1|Pag e
AWHONN INTERMEDIATE FETAL
MONITORING EXAM|| ACTUAL EXAM ALL
QUESTIONS AND 100% CORRECT ANSWERS
ALREADY GRADED A+|| LATEST AND
COMPLETE UPDATE 2025 WITH VERIFIED
SOLUTIONS|| ASSURED PASS!!!
If fetal arterial pressure begins to fall below normal levels: - ANSWER: A.
BARORECEPTORS CAUSE VASOCONSTRICTION AND INCREASE THE
FHR
An increase in arterial blood pressure produces vessel distension and causes
arterial baroreceptors to send neuronal messages to the cardioinhibitory center,
which in turn causes rapid slowing of the fetal heart rate via the parasympathetic
vagus nerve. A decrease in arterial pressure results in an increased heart rate.
Source: https://perigen.com/what-regulates-fetal-heart-rate/
Which of the following is an extrinsic influence on the FHR? - ANSWER: Fetal-
placental circulation
Fetal heart rate vaiability is definded as fluctuations in the baseline that are
irregular in - ANSWER: AMPLITUDE and FREQUENCY
The most highly oxygenated blood in fetal circulation is carried by: - ANSWER:
Ductus venosus
An increase in the fetal heart rate immediately preceding a variable deceleration is
caused by: - ANSWER: Occlusion of the umbilical vein
, 2|Pag e
The etiology of variable decelerations is likely related to umbilical venous and
arterial occlusion. Initially, with occlusion of the thin-walled umbilical vein,
venous return to the fetal right atrium is reduced, producing a reflex tachycardia.
This pattern often is observed as a shoulder on the FHR monitor strip immediately
before the abrupt variable FHR deceleration
Source: https://www.glowm.com/section-
view/heading/Intrapartum%20Fetal%20Monitoring/item/202#
When assessing a FHR tracing, the first step is to - ANSWER: Estabilish the
baseline rate
Which deceleration in the FHR is considered benign and does not require an
intervention to correct? - ANSWER: Early deceleration
If the umbilical vein is the only vessel occluded during cord compression -
ANSWER: Deoxygenated blood cannot be removed from fetal circulation
During umbilical cord compression, the vein on the umbilical cord becomes
compressed leading to CO2 (carbon dioxide) to accumulate in your baby's blood,
which produces respiratory acidosis.
Source: https://americanpregnancy.org/healthy-pregnancy/pregnancy-
complications/umbilical-cord-prolapse/
During a fetal sleep cycle, FHR variability is usually - ANSWER: minimal
uterine tachysystole is defined as - ANSWER: >5 contractions in 10 minutes
averaged over 30 minutes
Maternal-fetal oxygen and nutrient transfer takes place in the - ANSWER:
Placental cotyledon
AWHONN INTERMEDIATE FETAL
MONITORING EXAM|| ACTUAL EXAM ALL
QUESTIONS AND 100% CORRECT ANSWERS
ALREADY GRADED A+|| LATEST AND
COMPLETE UPDATE 2025 WITH VERIFIED
SOLUTIONS|| ASSURED PASS!!!
If fetal arterial pressure begins to fall below normal levels: - ANSWER: A.
BARORECEPTORS CAUSE VASOCONSTRICTION AND INCREASE THE
FHR
An increase in arterial blood pressure produces vessel distension and causes
arterial baroreceptors to send neuronal messages to the cardioinhibitory center,
which in turn causes rapid slowing of the fetal heart rate via the parasympathetic
vagus nerve. A decrease in arterial pressure results in an increased heart rate.
Source: https://perigen.com/what-regulates-fetal-heart-rate/
Which of the following is an extrinsic influence on the FHR? - ANSWER: Fetal-
placental circulation
Fetal heart rate vaiability is definded as fluctuations in the baseline that are
irregular in - ANSWER: AMPLITUDE and FREQUENCY
The most highly oxygenated blood in fetal circulation is carried by: - ANSWER:
Ductus venosus
An increase in the fetal heart rate immediately preceding a variable deceleration is
caused by: - ANSWER: Occlusion of the umbilical vein
, 2|Pag e
The etiology of variable decelerations is likely related to umbilical venous and
arterial occlusion. Initially, with occlusion of the thin-walled umbilical vein,
venous return to the fetal right atrium is reduced, producing a reflex tachycardia.
This pattern often is observed as a shoulder on the FHR monitor strip immediately
before the abrupt variable FHR deceleration
Source: https://www.glowm.com/section-
view/heading/Intrapartum%20Fetal%20Monitoring/item/202#
When assessing a FHR tracing, the first step is to - ANSWER: Estabilish the
baseline rate
Which deceleration in the FHR is considered benign and does not require an
intervention to correct? - ANSWER: Early deceleration
If the umbilical vein is the only vessel occluded during cord compression -
ANSWER: Deoxygenated blood cannot be removed from fetal circulation
During umbilical cord compression, the vein on the umbilical cord becomes
compressed leading to CO2 (carbon dioxide) to accumulate in your baby's blood,
which produces respiratory acidosis.
Source: https://americanpregnancy.org/healthy-pregnancy/pregnancy-
complications/umbilical-cord-prolapse/
During a fetal sleep cycle, FHR variability is usually - ANSWER: minimal
uterine tachysystole is defined as - ANSWER: >5 contractions in 10 minutes
averaged over 30 minutes
Maternal-fetal oxygen and nutrient transfer takes place in the - ANSWER:
Placental cotyledon
