FETAL HEART MONITORING RELIAS
EXAM 2025 QUESTIONS AND ANSWERS
Fetal spiral electrode - ANS Calculates fetal heart rate from R to R interval
Remove fetal spiral electrode - ANS Turn wires counterclockwise until electrode is dislodged
Accelerations of FHR - ANS Occur due to stimulation of sympathetic nervous system
Risk management strategies for documentation - ANS Include evaluation of maternal and
fetal responses to interventions
Auscultating FHR - ANS Simultaneously palpate uterus to correlate changes in FHR to uterine
activity
Best location for auscultating FHR - ANS Over the fetal back
Uterine resting tone - ANS Pressure within the uterus between contractions
Most accurate assessment of uterine activity - ANS Intrauterine pressure catheter (IUPC)
Contraindication to applying fetal spiral electrode - ANS Presence of HIV
1|P a g e C o p y r i g h t © 2 0 2 5 T H E B R I G H T A L L R I G H T S R E S E R V E D
, Verifying FHR with external ultrasound transducer - ANS Palpate maternal pulse while
auscultating fetal heart
Cause of early decelerations - ANS Head compression
Assessing uterine activity - ANS Contractions every 4-5 minutes, lasting 40-60 seconds,
resting tone of 8-10 mm Hg, peak intensity of 25-30 mm Hg
Risk management strategy for fetal heart monitoring - ANS Development of emergency drill
exercises
Late deceleration of FHR - ANS Gradual decrease and return to baseline associated with
uterine contraction, occurs after peak of contraction
Measurement of uterine activity - ANS Tocodynamometer
Possible cause for cessation of IUPC waveforms - ANS Uterine rupture
Assessing uterine resting tone and contraction intensity - ANS Palpate uterus during and
between contractions
Maternal position optimizing uterine perfusion - ANS Lateral
Indication of well-oxygenated fetus - ANS FHR accelerations, moderate variability, no late or
variable decelerations
Process of oxygen transfer from maternal to fetal hemoglobin - ANS Passive diffusion
2|P a g e C o p y r i g h t © 2 0 2 5 T H E B R I G H T A L L R I G H T S R E S E R V E D
EXAM 2025 QUESTIONS AND ANSWERS
Fetal spiral electrode - ANS Calculates fetal heart rate from R to R interval
Remove fetal spiral electrode - ANS Turn wires counterclockwise until electrode is dislodged
Accelerations of FHR - ANS Occur due to stimulation of sympathetic nervous system
Risk management strategies for documentation - ANS Include evaluation of maternal and
fetal responses to interventions
Auscultating FHR - ANS Simultaneously palpate uterus to correlate changes in FHR to uterine
activity
Best location for auscultating FHR - ANS Over the fetal back
Uterine resting tone - ANS Pressure within the uterus between contractions
Most accurate assessment of uterine activity - ANS Intrauterine pressure catheter (IUPC)
Contraindication to applying fetal spiral electrode - ANS Presence of HIV
1|P a g e C o p y r i g h t © 2 0 2 5 T H E B R I G H T A L L R I G H T S R E S E R V E D
, Verifying FHR with external ultrasound transducer - ANS Palpate maternal pulse while
auscultating fetal heart
Cause of early decelerations - ANS Head compression
Assessing uterine activity - ANS Contractions every 4-5 minutes, lasting 40-60 seconds,
resting tone of 8-10 mm Hg, peak intensity of 25-30 mm Hg
Risk management strategy for fetal heart monitoring - ANS Development of emergency drill
exercises
Late deceleration of FHR - ANS Gradual decrease and return to baseline associated with
uterine contraction, occurs after peak of contraction
Measurement of uterine activity - ANS Tocodynamometer
Possible cause for cessation of IUPC waveforms - ANS Uterine rupture
Assessing uterine resting tone and contraction intensity - ANS Palpate uterus during and
between contractions
Maternal position optimizing uterine perfusion - ANS Lateral
Indication of well-oxygenated fetus - ANS FHR accelerations, moderate variability, no late or
variable decelerations
Process of oxygen transfer from maternal to fetal hemoglobin - ANS Passive diffusion
2|P a g e C o p y r i g h t © 2 0 2 5 T H E B R I G H T A L L R I G H T S R E S E R V E D
