AWHONN FETAL HEART RATE MONITORING ACTUAL EXAM 2025 | 139 QUESTIONS WITH
ACCURATE SOLUTIONS
1. Explain the implications of a base excess or base deficit of 12 or
lower in relation to fetal health during labor.
It indicates that the fetus is experiencing adequate oxygenation.
It suggests that the fetus may be experiencing hypoxemia and
requires intervention.
It shows that the fetal heart rate is stable and within normal
limits. It means that the amniotic fluid levels are sufficient.
2. A deceleration that begins after the onset of a uterine contraction,
reaches its nadir (lowest point) after the peak of the contraction, and
takes at least 30 seconds to reach its lowest point is defined as?
Early
deceleration
Abrupt deceleration
Non-reassuring deceleration
Late deceleration
Variable deceleration
3. Artifact on the fetal heart rate tracing appears as what?
Disorganized deflections of varying lengths above and below
the FHR signal
, Organized deflections of equal or similar lengths that
occur at regular intervals to form a pattern
Fluctuations of the FHR from one beat to the next
4. For the fetal heart baseline rate to be determined, what criterion must
be met?
contractions must be present
, duration must be at least 5 min
periodic or episodic changes must be excluded from
the calculation
5. Explain the implications of a fetal heart rate (FHR) of 60 or lower in
terms of fetal oxygenation and potential interventions.
It indicates the fetus is well-oxygenated and requires no
intervention.
It suggests the fetus may be experiencing hypoxemia,
necessitating immediate evaluation and possible intervention.
It means the fetus is likely to be in a state of rest and requires
monitoring only.
It indicates that the fetus is in a stable condition and can continue
with the current management plan.
6. During a labor scenario, a patient presents with low amniotic fluid
and exhibits category 2 fetal heart rate tracings with occasional
variable decelerations. After performing amnioinfusion, the fetal
heart rate stabilizes. What would be the next appropriate step in
management?
Continue monitoring fetal heart rate and reassess in 30 minutes.
Immediately prepare for cesarean
delivery. Administer oxytocin to
augment labor.
Perform a fetal scalp pH test to assess for acidosis.
, 7. What is marked variability?
Fetal heart rate fluctuations greater than 25 beats from baseline.
May be caused by fetal stimulation, drugs, and/or mild transient
hypoxemia.
Is often seen during the second stage of labor.
All of the above.
ACCURATE SOLUTIONS
1. Explain the implications of a base excess or base deficit of 12 or
lower in relation to fetal health during labor.
It indicates that the fetus is experiencing adequate oxygenation.
It suggests that the fetus may be experiencing hypoxemia and
requires intervention.
It shows that the fetal heart rate is stable and within normal
limits. It means that the amniotic fluid levels are sufficient.
2. A deceleration that begins after the onset of a uterine contraction,
reaches its nadir (lowest point) after the peak of the contraction, and
takes at least 30 seconds to reach its lowest point is defined as?
Early
deceleration
Abrupt deceleration
Non-reassuring deceleration
Late deceleration
Variable deceleration
3. Artifact on the fetal heart rate tracing appears as what?
Disorganized deflections of varying lengths above and below
the FHR signal
, Organized deflections of equal or similar lengths that
occur at regular intervals to form a pattern
Fluctuations of the FHR from one beat to the next
4. For the fetal heart baseline rate to be determined, what criterion must
be met?
contractions must be present
, duration must be at least 5 min
periodic or episodic changes must be excluded from
the calculation
5. Explain the implications of a fetal heart rate (FHR) of 60 or lower in
terms of fetal oxygenation and potential interventions.
It indicates the fetus is well-oxygenated and requires no
intervention.
It suggests the fetus may be experiencing hypoxemia,
necessitating immediate evaluation and possible intervention.
It means the fetus is likely to be in a state of rest and requires
monitoring only.
It indicates that the fetus is in a stable condition and can continue
with the current management plan.
6. During a labor scenario, a patient presents with low amniotic fluid
and exhibits category 2 fetal heart rate tracings with occasional
variable decelerations. After performing amnioinfusion, the fetal
heart rate stabilizes. What would be the next appropriate step in
management?
Continue monitoring fetal heart rate and reassess in 30 minutes.
Immediately prepare for cesarean
delivery. Administer oxytocin to
augment labor.
Perform a fetal scalp pH test to assess for acidosis.
, 7. What is marked variability?
Fetal heart rate fluctuations greater than 25 beats from baseline.
May be caused by fetal stimulation, drugs, and/or mild transient
hypoxemia.
Is often seen during the second stage of labor.
All of the above.
