1|Page
1 AWHONN FETAL HEART
MONITORING BASICS COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS 2025-2026(VERIFIED
ANSWERS)
Maintaining mat. volume, mat. positioning, intravenous hydration.
Decreasing mat. pain/anxiety.
1. Reposition pt to side.
2. Admin IV fluid bolus.
3. Admin 0.25mg terbutaline SQ.
4. Admin O2 10L via non rebreather face mask. ......answer.....List
interventions for tachysystole contractions.
higher conc. to lower concentration.
,2|Page
1.Oxygen from maternal (higher) to fetal compartment (lower) to
fetal hgb then transported to fetal tissue.
2. CO2 returns to intervillous space by passive diffusion and is
removed by the mat. venous system. ......answer.....Describe
passive diffusion as related to the maternal placental fetal system.
Place her in lateral position, & increase IV fluids. If no
improvement may need to give epi to increase vascular tone.
......answer.....Maternal hypotension is a potential side effect of
regional anesthesia and analgesia. What nursing interventions
could you use to raise the client's blood pressure? Choose all that
apply.
A) Place the woman in a supine position.
B) Place the woman in a lateral position.
C) Increase intravenous (IV) fluids.
D) Continuous Fetal Monitor
E) Administer ephedrine per MD order
,3|Page
systolic BP >= 140mm hg, a diastolic BP>= 90 mm hg or MAP of
>=105 ......answer.....Define maternal hypertension (gestational).
17g/dl, fetal hgb has a higher oxygen affinity than an adult to
develop in an oxygen poor environment. The fetal circulatory
pattern ensures blood with higher O2 and nutrition content is
delivered to the vital organs (brain and heart) to tolerate the stress
of labor. ......answer.....What is the normal expected value for a
term fetal HGB?
1 vein, 2 arteries encased in wharton's jelly.
O2 (high content) travels via the vein
CO2 travels via 2 arteries back to placenta ......answer.....detail the
umbilical cord
A decrease of blood flow and O2 delivery to fetus & increases CO2
level in fetus.
, 4|Page
Transient cord compression can be common in labor. Variable FHR
decel's is frequently associated with cord compression.
......answer.....Define cord compression.
May lead to hypoxemia and fetal acidemia. The depth of 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.
......answer.....Explain persistent or recurrent cord compression
concerns and what to look at.
A normal part of labor. As contractions build increased uterine
pressure prevents blood from entering/leaving the intervillous
space. During the peak the fetus relies completely on its oxygen
reserve (an aerobic challenge that is not an issue for a health fetus.
......answer.....Explain transient interruptions in fetal oxygen supple
during labor.
Chronic deficiency of placenta function, usually from an
interruption of oxygenation pathway due to abruption, mat. hypo
1 AWHONN FETAL HEART
MONITORING BASICS COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS 2025-2026(VERIFIED
ANSWERS)
Maintaining mat. volume, mat. positioning, intravenous hydration.
Decreasing mat. pain/anxiety.
1. Reposition pt to side.
2. Admin IV fluid bolus.
3. Admin 0.25mg terbutaline SQ.
4. Admin O2 10L via non rebreather face mask. ......answer.....List
interventions for tachysystole contractions.
higher conc. to lower concentration.
,2|Page
1.Oxygen from maternal (higher) to fetal compartment (lower) to
fetal hgb then transported to fetal tissue.
2. CO2 returns to intervillous space by passive diffusion and is
removed by the mat. venous system. ......answer.....Describe
passive diffusion as related to the maternal placental fetal system.
Place her in lateral position, & increase IV fluids. If no
improvement may need to give epi to increase vascular tone.
......answer.....Maternal hypotension is a potential side effect of
regional anesthesia and analgesia. What nursing interventions
could you use to raise the client's blood pressure? Choose all that
apply.
A) Place the woman in a supine position.
B) Place the woman in a lateral position.
C) Increase intravenous (IV) fluids.
D) Continuous Fetal Monitor
E) Administer ephedrine per MD order
,3|Page
systolic BP >= 140mm hg, a diastolic BP>= 90 mm hg or MAP of
>=105 ......answer.....Define maternal hypertension (gestational).
17g/dl, fetal hgb has a higher oxygen affinity than an adult to
develop in an oxygen poor environment. The fetal circulatory
pattern ensures blood with higher O2 and nutrition content is
delivered to the vital organs (brain and heart) to tolerate the stress
of labor. ......answer.....What is the normal expected value for a
term fetal HGB?
1 vein, 2 arteries encased in wharton's jelly.
O2 (high content) travels via the vein
CO2 travels via 2 arteries back to placenta ......answer.....detail the
umbilical cord
A decrease of blood flow and O2 delivery to fetus & increases CO2
level in fetus.
, 4|Page
Transient cord compression can be common in labor. Variable FHR
decel's is frequently associated with cord compression.
......answer.....Define cord compression.
May lead to hypoxemia and fetal acidemia. The depth of 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.
......answer.....Explain persistent or recurrent cord compression
concerns and what to look at.
A normal part of labor. As contractions build increased uterine
pressure prevents blood from entering/leaving the intervillous
space. During the peak the fetus relies completely on its oxygen
reserve (an aerobic challenge that is not an issue for a health fetus.
......answer.....Explain transient interruptions in fetal oxygen supple
during labor.
Chronic deficiency of placenta function, usually from an
interruption of oxygenation pathway due to abruption, mat. hypo
