AWHONN Intermediate Fetal Monitoring | 300+ Practice Questions with Answers & Rationales

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Awhonn Intermediate Fetal Monitoring Test

Questions And Correct Answers (Verified

Answers) ||Complete A+ Guide




Question 1

Fetal oxygenation depends on which of the following?

A) Maternal arterial oxygen content

B) Uterine blood flow

C) Placental gas exchange

D) All of the above

Correct Answer: D

Rationale: Adequate fetal oxygenation requires all three

components: maternal oxygen delivery, adequate uterine

perfusion, and normal placental exchange.

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Question 2

The primary determinant of fetal oxygen delivery to tissues is:

A) Fetal hemoglobin P50

B) Umbilical venous oxygen content

C) Fetal cardiac output

D) Maternal PaO2

Correct Answer: C

Rationale: Fetal cardiac output distributes oxygenated blood;

the brain and heart are perfused preferentially during

hypoxemia.




Question 3

During a uterine contraction, uterine blood flow:

A) Increases

B) Decreases

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C) Remains unchanged

D) Reverses direction

Correct Answer: B

Rationale: Intramyometrial pressure exceeds arterial pressure

during contractions, reducing uterine blood flow. Normal

placentas tolerate this.




Question 4

Which buffer system responds first to fetal acidosis?

A) Bicarbonate

B) Hemoglobin

C) Plasma proteins

D) Intracellular phosphate

Correct Answer: A

Rationale: Bicarbonate is rapidly depleted in respiratory or

metabolic acidosis as it buffers hydrogen ions.

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Question 5

Fetal hypoxemia without acidemia is termed:

A) Asphyxia

B) Hypoxia

C) Acidosis

D) Ischemia

Correct Answer: B

Rationale: Hypoxia = low oxygen; asphyxia = hypoxia +

acidosis.




Question 6

Which fetal organ is most sensitive to hypoxemia?

A) Kidneys

B) Liver

C) Brain

D) Lungs