AWHONN Advanced FHM Course Exam Latest 2026
Actual Exam Test Bank| Complete 300 Real Exam
Questions and Correct Verified Answers/ Graded A+|
AWHONN Advanced FHM Review 2026 (Brand New!!)
Question 1
A laboring patient at 39 weeks has an FHR baseline of 135
bpm, moderate variability, and recurrent late decelerations with
nadir >90 bpm, returning to baseline after each contraction.
Contractions are every 3 minutes, moderate to palpation. Which
is the priority intervention?
A. Immediate cesarean delivery
B. Amnioinfusion
C. Maternal oxygen at 10 L non-rebreather
D. Discontinue oxytocin if infusing
1
,Answer: D
Rationale: Recurrent late decelerations suggest uteroplacental
insufficiency. Discontinuing oxytocin reduces uterine activity,
improving perfusion. Oxygen and amnioinfusion may be
considered later, but stopping the oxytocin is the immediate first
step per AWHONN guidelines.
Question 2
Which FHR characteristic is most predictive of adequate fetal
oxygenation at the time of observation?
A. Baseline rate of 160 bpm
B. Minimal variability with no decelerations
C. Moderate variability and no recurrent decelerations
D. Presence of early decelerations
Answer: C
Rationale: Moderate variability (6–25 bpm) indicates a well-
2
,oxygenated fetal central nervous system. Recurrent decelerations
imply stress; their absence with moderate variability is the most
reassuring combination.
Question 3
A patient has an intrauterine pressure catheter (IUPC) reading
consistent Montevideo units of 220. Contractions occur every 2
minutes and last 90 seconds. FHR shows a sinusoidal pattern
without variability. What should the nurse anticipate?
A. Maternal fever workup
B. Fetal anemia evaluation
C. Administration of terbutaline
D. Increasing oxytocin
Answer: B
Rationale: A sinusoidal pattern (smooth, undulating, stable rate,
absent variability) is associated with fetal anemia, hypoxia, or
3
, acidemia. Immediate evaluation (Doppler middle cerebral artery
peak systolic velocity, MCA-PSV) or preparation for delivery is
warranted.
Question 4
Which fetal acid-base status corresponds to a scalp pH of 7.20
and base excess of -10?
A. Normal
B. Pre-acidotic
C. Metabolic acidosis
D. Respiratory acidosis
Answer: C
Rationale: Normal fetal pH is 7.25–7.35. pH 7.20 with a base
deficit > -8 mEq/L indicates metabolic acidosis from prolonged
hypoxia. Respiratory acidosis would have elevated pCO2 but
normal or near-normal base excess.
4
Actual Exam Test Bank| Complete 300 Real Exam
Questions and Correct Verified Answers/ Graded A+|
AWHONN Advanced FHM Review 2026 (Brand New!!)
Question 1
A laboring patient at 39 weeks has an FHR baseline of 135
bpm, moderate variability, and recurrent late decelerations with
nadir >90 bpm, returning to baseline after each contraction.
Contractions are every 3 minutes, moderate to palpation. Which
is the priority intervention?
A. Immediate cesarean delivery
B. Amnioinfusion
C. Maternal oxygen at 10 L non-rebreather
D. Discontinue oxytocin if infusing
1
,Answer: D
Rationale: Recurrent late decelerations suggest uteroplacental
insufficiency. Discontinuing oxytocin reduces uterine activity,
improving perfusion. Oxygen and amnioinfusion may be
considered later, but stopping the oxytocin is the immediate first
step per AWHONN guidelines.
Question 2
Which FHR characteristic is most predictive of adequate fetal
oxygenation at the time of observation?
A. Baseline rate of 160 bpm
B. Minimal variability with no decelerations
C. Moderate variability and no recurrent decelerations
D. Presence of early decelerations
Answer: C
Rationale: Moderate variability (6–25 bpm) indicates a well-
2
,oxygenated fetal central nervous system. Recurrent decelerations
imply stress; their absence with moderate variability is the most
reassuring combination.
Question 3
A patient has an intrauterine pressure catheter (IUPC) reading
consistent Montevideo units of 220. Contractions occur every 2
minutes and last 90 seconds. FHR shows a sinusoidal pattern
without variability. What should the nurse anticipate?
A. Maternal fever workup
B. Fetal anemia evaluation
C. Administration of terbutaline
D. Increasing oxytocin
Answer: B
Rationale: A sinusoidal pattern (smooth, undulating, stable rate,
absent variability) is associated with fetal anemia, hypoxia, or
3
, acidemia. Immediate evaluation (Doppler middle cerebral artery
peak systolic velocity, MCA-PSV) or preparation for delivery is
warranted.
Question 4
Which fetal acid-base status corresponds to a scalp pH of 7.20
and base excess of -10?
A. Normal
B. Pre-acidotic
C. Metabolic acidosis
D. Respiratory acidosis
Answer: C
Rationale: Normal fetal pH is 7.25–7.35. pH 7.20 with a base
deficit > -8 mEq/L indicates metabolic acidosis from prolonged
hypoxia. Respiratory acidosis would have elevated pCO2 but
normal or near-normal base excess.
4
