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AWHONN Intermediate Fetal Monitoring Test Questions and Correct Answers

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Comprehensive AWHONN Intermediate Fetal Monitoring practice questions and correct answers designed to help nurses review fetal heart rate monitoring concepts and prepare for competency assessments. Topics may include fetal heart rate patterns, baseline characteristics, variability, accelerations, decelerations, uterine activity, interpretation of electronic fetal monitoring, clinical interventions, and maternal-fetal assessment.

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AWHONN INTERMEDIATE FETAL MONITORING
TEST QUESTIONS AND CORRECT ASWERS (VERIFIED
ANSWERS) Q7A 2026/2027 |INSTANT DOWNLOAD
PDF

1. Which fetal heart rate (FHR) range is generally considered
the normal baseline for a term fetus?
A. 80–100 bpm
B. 100–110 bpm
C. 110–160 bpm
D. 160–190 bpm
Rationale: A normal fetal heart rate baseline is typically 110–
160 bpm.
Correct answer: C. 110–160 bpm
2. How is fetal heart rate baseline determined?
A. Over a 2-minute period
B. Over a 5-minute period
C. Over a 10-minute period
D. Over a 30-minute period
Rationale: Baseline is determined over a 10-minute window,
excluding marked variability, periodic or episodic changes, and
periods of significant change.
Correct answer: C. Over a 10-minute period

,3. Which finding represents fetal tachycardia?
A. Baseline of 90 bpm
B. Baseline of 105 bpm
C. Baseline of 145 bpm
D. Baseline of 170 bpm
Rationale: Fetal tachycardia is a baseline FHR greater than 160
bpm for at least 10 minutes.
Correct answer: D. Baseline of 170 bpm
4. Which finding represents fetal bradycardia?
A. 105 bpm for 12 minutes
B. 115 bpm for 5 minutes
C. 125 bpm for 10 minutes
D. 145 bpm for 10 minutes
Rationale: Fetal bradycardia is a baseline less than 110 bpm for
at least 10 minutes.
Correct answer: A. 105 bpm for 12 minutes
5. Which component of the FHR tracing provides important
information about fetal neurologic function?
A. Baseline
B. Variability
C. Contraction frequency
D. Uterine resting tone

,Rationale: FHR variability reflects the interaction between the
fetal autonomic nervous system and cardiac control and is an
important indicator of fetal well-being.
Correct answer: B. Variability
6. Which description best represents moderate variability?
A. Undetectable
B. 1–5 bpm
C. 6–25 bpm
D. Greater than 30 bpm
Rationale: Moderate variability is 6–25 bpm.
Correct answer: C. 6–25 bpm
7. Absent variability means:
A. FHR fluctuations are 1–5 bpm
B. FHR fluctuations are 6–25 bpm
C. No detectable fluctuations in the FHR
D. Fluctuations greater than 25 bpm
Rationale: Absent variability means there is no detectable
variation in the FHR.
Correct answer: C. No detectable fluctuations in the FHR
8. Which variability is considered reassuring when present
with a normal baseline?
A. Absent
B. Minimal

, C. Moderate
D. Sinusoidal
Rationale: Moderate variability is one of the most reassuring
characteristics of fetal oxygenation and neurologic status.
Correct answer: C. Moderate
9. What is a key characteristic of a variable deceleration?
A. Gradual onset and recovery associated with contractions
B. Abrupt decrease in FHR
C. Increase in FHR lasting 2 minutes
D. Constant FHR without fluctuation
Rationale: Variable decelerations have an abrupt onset and
recovery and are commonly associated with umbilical cord
compression.
Correct answer: B. Abrupt decrease in FHR
10. Which type of deceleration is classically associated with
uteroplacental insufficiency?
A. Early
B. Variable
C. Late
D. Acceleratory
Rationale: Late decelerations are associated with impaired
uteroplacental oxygen transfer.
Correct answer: C. Late

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