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AWHONN Intermediate Fetal Monitoring – Practice Exam Questions with Answers

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This document contains a full set of AWHONN Intermediate Fetal Monitoring exam practice questions with correct answers. It covers key topics such as fetal heart rate variability, fetal circulation, types of decelerations, vagus nerve stimulation, umbilical cord compression, uterine activity, and interpretation of fetal blood gas results. Ideal for nurses and midwives preparing for AWHONN certification or clinical application, this resource offers concise explanations alongside evidence-based answers.

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AWHONN Intermediate Fetal Monitoring
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AWHONN Intermediate Fetal Monitoring

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Uploaded on
June 9, 2025
Number of pages
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Written in
2024/2025
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AWHONN INTERMEDIATE FETAL MONITORING
EXAM QUESTIONS AND CORRECT ANSWERS




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




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-

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