AWHONN Intermediate Fetal Monitoring
Exam Graded A+ (Verified)
An increase in the fetal heart rate immediately preceding a variable deceleration is
caused by: - ANSWER-A. Occlusion of the umbilical vein
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.
Based on your observation of the tracing, what action(s) is (are) required? - ANSWER-
B. Palpate Shelby's radial pulse to verify maternal vs. fetal heart rate
Describe the type of variability seen in the majority of the tracing. - ANSWER-C. Absent
Did the fetal monitor tracing prior to delivery accurately predict the cor - ANSWER-A>
Yes, the presence of moderate variability rules out the metabolic acidemia.
During a contraction, the tocodynamometer detects: - ANSWER-A. Pressure created by
tensing of uterine muscle
During a fetal sleep cycle, FHR variability is usually ____. - ANSWER-C. Minimal
Fetal heart rate variability is defined as fluctuations in the baseline that are irregular in
_____ and _____. - ANSWER-B. Amplitude and frequency
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
Identify appropriate interventions to implement based on this tracing. - ANSWER-B.
Palpate uterus, adjust toco, assist patient to lateral position.
If fetal arterial pressure begins to fall below normal levels: - ANSWER-A. Baroreceptors
cause vasoconstriction and increase the FHR
If the nurse does not get the appropriate response from the provider, the next step is -
ANSWER-B. Activate the chain of communication (command)
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
Exam Graded A+ (Verified)
An increase in the fetal heart rate immediately preceding a variable deceleration is
caused by: - ANSWER-A. Occlusion of the umbilical vein
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.
Based on your observation of the tracing, what action(s) is (are) required? - ANSWER-
B. Palpate Shelby's radial pulse to verify maternal vs. fetal heart rate
Describe the type of variability seen in the majority of the tracing. - ANSWER-C. Absent
Did the fetal monitor tracing prior to delivery accurately predict the cor - ANSWER-A>
Yes, the presence of moderate variability rules out the metabolic acidemia.
During a contraction, the tocodynamometer detects: - ANSWER-A. Pressure created by
tensing of uterine muscle
During a fetal sleep cycle, FHR variability is usually ____. - ANSWER-C. Minimal
Fetal heart rate variability is defined as fluctuations in the baseline that are irregular in
_____ and _____. - ANSWER-B. Amplitude and frequency
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
Identify appropriate interventions to implement based on this tracing. - ANSWER-B.
Palpate uterus, adjust toco, assist patient to lateral position.
If fetal arterial pressure begins to fall below normal levels: - ANSWER-A. Baroreceptors
cause vasoconstriction and increase the FHR
If the nurse does not get the appropriate response from the provider, the next step is -
ANSWER-B. Activate the chain of communication (command)
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
