AWHONN Intermediate Fetal
Monitoring TEST QUESTIONS AND
VERIFIED ANSWERS
\.A characteristic of variable decelerations is: - Answer-B. The onset of the deceleration
is abrupt
\.An increase in the fetal heart rate immediately preceding a variable deceleration is
caused by: - Answer-A. Occlusion of the umbilical vein
\.Based on the tracing, the most appropriate interventions are: - Answer-B. Decrease
oxytocin from 14 to 7 mU/min and start a 500-mL IVFB.
\.Based on your observation of the tracing, what action(s) is (are) required? - Answer-B.
Palpate Shelby's radial pulse to verify maternal vs. fetal heart rate
\.Describe the type of variability seen in the majority of the tracing. - Answer-C. Absent
\.Did the fetal monitor tracing prior to delivery accurately predict the cor - Answer-A>
Yes, the presence of moderate variability rules out the metabolic acidemia.
\.During a contraction, the tocodynamometer detects: - Answer-A. Pressure created by
tensing of uterine muscle
\.During a fetal sleep cycle, FHR variability is usually ____. - Answer-C. Minimal
\.Fetal heart rate variability is defined as fluctuations in the baseline that are irregular in
_____ and _____. - Answer-B. Amplitude and frequency
\.Following birth, a fetal cord blood sample is taken. The results are:
pH: 6.95
pCO2: 86 mmHg
pO2: 4mmHg
BE: -18.6 mEq/L
These results are best interpreted as: - Answer-C. Mixed acidemia
\.Identify appropriate interventions to implement based on this tracing. - Answer-B.
Palpate uterus, adjust toco, assist patient to lateral position.
Monitoring TEST QUESTIONS AND
VERIFIED ANSWERS
\.A characteristic of variable decelerations is: - Answer-B. The onset of the deceleration
is abrupt
\.An increase in the fetal heart rate immediately preceding a variable deceleration is
caused by: - Answer-A. Occlusion of the umbilical vein
\.Based on the tracing, the most appropriate interventions are: - Answer-B. Decrease
oxytocin from 14 to 7 mU/min and start a 500-mL IVFB.
\.Based on your observation of the tracing, what action(s) is (are) required? - Answer-B.
Palpate Shelby's radial pulse to verify maternal vs. fetal heart rate
\.Describe the type of variability seen in the majority of the tracing. - Answer-C. Absent
\.Did the fetal monitor tracing prior to delivery accurately predict the cor - Answer-A>
Yes, the presence of moderate variability rules out the metabolic acidemia.
\.During a contraction, the tocodynamometer detects: - Answer-A. Pressure created by
tensing of uterine muscle
\.During a fetal sleep cycle, FHR variability is usually ____. - Answer-C. Minimal
\.Fetal heart rate variability is defined as fluctuations in the baseline that are irregular in
_____ and _____. - Answer-B. Amplitude and frequency
\.Following birth, a fetal cord blood sample is taken. The results are:
pH: 6.95
pCO2: 86 mmHg
pO2: 4mmHg
BE: -18.6 mEq/L
These results are best interpreted as: - Answer-C. Mixed acidemia
\.Identify appropriate interventions to implement based on this tracing. - Answer-B.
Palpate uterus, adjust toco, assist patient to lateral position.
