AWHONN ADVANCED FETAL MONITORING EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) Q&A 2027 |INSTANT DOWNLOAD PDF
1. Which finding best describes a normal fetal heart rate (FHR)
baseline at term?
A. 90–110 bpm
B. 100–120 bpm
C. 110–160 bpm
D. 160–190 bpm
Answer: C. 110–160 bpm
Rationale: The normal baseline FHR for a fetus is generally
110–160 bpm, determined over a 10-minute window.
2. FHR baseline should be assessed over which period?
A. 2 minutes
B. 5 minutes
C. 10 minutes
D. 30 minutes
Answer: C. 10 minutes
Rationale: Baseline is the approximate mean FHR rounded to
increments of 5 bpm during a 10-minute window, excluding
marked variability, accelerations, and decelerations.
,3. Which finding represents moderate fetal heart rate
variability?
A. Undetectable amplitude
B. 1–5 bpm
C. 6–25 bpm
D. Greater than 25 bpm
Answer: C. 6–25 bpm
Rationale: Moderate variability is defined as 6–25 bpm and is
generally reassuring regarding fetal neurologic function and
oxygenation.
4. Which FHR characteristic is most strongly associated with
an intact fetal autonomic nervous system?
A. Baseline tachycardia
B. Moderate variability
C. Prolonged deceleration
D. Absent variability
Answer: B. Moderate variability
Rationale: Moderate variability reflects interaction between
the sympathetic and parasympathetic nervous systems and is
an important reassuring sign.
,5. An acceleration in a fetus at 32 weeks is generally defined
as an increase of at least:
A. 5 bpm for 10 seconds
B. 10 bpm for 10 seconds
C. 15 bpm for 15 seconds
D. 20 bpm for 20 seconds
Answer: C. 15 bpm for 15 seconds
Rationale: At ≥32 weeks, an acceleration is typically ≥15 bpm
above baseline lasting ≥15 seconds but <2 minutes.
6. Which acceleration criterion applies before 32 weeks of
gestation?
A. 5 × 5
B. 10 × 10
C. 15 × 15
D. 20 × 20
Answer: B. 10 × 10
Rationale: Before 32 weeks, accelerations are generally defined
as ≥10 bpm above baseline for ≥10 seconds.
7. Which FHR pattern is most reassuring?
A. Absent variability with recurrent late decelerations
B. Moderate variability with accelerations
, C. Minimal variability with recurrent variable decelerations
D. Bradycardia with absent variability
Answer: B. Moderate variability with accelerations
Rationale: Moderate variability and accelerations are strong
indicators of adequate fetal oxygenation and neurologic
responsiveness.
8. A fetal heart rate of 165 bpm lasting 12 minutes is best
classified as:
A. Normal baseline
B. Fetal bradycardia
C. Fetal tachycardia
D. Prolonged acceleration
Answer: C. Fetal tachycardia
Rationale: A baseline above 160 bpm for at least 10 minutes is
considered tachycardia.
9. Which maternal condition can contribute to fetal
tachycardia?
A. Maternal hypothermia
B. Maternal fever
C. Maternal bradycardia
D. Maternal hypoglycemia only
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) Q&A 2027 |INSTANT DOWNLOAD PDF
1. Which finding best describes a normal fetal heart rate (FHR)
baseline at term?
A. 90–110 bpm
B. 100–120 bpm
C. 110–160 bpm
D. 160–190 bpm
Answer: C. 110–160 bpm
Rationale: The normal baseline FHR for a fetus is generally
110–160 bpm, determined over a 10-minute window.
2. FHR baseline should be assessed over which period?
A. 2 minutes
B. 5 minutes
C. 10 minutes
D. 30 minutes
Answer: C. 10 minutes
Rationale: Baseline is the approximate mean FHR rounded to
increments of 5 bpm during a 10-minute window, excluding
marked variability, accelerations, and decelerations.
,3. Which finding represents moderate fetal heart rate
variability?
A. Undetectable amplitude
B. 1–5 bpm
C. 6–25 bpm
D. Greater than 25 bpm
Answer: C. 6–25 bpm
Rationale: Moderate variability is defined as 6–25 bpm and is
generally reassuring regarding fetal neurologic function and
oxygenation.
4. Which FHR characteristic is most strongly associated with
an intact fetal autonomic nervous system?
A. Baseline tachycardia
B. Moderate variability
C. Prolonged deceleration
D. Absent variability
Answer: B. Moderate variability
Rationale: Moderate variability reflects interaction between
the sympathetic and parasympathetic nervous systems and is
an important reassuring sign.
,5. An acceleration in a fetus at 32 weeks is generally defined
as an increase of at least:
A. 5 bpm for 10 seconds
B. 10 bpm for 10 seconds
C. 15 bpm for 15 seconds
D. 20 bpm for 20 seconds
Answer: C. 15 bpm for 15 seconds
Rationale: At ≥32 weeks, an acceleration is typically ≥15 bpm
above baseline lasting ≥15 seconds but <2 minutes.
6. Which acceleration criterion applies before 32 weeks of
gestation?
A. 5 × 5
B. 10 × 10
C. 15 × 15
D. 20 × 20
Answer: B. 10 × 10
Rationale: Before 32 weeks, accelerations are generally defined
as ≥10 bpm above baseline for ≥10 seconds.
7. Which FHR pattern is most reassuring?
A. Absent variability with recurrent late decelerations
B. Moderate variability with accelerations
, C. Minimal variability with recurrent variable decelerations
D. Bradycardia with absent variability
Answer: B. Moderate variability with accelerations
Rationale: Moderate variability and accelerations are strong
indicators of adequate fetal oxygenation and neurologic
responsiveness.
8. A fetal heart rate of 165 bpm lasting 12 minutes is best
classified as:
A. Normal baseline
B. Fetal bradycardia
C. Fetal tachycardia
D. Prolonged acceleration
Answer: C. Fetal tachycardia
Rationale: A baseline above 160 bpm for at least 10 minutes is
considered tachycardia.
9. Which maternal condition can contribute to fetal
tachycardia?
A. Maternal hypothermia
B. Maternal fever
C. Maternal bradycardia
D. Maternal hypoglycemia only
