AWHONN INTERMEDIATE FETAL MONITORING
EXAMS EXAM SCRIPT 2026 PRACTICE
SOLUTION BUNDLED
◉ 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
◉ 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)
EXAMS EXAM SCRIPT 2026 PRACTICE
SOLUTION BUNDLED
◉ 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
◉ 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)
