AWHONN Intermediate Fetal Monitoring
TEST EXAM 2025 WITH 100% CORRECT
ANSWERS
Which of the following is an extrinsic influence on the FHR? - correct answers ✔✔C. Fetal-placental
circulation
The most highly oxygenated blood in fetal circulation is carried by: - correct answers ✔✔C. Ductus
venosus
If fetal arterial pressure begins to fall below normal levels: - correct answers ✔✔A. Baroreceptors cause
vasoconstriction and increase the FHR
Fetal heart rate variability is defined as fluctuations in the baseline that are irregular in _____ and _____.
- correct answers ✔✔B. Amplitude and frequency
An increase in the fetal heart rate immediately preceding a variable deceleration is caused by: - correct
answers ✔✔A. Occlusion of the umbilical vein
When assessing a FHR tracing, the first step is to: - correct answers ✔✔C. Establish the baseline rate
Which deceleration in the FHR is considered benign and does not require an intervention to correct? -
correct answers ✔✔A. Early deceleration
If the umbilical vein is the only vessel occluded during cord compression - correct answers ✔✔B.
Oxygenated blood may be restricted from being delivered to the fetus
During a fetal sleep cycle, FHR variability is usually ____. - correct answers ✔✔C. Minimal
Uterine tachysystole is defined as: - correct answers ✔✔B. >5 contractions in 10 mind over 30 minutes
, Maternal-fetal oxygen and nutrient transfer takes place in the: - correct answers ✔✔B. intervillous space
During a contraction, the tocodynamometer detects: - correct answers ✔✔A. Pressure created by
tensing of uterine muscle
Normal fetal heart rate baseline is: - correct answers ✔✔C. 110-160 bpm
Following birth, a fetal cord blood sample is taken. The results are:
pH: 6.95
pCO2: 86 mmHg
pO2: 4mmHg
BE: -18.6 mEq/L
These results are best interpreted as: - correct answers ✔✔C. Mixed acidemia
A characteristic of variable decelerations is: - correct answers ✔✔B. The onset of the deceleration is
abrupt
Stimulation of the vagus nerve in a healthy fetus will cause: - correct answers ✔✔A. A decrease in the
fetal heart rate
What is the baseline rate? - correct answers ✔✔B. 145 bpm
What is the correct interpretation? - correct answers ✔✔B. Baseline of 160 bpm with recurrent late
decelerations
What is the primary physiologic goal? - correct answers ✔✔B. Maximize oxygenation
Based on the tracing, the most appropriate interventions are: - correct answers ✔✔B. Decrease oxytocin
from 14 to 7 mU/min and start a 500-mL IVFB.
TEST EXAM 2025 WITH 100% CORRECT
ANSWERS
Which of the following is an extrinsic influence on the FHR? - correct answers ✔✔C. Fetal-placental
circulation
The most highly oxygenated blood in fetal circulation is carried by: - correct answers ✔✔C. Ductus
venosus
If fetal arterial pressure begins to fall below normal levels: - correct answers ✔✔A. Baroreceptors cause
vasoconstriction and increase the FHR
Fetal heart rate variability is defined as fluctuations in the baseline that are irregular in _____ and _____.
- correct answers ✔✔B. Amplitude and frequency
An increase in the fetal heart rate immediately preceding a variable deceleration is caused by: - correct
answers ✔✔A. Occlusion of the umbilical vein
When assessing a FHR tracing, the first step is to: - correct answers ✔✔C. Establish the baseline rate
Which deceleration in the FHR is considered benign and does not require an intervention to correct? -
correct answers ✔✔A. Early deceleration
If the umbilical vein is the only vessel occluded during cord compression - correct answers ✔✔B.
Oxygenated blood may be restricted from being delivered to the fetus
During a fetal sleep cycle, FHR variability is usually ____. - correct answers ✔✔C. Minimal
Uterine tachysystole is defined as: - correct answers ✔✔B. >5 contractions in 10 mind over 30 minutes
, Maternal-fetal oxygen and nutrient transfer takes place in the: - correct answers ✔✔B. intervillous space
During a contraction, the tocodynamometer detects: - correct answers ✔✔A. Pressure created by
tensing of uterine muscle
Normal fetal heart rate baseline is: - correct answers ✔✔C. 110-160 bpm
Following birth, a fetal cord blood sample is taken. The results are:
pH: 6.95
pCO2: 86 mmHg
pO2: 4mmHg
BE: -18.6 mEq/L
These results are best interpreted as: - correct answers ✔✔C. Mixed acidemia
A characteristic of variable decelerations is: - correct answers ✔✔B. The onset of the deceleration is
abrupt
Stimulation of the vagus nerve in a healthy fetus will cause: - correct answers ✔✔A. A decrease in the
fetal heart rate
What is the baseline rate? - correct answers ✔✔B. 145 bpm
What is the correct interpretation? - correct answers ✔✔B. Baseline of 160 bpm with recurrent late
decelerations
What is the primary physiologic goal? - correct answers ✔✔B. Maximize oxygenation
Based on the tracing, the most appropriate interventions are: - correct answers ✔✔B. Decrease oxytocin
from 14 to 7 mU/min and start a 500-mL IVFB.
