AWHONN Intermediate Fetal Monitoring EXAM AND
PRACTICE EXAM NEWEST ACTUAL EXAM
COMPLETE 140+ QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
If fetal arterial pressure begins to fall below normal levels: -
CORRECT ANSWER A. BARORECEPTORS CAUSE
VASOCONSTRICTION AND INCREASE THE FHR
An increase in arterial blood pressure produces vessel distension and
causes arterial baroreceptors to send neuronal messages to the
cardioinhibitory center, which in turn causes rapid slowing of the fetal
heart rate via the parasympathetic vagus nerve. A decrease in arterial
pressure results in an increased heart rate.
Source: https://perigen.com/what-regulates-fetal-heart-rate/
Which of the following is an extrinsic influence on the FHR? -
CORRECT ANSWER Fetal-placental circulation
Fetal heart rate vaiability is definded as fluctuations in the baseline
that are irregular in - CORRECT ANSWER AMPLITUDE and
FREQUENCY
The most highly oxygenated blood in fetal circulation is carried by: -
CORRECT ANSWER Ductus venosus
An increase in the fetal heart rate immediately preceding a variable
deceleration is caused by: - CORRECT ANSWER Occlusion of the
umbilical vein
,The etiology of variable decelerations is likely related to umbilical
venous and arterial occlusion. Initially, with occlusion of the thin-
walled umbilical vein, venous return to the fetal right atrium is
reduced, producing a reflex tachycardia. This pattern often is
observed as a shoulder on the FHR monitor strip immediately before
the abrupt variable FHR deceleration
Source: https://www.glowm.com/section-
view/heading/Intrapartum%20Fetal%20Monitoring/item/202#
When assessing a FHR tracing, the first step is to - CORRECT
ANSWER Estabilish the baseline rate
Which deceleration in the FHR is considered benign and does not
require an intervention to correct? - CORRECT ANSWER Early
deceleration
If the umbilical vein is the only vessel occluded during cord
compression - CORRECT ANSWER Deoxygenated blood cannot be
removed from fetal circulation
During umbilical cord compression, the vein on the umbilical cord
becomes compressed leading to CO2 (carbon dioxide) to accumulate
in your baby's blood, which produces respiratory acidosis.
Source: https://americanpregnancy.org/healthy-pregnancy/pregnancy-
complications/umbilical-cord-prolapse/
During a fetal sleep cycle, FHR variability is usually - CORRECT
ANSWER minimal
uterine tachysystole is defined as - CORRECT ANSWER >5
contractions in 10 minutes averaged over 30 minutes
110-160 - CORRECT ANSWER normal fetal heart rate range
infection, low o2, young - CORRECT ANSWER what could it mean
if FHR is high
, post date pregnancy - CORRECT ANSWER what could it mean if
FHR is low
sonogram - CORRECT ANSWER what is the number one way to
know a babies age
amnioinfusion - CORRECT ANSWER what do you do if theres low
amniotic fluid, variable decels
kidneys, low urine output, low amniotic fluid - CORRECT ANSWER
if baby is stressed, the baby will divert the blood flow to the brain,
heart, and adrenals. this organ won't get good blood flow which will
lead to what?
2 - CORRECT ANSWER what category tracing is absent variability
without decels
3 - CORRECT ANSWER what category tracing is absent variability
with decels
extrinsic - CORRECT ANSWER influences on fetal heart patterns
that are outside the fetus
extrinsic - CORRECT ANSWER what type of influences are
associated with maternal-fetal exchange:
-placenta
-maternal utero placental circulation
-fetal placental circulation
-placental transfer
-uterine blood flow
-umbilical cord
-amniotic fluid
intervillous space - CORRECT ANSWER ALL transfer takes place
here
PRACTICE EXAM NEWEST ACTUAL EXAM
COMPLETE 140+ QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
If fetal arterial pressure begins to fall below normal levels: -
CORRECT ANSWER A. BARORECEPTORS CAUSE
VASOCONSTRICTION AND INCREASE THE FHR
An increase in arterial blood pressure produces vessel distension and
causes arterial baroreceptors to send neuronal messages to the
cardioinhibitory center, which in turn causes rapid slowing of the fetal
heart rate via the parasympathetic vagus nerve. A decrease in arterial
pressure results in an increased heart rate.
Source: https://perigen.com/what-regulates-fetal-heart-rate/
Which of the following is an extrinsic influence on the FHR? -
CORRECT ANSWER Fetal-placental circulation
Fetal heart rate vaiability is definded as fluctuations in the baseline
that are irregular in - CORRECT ANSWER AMPLITUDE and
FREQUENCY
The most highly oxygenated blood in fetal circulation is carried by: -
CORRECT ANSWER Ductus venosus
An increase in the fetal heart rate immediately preceding a variable
deceleration is caused by: - CORRECT ANSWER Occlusion of the
umbilical vein
,The etiology of variable decelerations is likely related to umbilical
venous and arterial occlusion. Initially, with occlusion of the thin-
walled umbilical vein, venous return to the fetal right atrium is
reduced, producing a reflex tachycardia. This pattern often is
observed as a shoulder on the FHR monitor strip immediately before
the abrupt variable FHR deceleration
Source: https://www.glowm.com/section-
view/heading/Intrapartum%20Fetal%20Monitoring/item/202#
When assessing a FHR tracing, the first step is to - CORRECT
ANSWER Estabilish the baseline rate
Which deceleration in the FHR is considered benign and does not
require an intervention to correct? - CORRECT ANSWER Early
deceleration
If the umbilical vein is the only vessel occluded during cord
compression - CORRECT ANSWER Deoxygenated blood cannot be
removed from fetal circulation
During umbilical cord compression, the vein on the umbilical cord
becomes compressed leading to CO2 (carbon dioxide) to accumulate
in your baby's blood, which produces respiratory acidosis.
Source: https://americanpregnancy.org/healthy-pregnancy/pregnancy-
complications/umbilical-cord-prolapse/
During a fetal sleep cycle, FHR variability is usually - CORRECT
ANSWER minimal
uterine tachysystole is defined as - CORRECT ANSWER >5
contractions in 10 minutes averaged over 30 minutes
110-160 - CORRECT ANSWER normal fetal heart rate range
infection, low o2, young - CORRECT ANSWER what could it mean
if FHR is high
, post date pregnancy - CORRECT ANSWER what could it mean if
FHR is low
sonogram - CORRECT ANSWER what is the number one way to
know a babies age
amnioinfusion - CORRECT ANSWER what do you do if theres low
amniotic fluid, variable decels
kidneys, low urine output, low amniotic fluid - CORRECT ANSWER
if baby is stressed, the baby will divert the blood flow to the brain,
heart, and adrenals. this organ won't get good blood flow which will
lead to what?
2 - CORRECT ANSWER what category tracing is absent variability
without decels
3 - CORRECT ANSWER what category tracing is absent variability
with decels
extrinsic - CORRECT ANSWER influences on fetal heart patterns
that are outside the fetus
extrinsic - CORRECT ANSWER what type of influences are
associated with maternal-fetal exchange:
-placenta
-maternal utero placental circulation
-fetal placental circulation
-placental transfer
-uterine blood flow
-umbilical cord
-amniotic fluid
intervillous space - CORRECT ANSWER ALL transfer takes place
here
