AWHONN INTERMEDIATE FETAL
MONITORING QUESTIONS | TESTED AND TRIED
ANSWERS | LATEST UPDATE 2024/2025 100%
(GRADE A+)
If fetal arterial pressure begins to fall below normal levels:
Ans>> 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?
Ans>> Fetal-placental circulation
Fetal heart rate vaiability is definded as fluctuations in the baseline that are irregular in
Ans>> AMPLITUDE and FREQUENCY
The most highly oxygenated blood in fetal circulation is carried by:
Ans>> Ductus venosus
1
, An increase in the fetal heart rate immediately preceding a variable deceleration is caused by:
Ans>> 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
Ans>> Estabilish the baseline rate
Which deceleration in the FHR is considered benign and does not require an intervention to
correct?
Ans>> Early deceleration
If the umbilical vein is the only vessel occluded during cord compression
2
MONITORING QUESTIONS | TESTED AND TRIED
ANSWERS | LATEST UPDATE 2024/2025 100%
(GRADE A+)
If fetal arterial pressure begins to fall below normal levels:
Ans>> 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?
Ans>> Fetal-placental circulation
Fetal heart rate vaiability is definded as fluctuations in the baseline that are irregular in
Ans>> AMPLITUDE and FREQUENCY
The most highly oxygenated blood in fetal circulation is carried by:
Ans>> Ductus venosus
1
, An increase in the fetal heart rate immediately preceding a variable deceleration is caused by:
Ans>> 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
Ans>> Estabilish the baseline rate
Which deceleration in the FHR is considered benign and does not require an intervention to
correct?
Ans>> Early deceleration
If the umbilical vein is the only vessel occluded during cord compression
2
