AWHONN FETAL HEART RATE MONITORING ACTUAL EXAM 2025|
142 QUESTIONS WITH VERIFIED CORRECT ANSWERS
What is the definition of moderate variability in fetal heart rate
monitoring?
A fluctuation of 6 to 25 beats per minute in the fetal heart rate
A fluctuation of less than 5 beats per minute in the fetal heart rate
A fluctuation of more than 25 beats per minute in the fetal heart
rate A consistent fetal heart rate with no fluctuations
1. If Olivia's fetal heart rate were to drop to 120 bpm, what nursing
interventions might be appropriate to ensure fetal well-being during
labor?
Increase maternal fluid intake and reposition the mother.
Administer pain relief medication
immediately. Prepare for an emergency
cesarean section.
Encourage the mother to push harder during contractions.
2. A nurse observes minimal FHR variability during a routine
monitoring session. Considering the context of fetal sleep cycles,
what should the nurse's next step be in assessing the fetal
condition?
, Increase the frequency of monitoring
Document the finding and continue monitoring
Notify the physician
immediately Administer oxygen
to the mother
3. If a patient exhibits late decelerations in fetal heart rate while having a
cervix at 8-9 cm dilated, what nursing interventions should be
prioritized to ensure fetal well-being?
Encourage the patient to push immediately.
, Increase maternal fluid intake and reposition the patient.
Administer oxytocin to enhance
contractions. Prepare for an emergency
cesarean section.
4. A G2P2 delivered 30 mins ago NSVD has large amount bright red
vaginal bleeding what is the priority action?
Notify physician
Encourage breast
feed Monitor vitals
Provide fundal massage
5. A 32-year-old woman, gravida 2 para 1, at 39 weeks gestation is
admitted for active labor. She has regular fetal movements.
Temperature is 37.2°C (99°F), blood pressure is 118/60 mm Hg, and
pulse is 86/min. The cervix is 7 cm dilated and 80% effaced, and the
fetal head is at -3 station.
Spontaneous rupture of membranes occurs and clear fluid is seen.
The fetal heart tracing then shows multiple abrupt decelerations that
nadir 20/min from the baseline, as seen in the image above. Which of
the
following is the most likely etiology of this patient's fetal heart rate
tracing?
, Fetal growth
restriction Fetal head
compression
142 QUESTIONS WITH VERIFIED CORRECT ANSWERS
What is the definition of moderate variability in fetal heart rate
monitoring?
A fluctuation of 6 to 25 beats per minute in the fetal heart rate
A fluctuation of less than 5 beats per minute in the fetal heart rate
A fluctuation of more than 25 beats per minute in the fetal heart
rate A consistent fetal heart rate with no fluctuations
1. If Olivia's fetal heart rate were to drop to 120 bpm, what nursing
interventions might be appropriate to ensure fetal well-being during
labor?
Increase maternal fluid intake and reposition the mother.
Administer pain relief medication
immediately. Prepare for an emergency
cesarean section.
Encourage the mother to push harder during contractions.
2. A nurse observes minimal FHR variability during a routine
monitoring session. Considering the context of fetal sleep cycles,
what should the nurse's next step be in assessing the fetal
condition?
, Increase the frequency of monitoring
Document the finding and continue monitoring
Notify the physician
immediately Administer oxygen
to the mother
3. If a patient exhibits late decelerations in fetal heart rate while having a
cervix at 8-9 cm dilated, what nursing interventions should be
prioritized to ensure fetal well-being?
Encourage the patient to push immediately.
, Increase maternal fluid intake and reposition the patient.
Administer oxytocin to enhance
contractions. Prepare for an emergency
cesarean section.
4. A G2P2 delivered 30 mins ago NSVD has large amount bright red
vaginal bleeding what is the priority action?
Notify physician
Encourage breast
feed Monitor vitals
Provide fundal massage
5. A 32-year-old woman, gravida 2 para 1, at 39 weeks gestation is
admitted for active labor. She has regular fetal movements.
Temperature is 37.2°C (99°F), blood pressure is 118/60 mm Hg, and
pulse is 86/min. The cervix is 7 cm dilated and 80% effaced, and the
fetal head is at -3 station.
Spontaneous rupture of membranes occurs and clear fluid is seen.
The fetal heart tracing then shows multiple abrupt decelerations that
nadir 20/min from the baseline, as seen in the image above. Which of
the
following is the most likely etiology of this patient's fetal heart rate
tracing?
, Fetal growth
restriction Fetal head
compression
