1 AWHONN Fetal Heart monitoring basics COMPLETE
EXAM LATEST VERSION 2026-2027 QUESTIONS AND
100% Verified ANSWERS
Accelerations - answer>>>Which of the following fetal heart rate characteristics does the
tracing show:
Acceleration
Early decelerations
Variable decelerations Late
decelerations
Episodic decelerations
Moderate
the jaggedness of this tracing indicates variability is present, and the amplitude of
variability is between 6 and 25 BPM. - answer>>>The variability in this tracing is:
Absent
Minimal
Moderate
Marked
A baseline with in normal range.
The range is 110-160 BPM - answer>>>The tracing shows:
Tachycardia
A baseline within normal range
Bradycardia
Category I as it has accelerations, moderate FHR variability, normal FHR
baseline and no interventions are needed at this time. - answer>>>The
tracing is classified as:
,Category I
Category II
Category III
Likely the cause of late decels is tachysystole. Tachysystole interrupts blood flow which
can result in fetal hypoxemia. The lack of oxygen availability has led to slowing of the FHR.
Contractions are so close in timing that Fetal heart is unable to recover as normally
would.
3 Goals to achieve through assessment and interventions:
reduce uterine activity max
uterine blood flow max
oxygenation
SO: notify MD, DC oxytocin, change position, admin IV fluid bolus, admin oxygen by
nonrebreather mask 10L/min - answer>>>Case study #1
First pregnancy. Contractions every 7 min lasting 40 seconds, moderate by palpation, pain
rated 4/10. Vaginal exam shows 4cm dilated, 100% effaced and -1 station. However no
change in the last 3 hours. Oxytocin was ordered to augment, an FSE & IUPC was placed.
2hrs after oxytocin started this is the tracing. Contractions q 1.5 min, lasting 60-70
seconds, 55-60 mmHg. Resting tone btwn contractions is 25 mmHg. Baseline FHR 155
BPM w minimal variability. A pattern of late decelerations is emerging. You should be able
to see relationship btwn uterine activity pattern & FHR tracing characteristics.
140 BPM
Minimal variability
Late decelerations
Normal uterine activity
Present accelerations - answer>>>Identify the tracing characteristics:
FHR Baseline
FHR variability
FHR Decelerations
,Uterine Activity
FHR Accelerations
140 BPM
Moderate variability
No decelerations
Normal uterine activity
Present accelerations - answer>>>Identify this tracing's characteristics:
FHR Baseline
FHR variability
FHR Decelerations
Uterine Activity
FHR Accelerations
Tachycardia absent
variability Variable
decelerations
Normal uterine activity
Absent accelerations - answer>>>Identify the tracing's characteristics:
FHR Baseline
FHR variability
FHR Decelerations
Uterine Activity
FHR Accelerations
(Per AWHONN) If no risk factors are present at admission, evaluate the standard Q 30 min
in the latent (4-5 cm) and active phases of the 1st & 2nd stage passive fetal descent phase
and Q15min in the 2nd stage active pushing stage of labor.
, If risk factors present on admission or appear during labor evaluate Q 15 min during
active phase, the 2nd stage passive fetal descent, and at least Q 5 mind during 2nd stage
active pushing.
If the FHR baseline changes in my 10 min window document what the tracing shows you.
Write a note describing it. If baseline started out at 120 BPM and increases to 130
BPM...write it. - answer>>>Monitoring and intervention questions:
What should I do if the fetal heart rate (FHR) baseline changes?
What if the FHR baseline changes in my 10 min window?
Notify MD regarding the irregular rhythm, request physician assess for preterm labor and
perform an ultrasound.
If found + for preterm contractions she would be treated appropriately, then discharged
to follow up with a level 2 ultrasound for confirmation of arrhythmia. - answer>>>In this
situation what could you do to be sure you are obtaining accurate information about
FHR?
17y/o pt G2 T0 P1 A0 L1. She is 23 5/7wks gest, her mom is with her, states she has been
contracting for several hours. Reports this is a normal pregnancy thus far. You assess
using Leopold's to determine fetal position, palpating frequent movement but have
difficulty detecting the FHR due to baby activity and size. A handheld Doppler helps to
better locate FHR but an unusual rhythm. The electronic fetal monitor ultrasound signal
shows an interrupted rate of 160BPM, irregular pattern with long interruptions in the
rhythm.
failing to :
perform initial assessment ongoing mat/fetal assessments recognize changes in
mat/fetal status take appropriate precautions /actions neglecting to document or
communicate information notify and obtain timely response involvement in a
surgical team's error stabilize and transport appropriately - answer>>>Name areas
of potential liability.
failing to :
monitor FHR or contractions
evaluate the information obtained
recognize deteriorating fetal
EXAM LATEST VERSION 2026-2027 QUESTIONS AND
100% Verified ANSWERS
Accelerations - answer>>>Which of the following fetal heart rate characteristics does the
tracing show:
Acceleration
Early decelerations
Variable decelerations Late
decelerations
Episodic decelerations
Moderate
the jaggedness of this tracing indicates variability is present, and the amplitude of
variability is between 6 and 25 BPM. - answer>>>The variability in this tracing is:
Absent
Minimal
Moderate
Marked
A baseline with in normal range.
The range is 110-160 BPM - answer>>>The tracing shows:
Tachycardia
A baseline within normal range
Bradycardia
Category I as it has accelerations, moderate FHR variability, normal FHR
baseline and no interventions are needed at this time. - answer>>>The
tracing is classified as:
,Category I
Category II
Category III
Likely the cause of late decels is tachysystole. Tachysystole interrupts blood flow which
can result in fetal hypoxemia. The lack of oxygen availability has led to slowing of the FHR.
Contractions are so close in timing that Fetal heart is unable to recover as normally
would.
3 Goals to achieve through assessment and interventions:
reduce uterine activity max
uterine blood flow max
oxygenation
SO: notify MD, DC oxytocin, change position, admin IV fluid bolus, admin oxygen by
nonrebreather mask 10L/min - answer>>>Case study #1
First pregnancy. Contractions every 7 min lasting 40 seconds, moderate by palpation, pain
rated 4/10. Vaginal exam shows 4cm dilated, 100% effaced and -1 station. However no
change in the last 3 hours. Oxytocin was ordered to augment, an FSE & IUPC was placed.
2hrs after oxytocin started this is the tracing. Contractions q 1.5 min, lasting 60-70
seconds, 55-60 mmHg. Resting tone btwn contractions is 25 mmHg. Baseline FHR 155
BPM w minimal variability. A pattern of late decelerations is emerging. You should be able
to see relationship btwn uterine activity pattern & FHR tracing characteristics.
140 BPM
Minimal variability
Late decelerations
Normal uterine activity
Present accelerations - answer>>>Identify the tracing characteristics:
FHR Baseline
FHR variability
FHR Decelerations
,Uterine Activity
FHR Accelerations
140 BPM
Moderate variability
No decelerations
Normal uterine activity
Present accelerations - answer>>>Identify this tracing's characteristics:
FHR Baseline
FHR variability
FHR Decelerations
Uterine Activity
FHR Accelerations
Tachycardia absent
variability Variable
decelerations
Normal uterine activity
Absent accelerations - answer>>>Identify the tracing's characteristics:
FHR Baseline
FHR variability
FHR Decelerations
Uterine Activity
FHR Accelerations
(Per AWHONN) If no risk factors are present at admission, evaluate the standard Q 30 min
in the latent (4-5 cm) and active phases of the 1st & 2nd stage passive fetal descent phase
and Q15min in the 2nd stage active pushing stage of labor.
, If risk factors present on admission or appear during labor evaluate Q 15 min during
active phase, the 2nd stage passive fetal descent, and at least Q 5 mind during 2nd stage
active pushing.
If the FHR baseline changes in my 10 min window document what the tracing shows you.
Write a note describing it. If baseline started out at 120 BPM and increases to 130
BPM...write it. - answer>>>Monitoring and intervention questions:
What should I do if the fetal heart rate (FHR) baseline changes?
What if the FHR baseline changes in my 10 min window?
Notify MD regarding the irregular rhythm, request physician assess for preterm labor and
perform an ultrasound.
If found + for preterm contractions she would be treated appropriately, then discharged
to follow up with a level 2 ultrasound for confirmation of arrhythmia. - answer>>>In this
situation what could you do to be sure you are obtaining accurate information about
FHR?
17y/o pt G2 T0 P1 A0 L1. She is 23 5/7wks gest, her mom is with her, states she has been
contracting for several hours. Reports this is a normal pregnancy thus far. You assess
using Leopold's to determine fetal position, palpating frequent movement but have
difficulty detecting the FHR due to baby activity and size. A handheld Doppler helps to
better locate FHR but an unusual rhythm. The electronic fetal monitor ultrasound signal
shows an interrupted rate of 160BPM, irregular pattern with long interruptions in the
rhythm.
failing to :
perform initial assessment ongoing mat/fetal assessments recognize changes in
mat/fetal status take appropriate precautions /actions neglecting to document or
communicate information notify and obtain timely response involvement in a
surgical team's error stabilize and transport appropriately - answer>>>Name areas
of potential liability.
failing to :
monitor FHR or contractions
evaluate the information obtained
recognize deteriorating fetal
