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AWHONN Intermediate Fetal
Monitoring TEST (2025) EXAM
QUESTIONS & CORRECT ANSWERS
Which of the following is an extrinsic influence on the FHR?
C. Fetal-placental circulation
The most highly oxygenated blood in fetal circulation is carried by:
C. Ductus venosus
If fetal arterial pressure begins to fall below normal levels:
A. Baroreceptors cause vasoconstriction and increase the FHR
Fetal heart rate variability is defined as fluctuations in the baseline that are irregular in
_____ and _____.
B. Amplitude and frequency
An increase in the fetal heart rate immediately preceding a variable deceleration is caused
by:
A. Occlusion of the umbilical vein
When assessing a FHR tracing, the first step is to:
C. Establish the baseline rate
Which deceleration in the FHR is considered benign and does not require an intervention
to correct?
A. Early deceleration
If the umbilical vein is the only vessel occluded during cord compression
B. Oxygenated blood may be restricted from being delivered to the fetus
During a fetal sleep cycle, FHR variability is usually ____.
C. Minimal
Uterine tachysystole is defined as:
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B. >5 contractions in 10 mind over 30 minutes
Maternal-fetal oxygen and nutrient transfer takes place in the:
B. intervillous space
During a contraction, the tocodynamometer detects:
A. Pressure created by tensing of uterine muscle
Normal fetal heart rate baseline is:
C. 110-160 bpm
Following birth, a fetal cord blood sample is taken. The results are:
pH: 6.95
pCO2: 86 mmHg
pO2: 4mmHg
BE: -18.6 mEq/L
These results are best interpreted as:
C. Mixed acidemia
A characteristic of variable decelerations is:
B. The onset of the deceleration is abrupt
Stimulation of the vagus nerve in a healthy fetus will cause:
A. A decrease in the fetal heart rate
What is the baseline rate?
B. 145 bpm
What is the correct interpretation?
B. Baseline of 160 bpm with recurrent late decelerations
What is the primary physiologic goal?
B. Maximize oxygenation
Based on the tracing, the most appropriate interventions are:
B. Decrease oxytocin from 14 to 7 mU/min and start a 500-mL IVFB.
Which of the following is a correct interpretation of the tracing?
AWHONN
AWHONN Intermediate Fetal
Monitoring TEST (2025) EXAM
QUESTIONS & CORRECT ANSWERS
Which of the following is an extrinsic influence on the FHR?
C. Fetal-placental circulation
The most highly oxygenated blood in fetal circulation is carried by:
C. Ductus venosus
If fetal arterial pressure begins to fall below normal levels:
A. Baroreceptors cause vasoconstriction and increase the FHR
Fetal heart rate variability is defined as fluctuations in the baseline that are irregular in
_____ and _____.
B. Amplitude and frequency
An increase in the fetal heart rate immediately preceding a variable deceleration is caused
by:
A. Occlusion of the umbilical vein
When assessing a FHR tracing, the first step is to:
C. Establish the baseline rate
Which deceleration in the FHR is considered benign and does not require an intervention
to correct?
A. Early deceleration
If the umbilical vein is the only vessel occluded during cord compression
B. Oxygenated blood may be restricted from being delivered to the fetus
During a fetal sleep cycle, FHR variability is usually ____.
C. Minimal
Uterine tachysystole is defined as:
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, AWHONN
B. >5 contractions in 10 mind over 30 minutes
Maternal-fetal oxygen and nutrient transfer takes place in the:
B. intervillous space
During a contraction, the tocodynamometer detects:
A. Pressure created by tensing of uterine muscle
Normal fetal heart rate baseline is:
C. 110-160 bpm
Following birth, a fetal cord blood sample is taken. The results are:
pH: 6.95
pCO2: 86 mmHg
pO2: 4mmHg
BE: -18.6 mEq/L
These results are best interpreted as:
C. Mixed acidemia
A characteristic of variable decelerations is:
B. The onset of the deceleration is abrupt
Stimulation of the vagus nerve in a healthy fetus will cause:
A. A decrease in the fetal heart rate
What is the baseline rate?
B. 145 bpm
What is the correct interpretation?
B. Baseline of 160 bpm with recurrent late decelerations
What is the primary physiologic goal?
B. Maximize oxygenation
Based on the tracing, the most appropriate interventions are:
B. Decrease oxytocin from 14 to 7 mU/min and start a 500-mL IVFB.
Which of the following is a correct interpretation of the tracing?
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