Page 1 of 136
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
,Page 2 of 136
Correct Answer: D
Rationale: Adequate fetal oxygenation requires all three
components: maternal oxygen delivery, adequate uterine
perfusion, and normal placental exchange.
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.
,Page 3 of 136
Question 3
During a uterine contraction, uterine blood flow:
A) Increases
B) Decreases
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
, Page 4 of 136
Correct Answer: A
Rationale: Bicarbonate is rapidly depleted in respiratory or
metabolic acidosis as it buffers hydrogen ions.
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
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
,Page 2 of 136
Correct Answer: D
Rationale: Adequate fetal oxygenation requires all three
components: maternal oxygen delivery, adequate uterine
perfusion, and normal placental exchange.
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.
,Page 3 of 136
Question 3
During a uterine contraction, uterine blood flow:
A) Increases
B) Decreases
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
, Page 4 of 136
Correct Answer: A
Rationale: Bicarbonate is rapidly depleted in respiratory or
metabolic acidosis as it buffers hydrogen ions.
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
