1 AWHONN FETAL HEART MONITORING
x x x x
BASICS TEST WITH ALL ANSWERS
x x x x x
CORRECT x
a) BFrequency
x
b) BDuration B- B Bcorrect Banswer- BWhich Bcontraction Bcharacteristics Bcan Bbe
x x x x x x x x x x
Bassessed Bwith Ba Btocodynamometer?
x x x x
a) BFrequency
x
b) BDuration
x
c) BIntensity
x
Uterus B- B Bcorrect Banswer- BAll BFetuses Bof Bmothers Bin Blabor Bexperience Ban
x x x x x x x x x x x x
Binterruption Bof Bthe Boxygenation Bpathway Bat Bwhich Bpoint?
x x x x x x x x
a) BThroughout Blabor Band Bdelivery Bunless Bthe Buse Bof Ba Bmore Baccurate Bmethod Bis
x x x x x x x x x x x x x
Bclearly Bindicated B- B Bcorrect Banswer- BThe BFHR Bcan Bbe Bmonitored Busing Bdoppler
x x x x x x x x x x x x x
Bultrasound?
x
a) BThroughout Blabor Band Bdelivery Bunless Bthe Buse Bof Ba Bmore Baccurate Bmethod Bis
x x x x x x x x x x x x x
Bclearly Bindicated
x x
b) BInternally
x
c) BOnly Bearly Bin Blabor
x x x x
d) BThe BFHR Bcannot Bbe Bmonitored Bby Bdoppler Bultrasound
x x x x x x x x
b) B110-160 Bbpm B- B Bcorrect Banswer- BWhat Bis Bthe Bnormal Brange Bfor BFHR Bbase
x x x x x x x x x x x x x x
Bline Bin Ba Bterm Binfant?
x x x x x
a) B80-120 Bbpm
x x
b) B110-160 Bbpm
x x
c) B140-180bpm
x
d) Bit Bdepends Bon Bthe Bsex Bof Bthe Bfetus
x x x x x x x x
,Mother's Binhalation Bto Blungs Bto Bmat. Bcirculatory Bsystem Bto Bhemoglobin Bin BRBC's x x x x x x x x x x x
Bto Bbloodstream Bin Buterus. BUterus Bto Bspiral Barteries Bto Bplacenta Bto Bintervillous
x x x x x x x x x x x x
Bspace Bto Btravel Bvia Bsimple Bdiffusion Binto Bthe Bvilli. BThe Bcapillaries Bto Bthe Bumb.
x x x x x x x x x x x x x x
Bvein Bto Bthe Bfetus.
x x x x
The Bumb. Bartery Bsends Bwaste B(CO2) Bto Bthe Bintervillous Bspace Bto Bthe Bmothers
x x x x x x x x x x x x
Bvenous Bsystem. B- B Bcorrect Banswer- BTrace Bthe Bflow Bof Boxygen Bfrom Bmother Bto
x x x x x x x x x x x x x x
Bfetus Band Bback.
x x x
1. BMother B(blood Bplasma, Bcardiac Boutput, Bhemoglobin Bconcentration B& BO2
x x x x x x x x x
Bsaturation)
x
2. BPlacenta/intervillous Bspace B(uterine Bcontractions B& Bcalcification's)
x x x x x x
3. BFetus B(vagal Bresponse Baka Bdecel Bor Bcord Bcompression) B- B Bcorrect Banswer-
x x x x x x x x x x x x
BWhat Bfactors Bimpact Bmaternal Boxygen Bdelivery?
x x x x x x
30-50%
lateral Brecumbent Bor Bsemi-Fowler's B- B Bcorrect Banswer- BBy Bwhat B% Bdoes
x x x x x x x x x x x
Bmaternal Bcardiac Boutput Bincrease Babove Bthe Bnon-pregnant Bstate Band Bwhat
x x x x x x x x x x
Bposition Bhelps Bthis Buteroplacental Bblood Bflow?
x x x x x x
>5 Bcontractions Bin B10 Bmin B(more Bfrequently Bthan BQ B2 Bmin) Baveraged Bover B30
x x x x x x x x x x x x x
Bmin Bwindow.
x x
Caused Bby Boxytocin, Baminoinfusion Bor Bin Brare Bcases Bspontaneously. B- B Bcorrect
x x x x x x x x x x x
Banswer- BDefine Btachysystole Bcontractions Band Bthe Bcause Bof.
x x x x x x x x
Maintaining Bmat. Bvolume, Bmat. Bpositioning, Bintravenous Bhydration. BDecreasing x x x x x x x
Bmat. Bpain/anxiety.
x x
1. BReposition Bpt Bto Bside.
x x x x
2. BAdmin BIV Bfluid Bbolus.
x x x x
3. BAdmin B0.25mg Bterbutaline BSQ.
x x x x
4. BAdmin BO2 B10L Bvia Bnon Brebreather Bface Bmask. B- B Bcorrect Banswer- BList
x x x x x x x x x x x x x
Binterventions Bfor Btachysystole Bcontractions.
x x x x
higher Bconc. Bto Blower Bconcentration. x x x x
1.Oxygen Bfrom Bmaternal B(higher) Bto Bfetal Bcompartment B(lower) Bto Bfetal Bhgb Bthen x x x x x x x x x x x
Btransported Bto Bfetal Btissue.
x x x x
2. BCO2 Breturns Bto Bintervillous Bspace Bby Bpassive Bdiffusion Band Bis Bremoved Bby
x x x x x x x x x x x x
Bthe Bmat. Bvenous Bsystem. B- B Bcorrect Banswer- BDescribe Bpassive Bdiffusion Bas
x x x x x x x x x x x x
Brelated Bto Bthe Bmaternal Bplacental Bfetal Bsystem.
x x x x x x x
Place Bher Bin Blateral Bposition, B& Bincrease BIV Bfluids. BIf Bno Bimprovement Bmay Bneed
x x x x x x x x x x x x x
Bto Bgive Bepi Bto Bincrease Bvascular Btone. B- B Bcorrect Banswer- BMaternal Bhypotension
x x x x x x x x x x x x x
Bis Ba Bpotential Bside Beffect Bof Bregional Banesthesia Band Banalgesia. BWhat Bnursing
x x x x x x x x x x x x
Binterventions Bcould Byou Buse Bto Braise Bthe Bclient's Bblood Bpressure? BChoose Ball
x x x x x x x x x x x x
Bthat Bapply.
x x
A) BPlace Bthe Bwoman Bin Ba Bsupine Bposition.
x x x x x x x
B) BPlace Bthe Bwoman Bin Ba Blateral Bposition.
x x x x x x x
C) BIncrease Bintravenous B(IV) Bfluids.
x x x x
D) BContinuous BFetal BMonitor
x x x
E) BAdminister Bephedrine Bper BMD Border
x x x x x
, systolic BBP B>= B140mm Bhg, Ba Bdiastolic BBP>= B90 Bmm Bhg Bor BMAP Bof B>=105 B- B
x x x x x x x x x x x x x x x x
Bcorrect Banswer- BDefine Bmaternal Bhypertension B(gestational).
x x x x x x
17g/dl, Bfetal Bhgb Bhas Ba Bhigher Boxygen Baffinity Bthan Ban Badult Bto Bdevelop Bin Ban
x x x x x x x x x x x x x x
Boxygen Bpoor Benvironment. BThe Bfetal Bcirculatory Bpattern Bensures Bblood Bwith
x x x x x x x x x x
Bhigher BO2 Band Bnutrition Bcontent Bis Bdelivered Bto Bthe Bvital Borgans B(brain Band
x x x x x x x x x x x x x
Bheart) Bto Btolerate Bthe Bstress Bof Blabor. B- B Bcorrect Banswer- BWhat Bis Bthe Bnormal
x x x x x x x x x x x x x x x
Bexpected Bvalue Bfor Ba Bterm Bfetal BHGB?
x x x x x x x
1 Bvein, B2 Barteries Bencased Bin Bwharton's Bjelly.
x x x x x x x
O2 B(high Bcontent) Btravels Bvia Bthe Bvein
x x x x x x
CO2 Btravels Bvia B2 Barteries Bback Bto Bplacenta B- B Bcorrect Banswer- Bdetail Bthe
x x x x x x x x x x x x x
Bumbilical Bcord
x x
A Bdecrease Bof Bblood Bflow Band BO2 Bdelivery Bto Bfetus B& Bincreases BCO2 Blevel Bin
x x x x x x x x x x x x x x
Bfetus.
x
Transient Bcord Bcompression Bcan Bbe Bcommon Bin Blabor. BVariable BFHR Bdecel's Bis x x x x x x x x x x x
Bfrequently Bassociated Bwith Bcord Bcompression. B- B Bcorrect Banswer- BDefine Bcord
x x x x x x x x x x x
Bcompression.
x
May Blead Bto Bhypoxemia Band Bfetal Bacidemia. BThe Bdepth Bof Bvariable Bdeceleration's
x x x x x x x x x x x
Bis Bnot Benough Bto Bdetermine Bdegree. BEvaluate Boxygenation Bthrough Bbaseline
x x x x x x x x x x
Bheart Brate Bcharacteristics Bthrough Brate, Bvariability Band Bpresence Bor Babsence Bof
x x x x x x x x x x x
Baccelerations. B- B Bcorrect Banswer- BExplain Bpersistent Bor Brecurrent Bcord
x x x x x x x x x x
Bcompression Bconcerns Band Bwhat Bto Blook Bat.
x x x x x x x
A Bnormal Bpart Bof Blabor. BAs Bcontractions Bbuild Bincreased Buterine Bpressure
x x x x x x x x x x
Bprevents Bblood Bfrom Bentering/leaving Bthe Bintervillous Bspace. BDuring Bthe Bpeak
x x x x x x x x x x
Bthe Bfetus Brelies Bcompletely Bon Bits Boxygen Breserve B(an Baerobic Bchallenge Bthat Bis
x x x x x x x x x x x x x
Bnot Ban Bissue Bfor Ba Bhealth Bfetus. B- B Bcorrect Banswer- BExplain Btransient
x x x x x x x x x x x x x
Binterruptions Bin Bfetal Boxygen Bsupple Bduring Blabor.
x x x x x x x
Chronic Bdeficiency Bof Bplacenta Bfunction, Busually Bfrom Ban Binterruption Bof
x x x x x x x x x
Boxygenation Bpathway Bdue Bto Babruption, Bmat. Bhypo Bor Bhypertension Bor Bother
x x x x x x x x x x x
Bissues. BInfant Bis Bnot Btolerant Bof Bcontractions. BCan Bresult Bin Bfetal Bgrow
x x x x x x x x x x x x
Brestrictions B(FGR) B- B Bcorrect Banswer- BDefine BUteroplacental Binsufficiency B(UPI)
x x x x x x x x x x
Assess Bbaseline BFHR x x
Determine Brhythms B(regular Bvs Birregular) x x x x
ID Baccelerations Band Bdeceleration's Bbut Bnot Bthe Btype Bof Bdeceleration
x x x x x x x x x
B(early/late/variable)
x
The Bfetal Bheartbeat Bis Bbest Bheard Bover Bthe Bfetal Bback. B- B Bcorrect Banswer-
x x x x x x x x x x x x x
BAuscultation Bof BFetal BHeart BSounds Btell Byou Bwhat Binformation?
x x x x x x x x x
Where Bis Bthe Bbest Bplace Bto Blisten?x x x x x x
Palpation Bto Bdetermine Bpresentation Band Bposition Bof Bthe Bfetus Band Baid Bin x x x x x x x x x x x
Blocation Bof Bfetal Bheart Bsounds.
x x x x x
Head=hard, Bround, Bmovable Bobject x x x
Buttocks=soft Band Birregular Bshape x x x
Back=smooth, Bhard Bsurface Bfelt Bon Bone Bside Bof Bthe Babdomen x x x x x x x x x
x x x x
BASICS TEST WITH ALL ANSWERS
x x x x x
CORRECT x
a) BFrequency
x
b) BDuration B- B Bcorrect Banswer- BWhich Bcontraction Bcharacteristics Bcan Bbe
x x x x x x x x x x
Bassessed Bwith Ba Btocodynamometer?
x x x x
a) BFrequency
x
b) BDuration
x
c) BIntensity
x
Uterus B- B Bcorrect Banswer- BAll BFetuses Bof Bmothers Bin Blabor Bexperience Ban
x x x x x x x x x x x x
Binterruption Bof Bthe Boxygenation Bpathway Bat Bwhich Bpoint?
x x x x x x x x
a) BThroughout Blabor Band Bdelivery Bunless Bthe Buse Bof Ba Bmore Baccurate Bmethod Bis
x x x x x x x x x x x x x
Bclearly Bindicated B- B Bcorrect Banswer- BThe BFHR Bcan Bbe Bmonitored Busing Bdoppler
x x x x x x x x x x x x x
Bultrasound?
x
a) BThroughout Blabor Band Bdelivery Bunless Bthe Buse Bof Ba Bmore Baccurate Bmethod Bis
x x x x x x x x x x x x x
Bclearly Bindicated
x x
b) BInternally
x
c) BOnly Bearly Bin Blabor
x x x x
d) BThe BFHR Bcannot Bbe Bmonitored Bby Bdoppler Bultrasound
x x x x x x x x
b) B110-160 Bbpm B- B Bcorrect Banswer- BWhat Bis Bthe Bnormal Brange Bfor BFHR Bbase
x x x x x x x x x x x x x x
Bline Bin Ba Bterm Binfant?
x x x x x
a) B80-120 Bbpm
x x
b) B110-160 Bbpm
x x
c) B140-180bpm
x
d) Bit Bdepends Bon Bthe Bsex Bof Bthe Bfetus
x x x x x x x x
,Mother's Binhalation Bto Blungs Bto Bmat. Bcirculatory Bsystem Bto Bhemoglobin Bin BRBC's x x x x x x x x x x x
Bto Bbloodstream Bin Buterus. BUterus Bto Bspiral Barteries Bto Bplacenta Bto Bintervillous
x x x x x x x x x x x x
Bspace Bto Btravel Bvia Bsimple Bdiffusion Binto Bthe Bvilli. BThe Bcapillaries Bto Bthe Bumb.
x x x x x x x x x x x x x x
Bvein Bto Bthe Bfetus.
x x x x
The Bumb. Bartery Bsends Bwaste B(CO2) Bto Bthe Bintervillous Bspace Bto Bthe Bmothers
x x x x x x x x x x x x
Bvenous Bsystem. B- B Bcorrect Banswer- BTrace Bthe Bflow Bof Boxygen Bfrom Bmother Bto
x x x x x x x x x x x x x x
Bfetus Band Bback.
x x x
1. BMother B(blood Bplasma, Bcardiac Boutput, Bhemoglobin Bconcentration B& BO2
x x x x x x x x x
Bsaturation)
x
2. BPlacenta/intervillous Bspace B(uterine Bcontractions B& Bcalcification's)
x x x x x x
3. BFetus B(vagal Bresponse Baka Bdecel Bor Bcord Bcompression) B- B Bcorrect Banswer-
x x x x x x x x x x x x
BWhat Bfactors Bimpact Bmaternal Boxygen Bdelivery?
x x x x x x
30-50%
lateral Brecumbent Bor Bsemi-Fowler's B- B Bcorrect Banswer- BBy Bwhat B% Bdoes
x x x x x x x x x x x
Bmaternal Bcardiac Boutput Bincrease Babove Bthe Bnon-pregnant Bstate Band Bwhat
x x x x x x x x x x
Bposition Bhelps Bthis Buteroplacental Bblood Bflow?
x x x x x x
>5 Bcontractions Bin B10 Bmin B(more Bfrequently Bthan BQ B2 Bmin) Baveraged Bover B30
x x x x x x x x x x x x x
Bmin Bwindow.
x x
Caused Bby Boxytocin, Baminoinfusion Bor Bin Brare Bcases Bspontaneously. B- B Bcorrect
x x x x x x x x x x x
Banswer- BDefine Btachysystole Bcontractions Band Bthe Bcause Bof.
x x x x x x x x
Maintaining Bmat. Bvolume, Bmat. Bpositioning, Bintravenous Bhydration. BDecreasing x x x x x x x
Bmat. Bpain/anxiety.
x x
1. BReposition Bpt Bto Bside.
x x x x
2. BAdmin BIV Bfluid Bbolus.
x x x x
3. BAdmin B0.25mg Bterbutaline BSQ.
x x x x
4. BAdmin BO2 B10L Bvia Bnon Brebreather Bface Bmask. B- B Bcorrect Banswer- BList
x x x x x x x x x x x x x
Binterventions Bfor Btachysystole Bcontractions.
x x x x
higher Bconc. Bto Blower Bconcentration. x x x x
1.Oxygen Bfrom Bmaternal B(higher) Bto Bfetal Bcompartment B(lower) Bto Bfetal Bhgb Bthen x x x x x x x x x x x
Btransported Bto Bfetal Btissue.
x x x x
2. BCO2 Breturns Bto Bintervillous Bspace Bby Bpassive Bdiffusion Band Bis Bremoved Bby
x x x x x x x x x x x x
Bthe Bmat. Bvenous Bsystem. B- B Bcorrect Banswer- BDescribe Bpassive Bdiffusion Bas
x x x x x x x x x x x x
Brelated Bto Bthe Bmaternal Bplacental Bfetal Bsystem.
x x x x x x x
Place Bher Bin Blateral Bposition, B& Bincrease BIV Bfluids. BIf Bno Bimprovement Bmay Bneed
x x x x x x x x x x x x x
Bto Bgive Bepi Bto Bincrease Bvascular Btone. B- B Bcorrect Banswer- BMaternal Bhypotension
x x x x x x x x x x x x x
Bis Ba Bpotential Bside Beffect Bof Bregional Banesthesia Band Banalgesia. BWhat Bnursing
x x x x x x x x x x x x
Binterventions Bcould Byou Buse Bto Braise Bthe Bclient's Bblood Bpressure? BChoose Ball
x x x x x x x x x x x x
Bthat Bapply.
x x
A) BPlace Bthe Bwoman Bin Ba Bsupine Bposition.
x x x x x x x
B) BPlace Bthe Bwoman Bin Ba Blateral Bposition.
x x x x x x x
C) BIncrease Bintravenous B(IV) Bfluids.
x x x x
D) BContinuous BFetal BMonitor
x x x
E) BAdminister Bephedrine Bper BMD Border
x x x x x
, systolic BBP B>= B140mm Bhg, Ba Bdiastolic BBP>= B90 Bmm Bhg Bor BMAP Bof B>=105 B- B
x x x x x x x x x x x x x x x x
Bcorrect Banswer- BDefine Bmaternal Bhypertension B(gestational).
x x x x x x
17g/dl, Bfetal Bhgb Bhas Ba Bhigher Boxygen Baffinity Bthan Ban Badult Bto Bdevelop Bin Ban
x x x x x x x x x x x x x x
Boxygen Bpoor Benvironment. BThe Bfetal Bcirculatory Bpattern Bensures Bblood Bwith
x x x x x x x x x x
Bhigher BO2 Band Bnutrition Bcontent Bis Bdelivered Bto Bthe Bvital Borgans B(brain Band
x x x x x x x x x x x x x
Bheart) Bto Btolerate Bthe Bstress Bof Blabor. B- B Bcorrect Banswer- BWhat Bis Bthe Bnormal
x x x x x x x x x x x x x x x
Bexpected Bvalue Bfor Ba Bterm Bfetal BHGB?
x x x x x x x
1 Bvein, B2 Barteries Bencased Bin Bwharton's Bjelly.
x x x x x x x
O2 B(high Bcontent) Btravels Bvia Bthe Bvein
x x x x x x
CO2 Btravels Bvia B2 Barteries Bback Bto Bplacenta B- B Bcorrect Banswer- Bdetail Bthe
x x x x x x x x x x x x x
Bumbilical Bcord
x x
A Bdecrease Bof Bblood Bflow Band BO2 Bdelivery Bto Bfetus B& Bincreases BCO2 Blevel Bin
x x x x x x x x x x x x x x
Bfetus.
x
Transient Bcord Bcompression Bcan Bbe Bcommon Bin Blabor. BVariable BFHR Bdecel's Bis x x x x x x x x x x x
Bfrequently Bassociated Bwith Bcord Bcompression. B- B Bcorrect Banswer- BDefine Bcord
x x x x x x x x x x x
Bcompression.
x
May Blead Bto Bhypoxemia Band Bfetal Bacidemia. BThe Bdepth Bof Bvariable Bdeceleration's
x x x x x x x x x x x
Bis Bnot Benough Bto Bdetermine Bdegree. BEvaluate Boxygenation Bthrough Bbaseline
x x x x x x x x x x
Bheart Brate Bcharacteristics Bthrough Brate, Bvariability Band Bpresence Bor Babsence Bof
x x x x x x x x x x x
Baccelerations. B- B Bcorrect Banswer- BExplain Bpersistent Bor Brecurrent Bcord
x x x x x x x x x x
Bcompression Bconcerns Band Bwhat Bto Blook Bat.
x x x x x x x
A Bnormal Bpart Bof Blabor. BAs Bcontractions Bbuild Bincreased Buterine Bpressure
x x x x x x x x x x
Bprevents Bblood Bfrom Bentering/leaving Bthe Bintervillous Bspace. BDuring Bthe Bpeak
x x x x x x x x x x
Bthe Bfetus Brelies Bcompletely Bon Bits Boxygen Breserve B(an Baerobic Bchallenge Bthat Bis
x x x x x x x x x x x x x
Bnot Ban Bissue Bfor Ba Bhealth Bfetus. B- B Bcorrect Banswer- BExplain Btransient
x x x x x x x x x x x x x
Binterruptions Bin Bfetal Boxygen Bsupple Bduring Blabor.
x x x x x x x
Chronic Bdeficiency Bof Bplacenta Bfunction, Busually Bfrom Ban Binterruption Bof
x x x x x x x x x
Boxygenation Bpathway Bdue Bto Babruption, Bmat. Bhypo Bor Bhypertension Bor Bother
x x x x x x x x x x x
Bissues. BInfant Bis Bnot Btolerant Bof Bcontractions. BCan Bresult Bin Bfetal Bgrow
x x x x x x x x x x x x
Brestrictions B(FGR) B- B Bcorrect Banswer- BDefine BUteroplacental Binsufficiency B(UPI)
x x x x x x x x x x
Assess Bbaseline BFHR x x
Determine Brhythms B(regular Bvs Birregular) x x x x
ID Baccelerations Band Bdeceleration's Bbut Bnot Bthe Btype Bof Bdeceleration
x x x x x x x x x
B(early/late/variable)
x
The Bfetal Bheartbeat Bis Bbest Bheard Bover Bthe Bfetal Bback. B- B Bcorrect Banswer-
x x x x x x x x x x x x x
BAuscultation Bof BFetal BHeart BSounds Btell Byou Bwhat Binformation?
x x x x x x x x x
Where Bis Bthe Bbest Bplace Bto Blisten?x x x x x x
Palpation Bto Bdetermine Bpresentation Band Bposition Bof Bthe Bfetus Band Baid Bin x x x x x x x x x x x
Blocation Bof Bfetal Bheart Bsounds.
x x x x x
Head=hard, Bround, Bmovable Bobject x x x
Buttocks=soft Band Birregular Bshape x x x
Back=smooth, Bhard Bsurface Bfelt Bon Bone Bside Bof Bthe Babdomen x x x x x x x x x
