AWHONN Intermediate Fetal Monitoring Test with Answers
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AWHONN Intermediate Fetal Monitoring
Institution
AWHONN Intermediate Fetal Monitoring
AWHONN Intermediate Fetal Monitoring Test with Answers
1. Which of the following is an extrinsic influence
on the FHR?
2. The most highly oxygenated blood in fetal circu-
lation is carried by:
3. If fetal arterial pressure begins to fall below nor-
mal levels:
4. Fetal heart rate variability...
AWHONN Intermediate Fetal Monitoring Test with Answers
1. Which of the following is an extrinsic influence C. Fetal-placental circu-
on the FHR? lation
2. The most highly oxygenated blood in fetal circu- C. Ductus venosus
lation is carried by:
3. If fetal arterial pressure begins to fall below nor- A. Baroreceptors cause
mal levels: vasoconstriction and in-
crease the FHR
4. Fetal heart rate variability is defined as fluctua- B. Amplitude and fre-
tions in the baseline that are irregular in quency
and .
5. An increase in the fetal heart rate immediately A. Occlusion of the um-
preceding a variable deceleration is caused by: bilical vein
6. When assessing a FHR tracing, the first step is C. Establish the base-
to: line rate
7. Which deceleration in the FHR is considered A. Early deceleration
benign and does not require an intervention to
correct?
8. If the umbilical vein is the only vessel occluded B. Oxygenated blood
during cord compression may be restricted from
being delivered to the fe-
tus
9. During a fetal sleep cycle, FHR variability is usu- C. Minimal
ally .
10. Uterine tachysystole is defined as: B. >5 contractions in 10
mind over 30 minutes
11. Maternal-fetal oxygen and nutrient transfer takes B. intervillous space
place in the:
12. During a contraction, the tocodynamometer de-
tects:
1/5
, A. Pressure created by
tensing of uterine mus-
cle
13. Normal fetal heart rate baseline is: C. 110-160 bpm
14. Following birth, a fetal cord blood sample is tak- C. Mixed acidemia
en. The results are:
pH: 6.95
pCO2: 86 mmHg
pO2: 4mmHg
BE: -18.6 mEq/L
These results are best interpreted as:
15. A characteristic of variable decelerations is: B. The onset of the de-
celeration is abrupt
16. Stimulation of the vagus nerve in a healthy fetus A. A decrease in the fe-
will cause: tal heart rate
17. What is the baseline rate? B. 145 bpm
18. What is the correct interpretation? B. Baseline of 160 bpm
with recurrent late de-
celerations
19. What is the primary physiologic goal? B. Maximize oxygena-
tion
20. Based on the tracing, the most appropriate inter- B. Decrease oxytocin
ventions are: from 14 to 7 mU/min and
start a 500-mL IVFB.
21. Which of the following is a correct interpretation C. The tracing of uterine
of the tracing? activity requires palpa-
tion for accurate assess-
ment
22. The nurse supports maternal coping to appropri- A. Reducing maternal
ately assist Robin because catecholamine produc-
2/5
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