AWHONN INTERMEDIATE FETAL MONITORING
FINAL EXAM 2024-2025 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS |ALREADY GRADED
A+|NEWEST|GUARANTEED PASS |LATEST UPDATE
What category is this tracing?
Category II
Approximately 1 hour later, Shelby reports feeling increased perineal pressure. The nurse checks
Shelby’s cervix and notes that it is completely dilated with the presenting vertex at +2 station. The nurse
updates the provider and then returns to Shelby’s room to assist her with the second stage of labor.
Assess the tracing which occurs after approximately 15 minutes of pushing:
What is the baseline rate?
Unable to determine
Based on your observation of the tracing, what action(s) is (are) required?
Palpate Shelby's radial pulse to verify maternal vs. fetal heart rate
Which statement most accurately reflects the EFM tracing?
Maternal and fetal heart rates should be verified.
A tight nuchal cord x 2 is noted after delivery of the baby's head.
Which pattern in the fetal heart rate would increase suspicion of a nuchal cord?
Variable decelerations
Shelby delivers a male infant with Apgar scores of 2 and 3. Umbilical arterial cord blood gas results are:
pH: 6.92
pCO2: 79
pO2: 11
BE: -7.6
What is the correct interpretation of the cord blood gas?
Respiratory acidemia
Which of the following is an extrinsic influence on the FHR?
The most highly oxygenated blood in fetal circulation is carried by
1|Page
, ductus venosus
If fetal arterial pressure begins to fall below normal levels
baroreceptors cause vasoconstriction and increase FHR
Fetal heart rate variability is defined as fluctuations in the baseline that are irregular in _________ and
__________.
amplitude and frequency
An increase in FHR immediately preceding a variable deceleration is caused by:
occlusion of the umbilical vein
When assessing a FHR tracing, the first step is to
establish a baseline rate
Which deceleration in the FHR is considered benign and does not require an intervention to correct?
early deceleration
If the umbilical vein is the only vessel occluded during cord compression
oxygenated blood may be restricted from being delivered to the fetus
During fetal sleep cycle, FHR variability is usually
minimal
Uterine tachysystole is defined as
< 5 contractions in 10 minutes averaged over 30 minutes
Maternal-fetal oxygen and nutrient transfer takes place in the
intervillous space
During a contraction, the toco detects
pressure created by the tensing of uterine muscles
Normal FHR baseline is
110-160
Following birth, a fetal cord blood sample is taken. The results are:
pH: 6.95
pCO2: 86 mmHg
pO2: 4 mmHg
BE: -18.6 mEq/L
These results are best interpreted as:
mixed acidemia
2|Page
FINAL EXAM 2024-2025 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS |ALREADY GRADED
A+|NEWEST|GUARANTEED PASS |LATEST UPDATE
What category is this tracing?
Category II
Approximately 1 hour later, Shelby reports feeling increased perineal pressure. The nurse checks
Shelby’s cervix and notes that it is completely dilated with the presenting vertex at +2 station. The nurse
updates the provider and then returns to Shelby’s room to assist her with the second stage of labor.
Assess the tracing which occurs after approximately 15 minutes of pushing:
What is the baseline rate?
Unable to determine
Based on your observation of the tracing, what action(s) is (are) required?
Palpate Shelby's radial pulse to verify maternal vs. fetal heart rate
Which statement most accurately reflects the EFM tracing?
Maternal and fetal heart rates should be verified.
A tight nuchal cord x 2 is noted after delivery of the baby's head.
Which pattern in the fetal heart rate would increase suspicion of a nuchal cord?
Variable decelerations
Shelby delivers a male infant with Apgar scores of 2 and 3. Umbilical arterial cord blood gas results are:
pH: 6.92
pCO2: 79
pO2: 11
BE: -7.6
What is the correct interpretation of the cord blood gas?
Respiratory acidemia
Which of the following is an extrinsic influence on the FHR?
The most highly oxygenated blood in fetal circulation is carried by
1|Page
, ductus venosus
If fetal arterial pressure begins to fall below normal levels
baroreceptors cause vasoconstriction and increase FHR
Fetal heart rate variability is defined as fluctuations in the baseline that are irregular in _________ and
__________.
amplitude and frequency
An increase in FHR immediately preceding a variable deceleration is caused by:
occlusion of the umbilical vein
When assessing a FHR tracing, the first step is to
establish a baseline rate
Which deceleration in the FHR is considered benign and does not require an intervention to correct?
early deceleration
If the umbilical vein is the only vessel occluded during cord compression
oxygenated blood may be restricted from being delivered to the fetus
During fetal sleep cycle, FHR variability is usually
minimal
Uterine tachysystole is defined as
< 5 contractions in 10 minutes averaged over 30 minutes
Maternal-fetal oxygen and nutrient transfer takes place in the
intervillous space
During a contraction, the toco detects
pressure created by the tensing of uterine muscles
Normal FHR baseline is
110-160
Following birth, a fetal cord blood sample is taken. The results are:
pH: 6.95
pCO2: 86 mmHg
pO2: 4 mmHg
BE: -18.6 mEq/L
These results are best interpreted as:
mixed acidemia
2|Page
