2024 AWHONN INTERMEDIATE
FETAL MONITORING TEST EXAM
WITH ANSWERS
What extrinsic factor can you identify as a possible cause for the observed
pattern? - CORRECT-ANSWERSC. Aging placenta
Which of the following is an extrinsic influence on the FHR? - CORRECT-
ANSWERSC. Fetal-placental circulation
What physiologic goals are priorities for Olivia's care? - CORRECT-
ANSWERSB. Maximize oxygenation and maintain appropriate uterine activity
What bedside interventions are appropriate for Olivia at this time? -
CORRECT-ANSWERSC. Position change to a lateral position and initiate a
500-mL IVFB.
What could Olivia's nurse do during second stage of labor to promote
oxygenation? - CORRECT-ANSWERSB. Encourage Olivia to push with every
other contraction
Did the fetal monitor tracing prior to delivery accurately predict the cor -
CORRECT-ANSWERSA> Yes, the presence of moderate variability rules out
the metabolic acidemia.
What is the baseline FHR? - CORRECT-ANSWERSB. 160 bpm
What type of variability is observed? - CORRECT-ANSWERSA. Moderate
What interventions are appropriate at this time? - CORRECT-ANSWERSC.
Reposition Shelby from left lateral to right lateral
What type of pattern is observed in the tracing? - CORRECT-ANSWERSB.
Variable decelerations
What category is this tracing? - CORRECT-ANSWERSB. Category II
What is the baseline rate? - CORRECT-ANSWERSC. Unable to determine
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