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AWHONN Advanced Fetal Monitoring
Exam 2026-Comprehensive Q&A For
Certification Success
Upon entry into the room, Michelle is found to be in the high fowler's position.
Vital signs are as follows: BP 157/89, HR 134, RR 32, SPO2 86%, urine output
200mL for the last 2 hours.
What is the most likely physiologic cause of impaired Oxygen delivery in Michelle's
case? - correct-answer -Pulmonary edema
A healthcare organization that reflects a culture of safety establishes an
environment that is - correct-answer -Blame-free and uses non-threatening
processes in the presence of medical errors
Consistent systematic assessment of the fetal heart rate tracing is essential to
observe pattern evolution and identify tracings at are at an increased risk for
adverse fetal-acid base status, which includes - correct-answer -Normal baseline
rate, absent variability, and recurrent variable decelerations
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Silvia, a 28-year-old G1P0000 at 39 1/7 weeks by sonogram, and her partner
arrived at the labor unit at 0730 for scheduled induction for intrauterine grown
restriction (IUGR). Silvia's family history is negative for medical problems except
her mother's long-term history of diabetes. Silvia developed gestational diabetes
with this pregnancy, but her other prenatal labs were all normal. During one of
the ultrasound examinations performed to evaluate the IUGR, a single umbilical
artery was noted. On her most recent biophysical profile (BPP), the amniotic fluid
index (AFI) was 11 cm (AFI less than 5 cm is defined as oligohydramnios) and the
estimated fetal weight (EFW) was 2524 grams (7th percentile).
The single umbilical artery impacts which component of the oxygen transfer
system? - correct-answer -Oxygen delivery
Which of Silvia's findings indicates a potential for chronic fetal hypoxemia? -
correct-answer -Intrauterine growth restriction
With the finding of a single umbilical artery, what would you expect to occur with
fetal perfusion? - correct-answer -Homeostatic dilation of the umbilical artery
Silvia's admission vital signs were BP 109/60, pulse 83 bpm, respirations
18/minute, temperature 97ºF (36.6ºC). Vaginal examination findings were 2-3 cm
dilated, 50% effaced, -1 station, membranes intact, and cephalic presentation.
External electronic fetal monitor devices were placed (ultrasound and
tocodynamometer). She denied having contractions, vaginal leaking, or bleeding.
AWHONN Advanced Fetal Monitoring
Exam 2026-Comprehensive Q&A For
Certification Success
Upon entry into the room, Michelle is found to be in the high fowler's position.
Vital signs are as follows: BP 157/89, HR 134, RR 32, SPO2 86%, urine output
200mL for the last 2 hours.
What is the most likely physiologic cause of impaired Oxygen delivery in Michelle's
case? - correct-answer -Pulmonary edema
A healthcare organization that reflects a culture of safety establishes an
environment that is - correct-answer -Blame-free and uses non-threatening
processes in the presence of medical errors
Consistent systematic assessment of the fetal heart rate tracing is essential to
observe pattern evolution and identify tracings at are at an increased risk for
adverse fetal-acid base status, which includes - correct-answer -Normal baseline
rate, absent variability, and recurrent variable decelerations
, 2|Page
Silvia, a 28-year-old G1P0000 at 39 1/7 weeks by sonogram, and her partner
arrived at the labor unit at 0730 for scheduled induction for intrauterine grown
restriction (IUGR). Silvia's family history is negative for medical problems except
her mother's long-term history of diabetes. Silvia developed gestational diabetes
with this pregnancy, but her other prenatal labs were all normal. During one of
the ultrasound examinations performed to evaluate the IUGR, a single umbilical
artery was noted. On her most recent biophysical profile (BPP), the amniotic fluid
index (AFI) was 11 cm (AFI less than 5 cm is defined as oligohydramnios) and the
estimated fetal weight (EFW) was 2524 grams (7th percentile).
The single umbilical artery impacts which component of the oxygen transfer
system? - correct-answer -Oxygen delivery
Which of Silvia's findings indicates a potential for chronic fetal hypoxemia? -
correct-answer -Intrauterine growth restriction
With the finding of a single umbilical artery, what would you expect to occur with
fetal perfusion? - correct-answer -Homeostatic dilation of the umbilical artery
Silvia's admission vital signs were BP 109/60, pulse 83 bpm, respirations
18/minute, temperature 97ºF (36.6ºC). Vaginal examination findings were 2-3 cm
dilated, 50% effaced, -1 station, membranes intact, and cephalic presentation.
External electronic fetal monitor devices were placed (ultrasound and
tocodynamometer). She denied having contractions, vaginal leaking, or bleeding.
