Advanced Fetal Monitoring EXAM 2025 | ALL CURRENT EXAM VERSIONS 2025 | ACCURATE REAL EXAM QUESTIONS AND ANSWERS | ACCURATE AND VERIFIED FOR GUARANTEED PASS | GRADED A QUESTIONS

1. Limitations to internal EFM include: A. Required ROM B. SVE required C. Slight increased risk of infection D. May half FHR 180 E. May record MHR in the case of a fetal demise F. All of the above G. All except D Correct Answer: F. All of the above Rationale: Internal EFM requires rupture of membranes (ROM), may carry a slight increased risk of infection, may inaccurately record maternal heart rate (MHR), and it could register a heart rate lower than expected. 2. External Fetal Monitoring for uterine activity includes: Correct Answer: Tocodynamometer and Intrauterine Pressure Catheter Rationale: These are the devices used for external monitoring of uterine activity. 3. Limitations of a TOCO include: Correct Answer: May need readjusting and cannot determine intensity or resting tone Rationale: The tocotransducer can shift during monitoring and does not measure the intensity or resting tone of contractions. 4. Limitations of IUPC include: Correct Answer: ROM required, slight increased risk of infection, and (rare) risk of causing placental separation/uterine trauma Rationale: Intrauterine pressure catheter (IUPC) requires rupture of membranes and may introduce infection or other risks, including placental separation. 5. What does legal standard of care mean? Correct Answer: What any professional with the same or similar background, education, and training would do under the same or similar circumstances. Rationale: Legal standard of care is defined by what other professionals with similar training and education would do in a similar situation. 6. Position Statement: FHR monitoring requires ___________________ and __________________ skills. Correct Answer: advanced assessment and clinical judgement Rationale: FHR monitoring requires the ability to assess and make clinical decisions based on that data. 7. Position Statement: FHR monitoring should ___ be delegated to ____________________ or others that do not possess the appropriate licensure, education, and skill validation. Correct Answer: not, unlicensed personnel Rationale: FHR monitoring requires professional expertise and cannot be delegated to unlicensed personnel. 8. Position Statement: Women's __________ and _____________________ should guide selection of FHR monitoring techniques. Correct Answer: preference, and clinical presentation Rationale: A woman’s preferences and clinical condition should determine the choice of monitoring technique. 9. Position Statement: Avoid describing the FHR patterns. Use _____ terminology. Correct Answer: NICHD Rationale: The National Institute of Child Health and Human Development (NICHD) provides standard terminology for describing fetal heart rate patterns. 10. Position Statement: It is within the scope of practice of the nurse to implement customary _____________ in response to FHR ____________ and ___________________. Correct Answer: interventions, monitoring data, and clinical assessment Rationale: Nurses are responsible for implementing interventions based on monitoring and clinical data. 11. Position Statement: Interprofessional policies should support the RN in making decisions regarding fetal monitoring practice and _________________________ when appropriate to maternal and fetal conditions. Correct Answer: intervening independently Rationale: Nurses should be supported in making independent decisions when necessary for maternal and fetal health. 12. Position Statement: Chain of Authority (command) is used to _________ the best interests of the _____, ____, and members of the ________________. Correct Answer: safeguard, woman, baby, health care team Rationale: The chain of command ensures the well-being of the woman, fetus, and healthcare team members. 13. What are suggestions for conflict resolution? Correct Answer: Consult with a colleague, discuss concerns with provider, discuss concerns with nurse manager/supervisor, follow chain of command Rationale: Resolving conflicts in healthcare requires communication with colleagues and supervisors and following the chain of command. 14. Orders should be... Correct Answer: Specific and understandable Rationale: Orders must be clear to ensure proper action and understanding. 15. There should be a systematic assessment of woman and fetus. When an abnormal finding occurs, assessment and plans should be... Correct Answer: determined and documented Rationale: Abnormal findings must be addressed with clear plans and documentation. 16. Documentation should occur ____________ when utilizing auscultation, as there is no __________ record. Correct Answer: concurrently and electronic Rationale: Documentation should happen in real-time to avoid inaccuracies and ensure the electronic record is accurate. 17. Any communication with any provider should be... Correct Answer: Documented! Rationale: Communication with healthcare providers must always be documented to ensure a clear record of care. 18. Two limitations of the ultrasound transducer are: A. It is invasive and can cause infection B. It may half-count the FHR and it can double-count the FHR C. It will not count MHR and record maternal respirations Correct Answer: B. It may half-count the FHR and it can double-count the FHR Rationale: The ultrasound transducer can miscount the fetal heart rate, either by halving or doubling it.