AWHONN INTERMEDIATE FETAL MONITORING FINAL 2024-2025 ACTUAL EXAM COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS
Which of the following is an extrinsic influence on the FHR? - (answer) C. Fetal-placental circulation
The most highly oxygenated blood in fetal circulation is carried by: - (answer) C. Ductus venosus
If fetal arterial pressure begins to fall below normal levels: - (answer) A. Baroreceptors cause
vasoconstriction and increase the FHR
Fetal heart rate variability is defined as fluctuations in the baseline that are irregular in _____ and _____.
- (answer) B. Amplitude and frequency
An increase in the fetal heart rate immediately preceding a variable deceleration is caused by: -
(answer) A. Occlusion of the umbilical vein
When assessing a FHR tracing, the first step is to: - (answer) C. Establish the baseline rate
Which deceleration in the FHR is considered benign and does not require an intervention to correct? -
(answer) A. Early deceleration
If the umbilical vein is the only vessel occluded during cord compression - (answer) B. Oxygenated
blood may be restricted from being delivered to the fetus
During a fetal sleep cycle, FHR variability is usually ____. - (answer) C. Minimal
Uterine tachysystole is defined as: - (answer) B. >5 contractions in 10 mind over 30 minutes
Maternal-fetal oxygen and nutrient transfer takes place in the: - (answer) B. intervillous space
During a contraction, the tocodynamometer detects: - (answer) A. Pressure created by tensing of
uterine muscle
, AWHONN INTERMEDIATE FETAL MONITORING FINAL 2024-2025 ACTUAL EXAM COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS
Normal fetal heart rate baseline is: - (answer) 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: - (answer) C. Mixed acidemia
A characteristic of variable decelerations is: - (answer) B. The onset of the deceleration is abrupt
Stimulation of the vagus nerve in a healthy fetus will cause: - (answer) A. A decrease in the fetal heart
rate
What is the baseline rate? - (answer) B. 145 bpm
What is the correct interpretation? - (answer) B. Baseline of 160 bpm with recurrent late decelerations
What is the primary physiologic goal? - (answer) B. Maximize oxygenation
Based on the tracing, the most appropriate interventions are: - (answer) B. Decrease oxytocin from 14
to 7 mU/min and start a 500-mL IVFB.
Which of the following is a correct interpretation of the tracing? - (answer) C. The tracing of uterine
activity requires palpation for accurate assessment
The nurse supports maternal coping to appropriately assist Robin because - (answer) A. Reducing
maternal catecholamine production enhances blood flow to the uterus
AND CORRECT DETAILED ANSWERS
Which of the following is an extrinsic influence on the FHR? - (answer) C. Fetal-placental circulation
The most highly oxygenated blood in fetal circulation is carried by: - (answer) C. Ductus venosus
If fetal arterial pressure begins to fall below normal levels: - (answer) A. Baroreceptors cause
vasoconstriction and increase the FHR
Fetal heart rate variability is defined as fluctuations in the baseline that are irregular in _____ and _____.
- (answer) B. Amplitude and frequency
An increase in the fetal heart rate immediately preceding a variable deceleration is caused by: -
(answer) A. Occlusion of the umbilical vein
When assessing a FHR tracing, the first step is to: - (answer) C. Establish the baseline rate
Which deceleration in the FHR is considered benign and does not require an intervention to correct? -
(answer) A. Early deceleration
If the umbilical vein is the only vessel occluded during cord compression - (answer) B. Oxygenated
blood may be restricted from being delivered to the fetus
During a fetal sleep cycle, FHR variability is usually ____. - (answer) C. Minimal
Uterine tachysystole is defined as: - (answer) B. >5 contractions in 10 mind over 30 minutes
Maternal-fetal oxygen and nutrient transfer takes place in the: - (answer) B. intervillous space
During a contraction, the tocodynamometer detects: - (answer) A. Pressure created by tensing of
uterine muscle
, AWHONN INTERMEDIATE FETAL MONITORING FINAL 2024-2025 ACTUAL EXAM COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS
Normal fetal heart rate baseline is: - (answer) 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: - (answer) C. Mixed acidemia
A characteristic of variable decelerations is: - (answer) B. The onset of the deceleration is abrupt
Stimulation of the vagus nerve in a healthy fetus will cause: - (answer) A. A decrease in the fetal heart
rate
What is the baseline rate? - (answer) B. 145 bpm
What is the correct interpretation? - (answer) B. Baseline of 160 bpm with recurrent late decelerations
What is the primary physiologic goal? - (answer) B. Maximize oxygenation
Based on the tracing, the most appropriate interventions are: - (answer) B. Decrease oxytocin from 14
to 7 mU/min and start a 500-mL IVFB.
Which of the following is a correct interpretation of the tracing? - (answer) C. The tracing of uterine
activity requires palpation for accurate assessment
The nurse supports maternal coping to appropriately assist Robin because - (answer) A. Reducing
maternal catecholamine production enhances blood flow to the uterus
