Page | 1
FETAL HEALTH SURVEILLANCE
QUESTIONS 2026 LATEST QUESTIONS
AND ANSWERS| ACE YOUR GRADES.
Complicated variable deceleration mgmt - correct answer -Get
that parent up!! (change position)
Perform cervical exam to rule out cord prolapse
Continue assessment
Consider fetal scalp stimulation and fetal blood scalp sampling
Consider treatment with amnioinfusion of warm saline. Infuse
between 10-15 mL per minute up to 800 mL.
Prepare for delivery or transfer if no improvement
Prolonged decelerations - correct answer -Abrupt onset.
Visually apparent decrease in FHR below the baseline that is ≥ 15
bpm, lasting ≥ 2 minutes, but < 10 minutes from onset to return to
baseline. Usually drops at least 30 bpm from baseline. Gradual
recovery to baseline.
Mechanism
Parental hypotension
, Page | 2
Severe umbilical cord compression
Uterine hypertonus
maternal seizure, respiratory arrest or hypoxia
rapid fetal descent
side effects of drugs or medications (usually related to
hypotension)
sustained maternal valsalva maneuver
results of some procedures
Atypical prolonged deceleration - correct answer -If prolonged
deceleration > 2 min but < 3 min
Abnormal prolonged deceleration - correct answer -If prolonged
deceleration > 3 min but < 10 min
Usually not ominous if preceded by moderate variability and
predisposing factor can be eliminated; the placenta is usually
effective in resuscitating the fetus.
Prolonged decelerations mgmt - correct answer -Maximize fetal
oxygenation
Lateral positioning
Discontinue oxytocin if infusing
, Page | 3
Cervical exam to rule out cord prolapse and assess labour
progress
Assess other normal, atypical or abnormal characteristics
Prepare for delivery if there is no improvement in the return to
baseline rate or if the prolonged deceleration recurs. Sudden
onset, deep and unrelenting deceleration may require immediate
delivery.
Reflex late deceleration - correct answer -Uniformly shaped
decelerations with a gradual decrease in the FHR with the onset
to nadir in ≥30 sec associated with uterine contractions. Onset,
nadir, and recovery occur after the beginning, peak and end of a
contraction. Reflex late decelerations reflect and interruption of
oxygen transfer from the environment to the fetus at one or more
points along the oxygen pathway. It is a response to an
occurrence during labour such as high dose oxytocin infusion or
maternal hypotension. Reflex late decelerations will resolve when
the occurrence is recognized and discontinued.
What should you include in a systematic interpretation of a
monitor tracing? - correct answer -Uterine activity, baseline rate
and variability, accelerations and decelerations
True or false: Late decelerations are gradual and usually do not
drop dramatically. - correct answer -True
, Page | 4
True or false: fetal tachycardia can be associated with and directly
related to elevated parental temperature. - correct answer -True
Characteristics of uncomplicated variable decelerations consist
of... - correct answer -An initial transient increase, then a rapid
deceleration of the FHR to the nadir, followed by rapid return to
the baseline FHR level with a secondary transient increase.
Fetal movement counting (FMC) is recommended for ALL
gestational parents beginning when? - correct answer -26 - 32
weeks ga
How many movements should be felt within 2 hours with FMC? -
correct answer ->6
When is a Contraction Stress Test (CST) indicated? - correct
answer -- NST is Atypical
- The adequacy of the intrapartum uteroplacental function will aid
in the decision making about the timing and mode of delivery
FETAL HEALTH SURVEILLANCE
QUESTIONS 2026 LATEST QUESTIONS
AND ANSWERS| ACE YOUR GRADES.
Complicated variable deceleration mgmt - correct answer -Get
that parent up!! (change position)
Perform cervical exam to rule out cord prolapse
Continue assessment
Consider fetal scalp stimulation and fetal blood scalp sampling
Consider treatment with amnioinfusion of warm saline. Infuse
between 10-15 mL per minute up to 800 mL.
Prepare for delivery or transfer if no improvement
Prolonged decelerations - correct answer -Abrupt onset.
Visually apparent decrease in FHR below the baseline that is ≥ 15
bpm, lasting ≥ 2 minutes, but < 10 minutes from onset to return to
baseline. Usually drops at least 30 bpm from baseline. Gradual
recovery to baseline.
Mechanism
Parental hypotension
, Page | 2
Severe umbilical cord compression
Uterine hypertonus
maternal seizure, respiratory arrest or hypoxia
rapid fetal descent
side effects of drugs or medications (usually related to
hypotension)
sustained maternal valsalva maneuver
results of some procedures
Atypical prolonged deceleration - correct answer -If prolonged
deceleration > 2 min but < 3 min
Abnormal prolonged deceleration - correct answer -If prolonged
deceleration > 3 min but < 10 min
Usually not ominous if preceded by moderate variability and
predisposing factor can be eliminated; the placenta is usually
effective in resuscitating the fetus.
Prolonged decelerations mgmt - correct answer -Maximize fetal
oxygenation
Lateral positioning
Discontinue oxytocin if infusing
, Page | 3
Cervical exam to rule out cord prolapse and assess labour
progress
Assess other normal, atypical or abnormal characteristics
Prepare for delivery if there is no improvement in the return to
baseline rate or if the prolonged deceleration recurs. Sudden
onset, deep and unrelenting deceleration may require immediate
delivery.
Reflex late deceleration - correct answer -Uniformly shaped
decelerations with a gradual decrease in the FHR with the onset
to nadir in ≥30 sec associated with uterine contractions. Onset,
nadir, and recovery occur after the beginning, peak and end of a
contraction. Reflex late decelerations reflect and interruption of
oxygen transfer from the environment to the fetus at one or more
points along the oxygen pathway. It is a response to an
occurrence during labour such as high dose oxytocin infusion or
maternal hypotension. Reflex late decelerations will resolve when
the occurrence is recognized and discontinued.
What should you include in a systematic interpretation of a
monitor tracing? - correct answer -Uterine activity, baseline rate
and variability, accelerations and decelerations
True or false: Late decelerations are gradual and usually do not
drop dramatically. - correct answer -True
, Page | 4
True or false: fetal tachycardia can be associated with and directly
related to elevated parental temperature. - correct answer -True
Characteristics of uncomplicated variable decelerations consist
of... - correct answer -An initial transient increase, then a rapid
deceleration of the FHR to the nadir, followed by rapid return to
the baseline FHR level with a secondary transient increase.
Fetal movement counting (FMC) is recommended for ALL
gestational parents beginning when? - correct answer -26 - 32
weeks ga
How many movements should be felt within 2 hours with FMC? -
correct answer ->6
When is a Contraction Stress Test (CST) indicated? - correct
answer -- NST is Atypical
- The adequacy of the intrapartum uteroplacental function will aid
in the decision making about the timing and mode of delivery
