AWHONN Advanced FHM (Fetal Heart
Monitoring) Course Exam 2025–2026 Accurate
Real Exam Questions and Verified Correct
Answers JUST RELEASED
What are the possible implications of an oligohydramnios for labor? - answer>>>Potential
umbilical cord compression
If Nell's low-lying placenta had not resolved prior to labor and she experienced a large amount of
bright red vaginal bleeding, possibly indicating hemorrhage, what FHM characteristic could occur?
- answer>>>Sinusoidal FHR pattern
What clinical intervention is supported by Nell's gestational age and risk factors? -
answer>>>Continuous EFM monitoring throughout the night
The prostaglandin was removed at 0600 and Nell took a shower and ate a light breakfast. An
oxytocin infusion was then initiated at 2 mU/min. From 0730 to 0900 the FHR baseline was 150
bpm, moderate variability, occasional periodic variable decelerations and contractions every 2-5
minutes lasting 30-60 second, mild to moderate by palpation. Nell was coping well and reported
her pain as a 2 on a scale of 1-10 during contractions. SVE 2/80/-2. Vital signs: 108/67, HR 119, RR
16, and T 98.2F (36.8C). Oxytocin was infusing at 10 mU/min. At 0925 Nell's provider performed
AROM with return of thick, particulate yellow-green meconium. A fetal spiral electrode was
, placed. Refer to tracing B-1. Based on review of the tracing, the nurse's primary intervention is: -
answer>>>Auscultate the FHR with a doppler to confirm arrhythmia
Refer to tracing B-1. In Nell's tracing, what do the FHR spikes likely represent? - answer>>>FHR
arrhythmia or artifact
Refer to tracing B-1. Which is a correct interpretation of Nell's tracing? - answer>>>Normal
baseline rate and possible arrhythmia
How could a fetal arrhythmia affect fetal oxygenation? - answer>>>By reducing fetal perfusion
Fetal hydrops may present on ultrasound as fetal scalp edema and increased abdominal fluid as a
result of which fetal condition? - answer>>>Congestive heart failure
The FSE was removed due to the increased challenges evaluating the tracing with the arrhythmia.
At 1030, oxytocin was infusing at 13 mU/min and SVE was 2-3/90//-2. Nell's vital signs were
100/66, HR 122, RR 18, T 101.2F (38.4C). She has not voided and was offered a bedpan. Nell
voided 350 mL of amber colored urine. Refer to tracing B-2. What would increase oxygen
consumption in Nell's fetus? - answer>>>Hyperthermia
Refer to tracing B-2. What is the correct interpretation of fetal oxygenation status from this
tracing? - answer>>>The FHR characteristics are indicative of an indeterminate status
Monitoring) Course Exam 2025–2026 Accurate
Real Exam Questions and Verified Correct
Answers JUST RELEASED
What are the possible implications of an oligohydramnios for labor? - answer>>>Potential
umbilical cord compression
If Nell's low-lying placenta had not resolved prior to labor and she experienced a large amount of
bright red vaginal bleeding, possibly indicating hemorrhage, what FHM characteristic could occur?
- answer>>>Sinusoidal FHR pattern
What clinical intervention is supported by Nell's gestational age and risk factors? -
answer>>>Continuous EFM monitoring throughout the night
The prostaglandin was removed at 0600 and Nell took a shower and ate a light breakfast. An
oxytocin infusion was then initiated at 2 mU/min. From 0730 to 0900 the FHR baseline was 150
bpm, moderate variability, occasional periodic variable decelerations and contractions every 2-5
minutes lasting 30-60 second, mild to moderate by palpation. Nell was coping well and reported
her pain as a 2 on a scale of 1-10 during contractions. SVE 2/80/-2. Vital signs: 108/67, HR 119, RR
16, and T 98.2F (36.8C). Oxytocin was infusing at 10 mU/min. At 0925 Nell's provider performed
AROM with return of thick, particulate yellow-green meconium. A fetal spiral electrode was
, placed. Refer to tracing B-1. Based on review of the tracing, the nurse's primary intervention is: -
answer>>>Auscultate the FHR with a doppler to confirm arrhythmia
Refer to tracing B-1. In Nell's tracing, what do the FHR spikes likely represent? - answer>>>FHR
arrhythmia or artifact
Refer to tracing B-1. Which is a correct interpretation of Nell's tracing? - answer>>>Normal
baseline rate and possible arrhythmia
How could a fetal arrhythmia affect fetal oxygenation? - answer>>>By reducing fetal perfusion
Fetal hydrops may present on ultrasound as fetal scalp edema and increased abdominal fluid as a
result of which fetal condition? - answer>>>Congestive heart failure
The FSE was removed due to the increased challenges evaluating the tracing with the arrhythmia.
At 1030, oxytocin was infusing at 13 mU/min and SVE was 2-3/90//-2. Nell's vital signs were
100/66, HR 122, RR 18, T 101.2F (38.4C). She has not voided and was offered a bedpan. Nell
voided 350 mL of amber colored urine. Refer to tracing B-2. What would increase oxygen
consumption in Nell's fetus? - answer>>>Hyperthermia
Refer to tracing B-2. What is the correct interpretation of fetal oxygenation status from this
tracing? - answer>>>The FHR characteristics are indicative of an indeterminate status
