiency (UPI)
placenta function, usually
from an interruption of
oxygenation pathway due to
abruption, mat. hypo or
hypertension or other issues.
Infant is not tolerant of
contractions. Can result in
fetal grow restrictions
(FGR)
Assess baseline FHR Auscultation of Fetal Heart Sounds tell you
Determine rhythms what information? Where is the best place
(regular vs irregular) ID to listen?
accelerations and
deceleration's but not the
type of deceleration
(early/late/variable)
The fetal heartbeat is best
heard over the fetal back.
Palpation to determine Leopold's Maneuvers
presentation and position of
the fetus and aid in location
of fetal heart sounds.
Head=hard, round,
movable object
Buttocks=soft and
irregular shape
Back=smooth, hard surface
felt on one side of the
abdomen
Irregular knobs and lumps
on opposite side of
/ 3/56
, 4/8/25, 8:25 AM 1 AWHONN Fetal Heart monitoring basics
abdomen may be hands,
feet, elbows, and knees
Uses sonar to track the fetal Handheld Fetal Doppler
myocardium & converts
movement into sound. If
placed incorrectly may
pick up maternal heart.
Perform Leopold's maneuvers
to find fetal back, locate
heartbeat, count FHR, check
mothers pulse and
compare.
ID risk factors such as HTN How can you determine if the placenta is functioning optimally?
(=vasoconstriction), Maternal
smoking, abruption, post-term
pregnancy, maternal diabetes
and consider FHR
characteristics
500-700ml to the uterus per How much blood normally flows to the placenta?
minute, 80% is directed to
the placenta
This depends on How many uterine contractions can be tolerated?
oxygenation which is
reflected in FHR variability
and accelerations on the
fetal monitor tracings.
What conditions impact the
Umb. cord -
following pathways: Umbilical cord
Proplapse Mat.
Maternal
inhalation -
inhalation
Asthma
Placenta
Placenta -
/ 4/56
1 AWHONN Fetal Heart monitoring basics
AWHONN FETAL HEART MONITORING BASICS
NEWEST VERSION \\ACTUAL COMPLETYE EXAM
WITH ALL TESTED QUESTIONS AND CORRECT
DETAILED ANSWERS \\VERIFIED SOLUTIONS
ALREADY GRADED A+
Which contraction characteristics can be assessed with a
a) Frequency tocodynamometer?
b) Duration a) Frequency
b) Duration
c) Intensity
All Fetuses of mothers in labor experience an
Uterus
interruption of the oxygenation pathway at which
point?
Maternal hypotension is a potential side effect of
regional anesthesia and analgesia. What nursing
interventions could you use to raise the client's blood
Place her in lateral position,
pressure?
& increase IV fluids. If no
Choose all that apply.
improvement may need to A) Place the woman in a supine position.
give epi to increase B) Place the woman in a lateral position.
vascular tone. C) Increase intravenous (IV) fluids.
D) Continuous Fetal Monitor
E) Administer ephedrine per MD order
systolic BP >= 140mm hg, a Define maternal hypertension (gestational).
diastolic BP>= 90 mm hg or
MAP of >=105
17g/dl, fetal hgb has a What is the normal expected value for a term fetal HGB?
higher oxygen affinity than
an adult to develop in an
oxygen poor environment.
The fetal circulatory
pattern ensures blood with
/ 1/56
,4/8/25, 8:25 AM 1 AWHONN Fetal Heart monitoring basics
higher O2 and nutrition
content is delivered to the
vital organs (brain and
heart) to tolerate the
stress of labor.
detail the umbilical cord
1 vein, 2 arteries encased in
wharton's jelly. O2 (high
content) travels via the vein
CO2 travels via 2 arteries back
to placenta
A decrease of blood flow Define cord compression.
and O2 delivery to fetus &
increases CO2 level in
fetus.
Transient cord
compression can be
common in labor. Variable
FHR decel's is frequently
associated with cord
compression.
May lead to hypoxemia and Explain persistent or recurrent cord compression concerns and
fetal acidemia. The depth of what to look at.
variable deceleration's is
not enough to determine
degree. Evaluate
oxygenation through
baseline heart rate
characteristics through rate,
variability and presence or
absence of accelerations.
A normal part of labor. As Explain transient interruptions in fetal oxygen supple during
contractions build labor.
increased uterine pressure
prevents blood from
entering/leaving the
intervillous space. During
the peak the fetus relies
/ 2/56
,4/8/25, 8:25 AM 1 AWHONN Fetal Heart monitoring basics
completely on its oxygen
reserve (an aerobic
challenge that is not an
issue for a health fetus.
Chronic deficiency of Define Uteroplacental insufficiency (UPI)
placenta function, usually
from an interruption of
oxygenation pathway due to
abruption, mat. hypo or
hypertension or other issues.
Infant is not tolerant of
contractions. Can result in
fetal grow restrictions
(FGR)
Assess baseline FHR Auscultation of Fetal Heart Sounds tell you
Determine rhythms what information? Where is the best place
(regular vs irregular) ID to listen?
accelerations and
deceleration's but not the
type of deceleration
(early/late/variable)
The fetal heartbeat is best
heard over the fetal back.
Palpation to determine Leopold's Maneuvers
presentation and position of
the fetus and aid in location
of fetal heart sounds.
Head=hard, round,
movable object
Buttocks=soft and
irregular shape
Back=smooth, hard surface
felt on one side of the
abdomen
Irregular knobs and lumps
on opposite side of
/ 3/56
, 4/8/25, 8:25 AM 1 AWHONN Fetal Heart monitoring basics
abdomen may be hands,
feet, elbows, and knees
Uses sonar to track the fetal Handheld Fetal Doppler
myocardium & converts
movement into sound. If
placed incorrectly may
pick up maternal heart.
Perform Leopold's maneuvers
to find fetal back, locate
heartbeat, count FHR, check
mothers pulse and
compare.
ID risk factors such as HTN How can you determine if the placenta is functioning optimally?
(=vasoconstriction), Maternal
smoking, abruption, post-term
pregnancy, maternal diabetes
and consider FHR
characteristics
500-700ml to the uterus per How much blood normally flows to the placenta?
minute, 80% is directed to
the placenta
This depends on How many uterine contractions can be tolerated?
oxygenation which is
reflected in FHR variability
and accelerations on the
fetal monitor tracings.
What conditions impact the
Umb. cord -
following pathways: Umbilical cord
Proplapse Mat.
Maternal
inhalation -
inhalation
Asthma
Placenta
Placenta -
/ 4/56
