1|Page
AWHONN ADVANCED FETAL MONITORING EXAM LATEST 2025
ACTUAL EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS) |ALREADY
GRADED A+| ||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
What does the Tocodynamometer measure? - ANSWER-
Contractions by detecting abdominal wall contour changes. The
device converts this to electronic impulses that register and print
out on paper.
Toco does NOT quantify resting tone or intensity of
contractions. Changes of the abd wall can be caused by a
number of events besides contractions (mat. respirations,
pushing, vomiting, seizures, fetal activity and movement). A
normal contraction creates a smooth and even fall on the
tracing
Identify the uterine contraction variation: - ANSWER-a. Uterine
contraction wave form normal
b. Maternal respiration
c. Valsalva maneuver or pushing
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d. Maternal activity such as vomiting or seizure
e. Fetal movement/activity
f. Maternal position change or sudden baseline shift
g. Obscured or low baseline setting
h. Inverted waveform r/t placement of toco
What are the advantages and limitation of Toco? - ANSWER-
Advantages- it is external so it is non invasive and ROM is not
necessary
Limitations- it is location sensitive so improper placement or
movement can cause uninterpretable tracing. It is not a
means of assessing true resting tone or intensity so must
use in conjunction with direct palpation. Toco only gives an
approximate measure of duration and frequency. Reading
can vary greatly based on mat. weight, mat. position, and
position of belt.
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Select the best location for placement of Toco for a term
pregnancy. - ANSWER-top center is where you should receive the
most accurate reading of uterine contractions as term.
What is an Intrauterine pressure catheter (IUPC) and what does it
measure? - ANSWER-It is the only method that directly measures
the uterine resting tone, contraction intensity, frequency and
duration. It is an invasive procedure that requires ROM and
cervical dilation. IUPC is used when there is a need for more
detailed information than palpation or toco can provide.
The IUPC measures hydrostatic pressure in the uterus,
measuring intrauterine pressure during and between
contractions.
What are indications for IUPC monitoring? - ANSWER-1. When
labor and not progressing & assessment of the adequacy of the
contraction is needed.
2. When the nature or event of previous uterine scarring
necessitates internal monitoring
3. Amnioinfusion is required
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4. Differentiation of FHR patterns relative to contractions is
needed
How are IUPC tracings displayed, what are normal values? -
ANSWER-Similar to toco tracings, contractions are in (mm HG)
and appear as elevations from the baseline resting tone and are
quantified measures of contractions intensity and resting tone.
Normal baseline tone is 5-20 mmHg
Mild contractions w/ peak of <40 mm Hg
Moderate contractions w/ peak of 40-70 mm Hg
Strong contractions w/ peak of >70 mm Hg
Does this IUPC tracing show normal resting tone or elevated
tone? - ANSWER-Normal resting tone
15 mm Hg is with in normal range of 5-20 mm Hg
Does this IUPC tracing show normal resting tone or elevated tone
? - ANSWER-Elevated tone
30 mmHg is above the normal resting tone of 20-25
AWHONN ADVANCED FETAL MONITORING EXAM LATEST 2025
ACTUAL EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS) |ALREADY
GRADED A+| ||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
What does the Tocodynamometer measure? - ANSWER-
Contractions by detecting abdominal wall contour changes. The
device converts this to electronic impulses that register and print
out on paper.
Toco does NOT quantify resting tone or intensity of
contractions. Changes of the abd wall can be caused by a
number of events besides contractions (mat. respirations,
pushing, vomiting, seizures, fetal activity and movement). A
normal contraction creates a smooth and even fall on the
tracing
Identify the uterine contraction variation: - ANSWER-a. Uterine
contraction wave form normal
b. Maternal respiration
c. Valsalva maneuver or pushing
,2|Page
d. Maternal activity such as vomiting or seizure
e. Fetal movement/activity
f. Maternal position change or sudden baseline shift
g. Obscured or low baseline setting
h. Inverted waveform r/t placement of toco
What are the advantages and limitation of Toco? - ANSWER-
Advantages- it is external so it is non invasive and ROM is not
necessary
Limitations- it is location sensitive so improper placement or
movement can cause uninterpretable tracing. It is not a
means of assessing true resting tone or intensity so must
use in conjunction with direct palpation. Toco only gives an
approximate measure of duration and frequency. Reading
can vary greatly based on mat. weight, mat. position, and
position of belt.
,3|Page
Select the best location for placement of Toco for a term
pregnancy. - ANSWER-top center is where you should receive the
most accurate reading of uterine contractions as term.
What is an Intrauterine pressure catheter (IUPC) and what does it
measure? - ANSWER-It is the only method that directly measures
the uterine resting tone, contraction intensity, frequency and
duration. It is an invasive procedure that requires ROM and
cervical dilation. IUPC is used when there is a need for more
detailed information than palpation or toco can provide.
The IUPC measures hydrostatic pressure in the uterus,
measuring intrauterine pressure during and between
contractions.
What are indications for IUPC monitoring? - ANSWER-1. When
labor and not progressing & assessment of the adequacy of the
contraction is needed.
2. When the nature or event of previous uterine scarring
necessitates internal monitoring
3. Amnioinfusion is required
, 4|Page
4. Differentiation of FHR patterns relative to contractions is
needed
How are IUPC tracings displayed, what are normal values? -
ANSWER-Similar to toco tracings, contractions are in (mm HG)
and appear as elevations from the baseline resting tone and are
quantified measures of contractions intensity and resting tone.
Normal baseline tone is 5-20 mmHg
Mild contractions w/ peak of <40 mm Hg
Moderate contractions w/ peak of 40-70 mm Hg
Strong contractions w/ peak of >70 mm Hg
Does this IUPC tracing show normal resting tone or elevated
tone? - ANSWER-Normal resting tone
15 mm Hg is with in normal range of 5-20 mm Hg
Does this IUPC tracing show normal resting tone or elevated tone
? - ANSWER-Elevated tone
30 mmHg is above the normal resting tone of 20-25
