AWHONN Intermediate Fetal Monitoring Questions With Correct Answers

AWHONN Intermediate Fetal Monitoring Questions With
Correct Answers 2025-2026


AWHONN Intermediate Fetal Monitoring Questions With
Correct Answers 2025-2026


Which of the following is an extrinsic influence on the FHR? - ANSWER>>C.
Fetalplacental 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

, AWHONN Intermediate Fetal Monitoring Questions With
Correct Answers 2025-2026

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


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

, AWHONN Intermediate Fetal Monitoring Questions With
Correct Answers 2025-2026


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


Describe the type of variability seen in the majority of the tracing. - ANSWER>>C.
Absent


Identify appropriate interventions to implement based on this tracing. - ANSWER>>B.
Palpate uterus, adjust toco, assist patient to lateral position.


What does the EFM tracing above and the observed patient assessment raise your
suspicion of? - ANSWER>>B. Placental abruption


What is the physiologic goal of top priority for Robin? - ANSWER>>A. Maximize
oxygenation


What bedside interventions are important at this time? - ANSWER>>C. Notify provider
of vaginal bleeding, EFM tracing, and request presence at the bedside.


If the nurse does not get the appropriate response from the provider, the next step is -
ANSWER>>B. Activate the chain of communication (command)