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Relias Fetal Heart Monitoring
Exam Questions and Answers
2026 Edition Expert Verified With
A Plus Grades Guarantee
TABLE OF CONTENTS
Section 1 Basic Fetal Monitoring Principles
Section 2 Fetal Heart Rate Patterns
Section 3 Baseline Rate and Variability
Section 4 Accelerations
Section 5 Early Decelerations
Section 6 Late Decelerations
Section 7 Variable Decelerations
Section 8 Prolonged Decelerations
Section 9 Category I II and III Fetal Heart Rate Tracings
Section 10 Uterine Activity Assessment
Section 11 Maternal Fetal Physiology
Section 12 Interventions and Management
Section 13 Electronic Fetal Monitoring Interpretation
Section 14 Fetal Acid Base Balance
Section 15 Special Considerations and Clinical Scenarios
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SECTION 1 BASIC FETAL MONITORING PRINCIPLES
Question 1
What is the purpose of fetal heart rate monitoring
A To determine fetal gender
B To assess fetal well being and detect potential hypoxia
C To measure maternal blood pressure
D To predict labor duration
Correct Answer B
Rationale Fetal heart rate monitoring is used to assess fetal well
being by evaluating the fetal response to uterine contractions and
detecting signs of fetal hypoxia or acidemia
Question 2
The normal baseline fetal heart rate range is
A 80 to 100 beats per minute
B 100 to 120 beats per minute
C 110 to 160 beats per minute
D 160 to 180 beats per minute
Correct Answer C
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Rationale The normal baseline fetal heart rate range is 110 to 160
beats per minute as defined by NICHD guidelines
Question 3
What is the recommended duration for evaluating a fetal heart
rate baseline
A 1 to 2 minutes
B 5 to 10 minutes
C 15 to 20 minutes
D 30 to 60 minutes
Correct Answer B
Rationale The baseline should be evaluated over a 10 minute
period excluding accelerations decelerations and periods of
marked variability
Question 4
Which of the following is NOT a component of fetal heart rate
assessment
A Baseline rate
B Variability
C Maternal temperature
D Decelerations
Correct Answer C
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Rationale Fetal heart rate assessment includes baseline rate
variability accelerations and decelerations Maternal temperature
is not a component of FHR assessment
Question 5
External fetal monitoring uses
A A spiral electrode attached to the fetal scalp
B An ultrasound transducer and tocodynamometer
C An intrauterine pressure catheter
D Fetal blood sampling
Correct Answer B
Rationale External fetal monitoring uses an ultrasound
transducer to detect the fetal heart rate and a tocodynamometer
to measure uterine activity
Question 6
Internal fetal monitoring requires
A Ruptured membranes and cervical dilation
B Intact membranes and closed cervix
C Maternal anesthesia
D Advanced maternal age
Correct Answer A
Relias Fetal Heart Monitoring
Exam Questions and Answers
2026 Edition Expert Verified With
A Plus Grades Guarantee
TABLE OF CONTENTS
Section 1 Basic Fetal Monitoring Principles
Section 2 Fetal Heart Rate Patterns
Section 3 Baseline Rate and Variability
Section 4 Accelerations
Section 5 Early Decelerations
Section 6 Late Decelerations
Section 7 Variable Decelerations
Section 8 Prolonged Decelerations
Section 9 Category I II and III Fetal Heart Rate Tracings
Section 10 Uterine Activity Assessment
Section 11 Maternal Fetal Physiology
Section 12 Interventions and Management
Section 13 Electronic Fetal Monitoring Interpretation
Section 14 Fetal Acid Base Balance
Section 15 Special Considerations and Clinical Scenarios
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SECTION 1 BASIC FETAL MONITORING PRINCIPLES
Question 1
What is the purpose of fetal heart rate monitoring
A To determine fetal gender
B To assess fetal well being and detect potential hypoxia
C To measure maternal blood pressure
D To predict labor duration
Correct Answer B
Rationale Fetal heart rate monitoring is used to assess fetal well
being by evaluating the fetal response to uterine contractions and
detecting signs of fetal hypoxia or acidemia
Question 2
The normal baseline fetal heart rate range is
A 80 to 100 beats per minute
B 100 to 120 beats per minute
C 110 to 160 beats per minute
D 160 to 180 beats per minute
Correct Answer C
,3 | Page
Rationale The normal baseline fetal heart rate range is 110 to 160
beats per minute as defined by NICHD guidelines
Question 3
What is the recommended duration for evaluating a fetal heart
rate baseline
A 1 to 2 minutes
B 5 to 10 minutes
C 15 to 20 minutes
D 30 to 60 minutes
Correct Answer B
Rationale The baseline should be evaluated over a 10 minute
period excluding accelerations decelerations and periods of
marked variability
Question 4
Which of the following is NOT a component of fetal heart rate
assessment
A Baseline rate
B Variability
C Maternal temperature
D Decelerations
Correct Answer C
, 4 | Page
Rationale Fetal heart rate assessment includes baseline rate
variability accelerations and decelerations Maternal temperature
is not a component of FHR assessment
Question 5
External fetal monitoring uses
A A spiral electrode attached to the fetal scalp
B An ultrasound transducer and tocodynamometer
C An intrauterine pressure catheter
D Fetal blood sampling
Correct Answer B
Rationale External fetal monitoring uses an ultrasound
transducer to detect the fetal heart rate and a tocodynamometer
to measure uterine activity
Question 6
Internal fetal monitoring requires
A Ruptured membranes and cervical dilation
B Intact membranes and closed cervix
C Maternal anesthesia
D Advanced maternal age
Correct Answer A
