AWHONN FETAL MONITORING INTERVENTIONS ACTUAL EXAM
2025|140 QUESTIONS WITH VERIFIED CORRECT RATIONALES
1. Explain the significance of moderate variability in fetal heart rate
monitoring during labor. What does it indicate about fetal well-being?
It indicates fetal distress and requires immediate intervention.
It suggests that the fetus is likely experiencing metabolic
acidemia.
It reflects a healthy autonomic nervous system response in the
fetus.
It shows that the mother is experiencing uterine hypertonicity.
2. Why is maximizing oxygenation considered the primary goal during
labor for both the mother and fetus?
It reduces the need for cesarean delivery.
It ensures adequate fetal growth post-delivery.
It prevents complications related to metabolic acidemia.
It allows for longer labor durations.
3. What is a key characteristic of variable decelerations in fetal heart
rate monitoring?
The deceleration is gradual
The deceleration is prolonged
The onset of the deceleration is abrupt
, The deceleration occurs after contractions
4. Explain what mixed acidemia indicates about a fetus's condition
based on the provided cord blood results.
It suggests the fetus is well-oxygenated and healthy.
, It indicates a combination of respiratory and metabolic issues
affecting the fetus.
It shows that the fetus has experienced no distress during
labor. It means the fetus has a normal acid-base balance.
5. A nurse on a labor and delivery unit is monitoring a fetal heart rate.
Based on the following image, what is the baseline fetal heart rate?
150
140
120
130
6. If a patient shows signs of decreased fetal heart rate variability
during labor, which intervention should be prioritized to address
this issue?
Increase maternal fluid intake to enhance hydration.
Reposition the mother to improve uterine activity
, and oxygenation.
Administer analgesics to relieve maternal
pain. Schedule an immediate cesarean
section.
2025|140 QUESTIONS WITH VERIFIED CORRECT RATIONALES
1. Explain the significance of moderate variability in fetal heart rate
monitoring during labor. What does it indicate about fetal well-being?
It indicates fetal distress and requires immediate intervention.
It suggests that the fetus is likely experiencing metabolic
acidemia.
It reflects a healthy autonomic nervous system response in the
fetus.
It shows that the mother is experiencing uterine hypertonicity.
2. Why is maximizing oxygenation considered the primary goal during
labor for both the mother and fetus?
It reduces the need for cesarean delivery.
It ensures adequate fetal growth post-delivery.
It prevents complications related to metabolic acidemia.
It allows for longer labor durations.
3. What is a key characteristic of variable decelerations in fetal heart
rate monitoring?
The deceleration is gradual
The deceleration is prolonged
The onset of the deceleration is abrupt
, The deceleration occurs after contractions
4. Explain what mixed acidemia indicates about a fetus's condition
based on the provided cord blood results.
It suggests the fetus is well-oxygenated and healthy.
, It indicates a combination of respiratory and metabolic issues
affecting the fetus.
It shows that the fetus has experienced no distress during
labor. It means the fetus has a normal acid-base balance.
5. A nurse on a labor and delivery unit is monitoring a fetal heart rate.
Based on the following image, what is the baseline fetal heart rate?
150
140
120
130
6. If a patient shows signs of decreased fetal heart rate variability
during labor, which intervention should be prioritized to address
this issue?
Increase maternal fluid intake to enhance hydration.
Reposition the mother to improve uterine activity
, and oxygenation.
Administer analgesics to relieve maternal
pain. Schedule an immediate cesarean
section.
