AWHONN Intermediate Fetal Monitoring Exam
The following are components of the basic assessment for maternal and fetal well-being: ANSW - -
maternal vital signs and physical exam
-leopold maneuvers and fetal assessment
-labor and membrane status
A comprehensive maternal-fetal physical assessment is necessary to assess maternal oxygenation, build
the maternal-fetal data base, and optimize clinical decisions. ANSW - TRUE
Extrinsic influences of fetal heart rate patterns include: ANSW - Placenta, fetal-placental circulation,
umbilical cord
Intrinsic influence of fetal heart rate patterns include: ANSW - Baroreceptors, chemoreceptors,
hormonal responses
Decreased umbilical blood flow stimulates the chemoreceptors and/or baroreceptors, increasing
catecholamine production leading to an increase in blood flow to the essential organs, including: ANSW
- -adrenals
-brain
-heart
A systematic assessment of the fetal heart rate tracing includes: ANSW - Baseline rate, variability,
periodic/episodic changes, uterine activity
The only true method of contraction strength assessment when using external fetal monitors is through:
ANSW - palpation
Recurrent decelerations ANSW - Occur with ≥ 50% of contractions in a 20-minute period.
Variable decelerations may occur: ANSW - With or without a contraction (periodic or episodic)
The following are components of the basic assessment for maternal and fetal well-being: ANSW - -
maternal vital signs and physical exam
-leopold maneuvers and fetal assessment
-labor and membrane status
A comprehensive maternal-fetal physical assessment is necessary to assess maternal oxygenation, build
the maternal-fetal data base, and optimize clinical decisions. ANSW - TRUE
Extrinsic influences of fetal heart rate patterns include: ANSW - Placenta, fetal-placental circulation,
umbilical cord
Intrinsic influence of fetal heart rate patterns include: ANSW - Baroreceptors, chemoreceptors,
hormonal responses
Decreased umbilical blood flow stimulates the chemoreceptors and/or baroreceptors, increasing
catecholamine production leading to an increase in blood flow to the essential organs, including: ANSW
- -adrenals
-brain
-heart
A systematic assessment of the fetal heart rate tracing includes: ANSW - Baseline rate, variability,
periodic/episodic changes, uterine activity
The only true method of contraction strength assessment when using external fetal monitors is through:
ANSW - palpation
Recurrent decelerations ANSW - Occur with ≥ 50% of contractions in a 20-minute period.
Variable decelerations may occur: ANSW - With or without a contraction (periodic or episodic)
