1 AWHONN FETAL HEART
MONITORING BASICS TEST WITH ALL
ANSWERS CORRECT
a) BFrequency
b) BDuration B- B Bcorrect Banswer- BWhich Bcontraction Bcharacteristics Bcan Bbe
Bassessed Bwith Ba Btocodynamometer?
a) BFrequency
b) BDuration
c) BIntensity
Uterus B- B Bcorrect Banswer- BAll BFetuses Bof Bmothers Bin Blabor Bexperience Ban
Binterruption Bof Bthe Boxygenation Bpathway Bat Bwhich Bpoint?
a) BThroughout Blabor Band Bdelivery Bunless Bthe Buse Bof Ba Bmore Baccurate
Bmethod Bis Bclearly Bindicated B- B Bcorrect Banswer- BThe BFHR Bcan Bbe Bmonitored
Busing Bdoppler Bultrasound?
a) BThroughout Blabor Band Bdelivery Bunless Bthe Buse Bof Ba Bmore Baccurate
Bmethod Bis Bclearly Bindicated
b) BInternally
c) BOnly Bearly Bin Blabor
d) BThe BFHR Bcannot Bbe Bmonitored Bby Bdoppler Bultrasound
b) B110-160 Bbpm B- B Bcorrect Banswer- BWhat Bis Bthe Bnormal Brange Bfor BFHR
Bbase Bline Bin Ba Bterm Binfant?
a) B80-120 Bbpm
b) B110-160 Bbpm
c) B140-180bpm
d) Bit Bdepends Bon Bthe Bsex Bof Bthe Bfetus
,Mother's Binhalation Bto Blungs Bto Bmat. Bcirculatory Bsystem Bto Bhemoglobin Bin
BRBC's Bto Bbloodstream Bin Buterus. BUterus Bto Bspiral Barteries Bto Bplacenta Bto
Bintervillous Bspace Bto Btravel Bvia Bsimple Bdiffusion Binto Bthe Bvilli. BThe Bcapillaries
Bto Bthe Bumb. Bvein Bto Bthe Bfetus.
The Bumb. Bartery Bsends Bwaste B(CO2) Bto Bthe Bintervillous Bspace Bto Bthe Bmothers
Bvenous Bsystem. B- B Bcorrect Banswer- BTrace Bthe Bflow Bof Boxygen Bfrom Bmother
Bto Bfetus Band Bback.
1. BMother B(blood Bplasma, Bcardiac Boutput, Bhemoglobin Bconcentration B& BO2
Bsaturation)
2. BPlacenta/intervillous Bspace B(uterine Bcontractions B& Bcalcification's)
3. BFetus B(vagal Bresponse Baka Bdecel Bor Bcord Bcompression) B- B Bcorrect Banswer-
BWhat Bfactors Bimpact Bmaternal Boxygen Bdelivery?
30-50%
lateral Brecumbent Bor Bsemi-Fowler's B- B Bcorrect Banswer- BBy Bwhat B% Bdoes
Bmaternal Bcardiac Boutput Bincrease Babove Bthe Bnon-pregnant Bstate Band Bwhat
Bposition Bhelps Bthis Buteroplacental Bblood Bflow?
>5 Bcontractions Bin B10 Bmin B(more Bfrequently Bthan BQ B2 Bmin) Baveraged Bover
B30 Bmin Bwindow.
Caused Bby Boxytocin, Baminoinfusion Bor Bin Brare Bcases Bspontaneously. B- B
Bcorrect Banswer- BDefine Btachysystole Bcontractions Band Bthe Bcause Bof.
Maintaining Bmat. Bvolume, Bmat. Bpositioning, Bintravenous Bhydration. BDecreasing
Bmat. Bpain/anxiety.
1. BReposition Bpt Bto Bside.
2. BAdmin BIV Bfluid Bbolus.
3. BAdmin B0.25mg Bterbutaline BSQ.
4. BAdmin BO2 B10L Bvia Bnon Brebreather Bface Bmask. B- B Bcorrect Banswer- BList
Binterventions Bfor Btachysystole Bcontractions.
higher Bconc. Bto Blower Bconcentration.
1.Oxygen Bfrom Bmaternal B(higher) Bto Bfetal Bcompartment B(lower) Bto Bfetal Bhgb
Bthen Btransported Bto Bfetal Btissue.
2. BCO2 Breturns Bto Bintervillous Bspace Bby Bpassive Bdiffusion Band Bis Bremoved Bby
Bthe Bmat. Bvenous Bsystem. B- B Bcorrect Banswer- BDescribe Bpassive Bdiffusion Bas
Brelated Bto Bthe Bmaternal Bplacental Bfetal Bsystem.
Place Bher Bin Blateral Bposition, B& Bincrease BIV Bfluids. BIf Bno Bimprovement Bmay
Bneed Bto Bgive Bepi Bto Bincrease Bvascular Btone. B- B Bcorrect Banswer- BMaternal
Bhypotension Bis Ba Bpotential Bside Beffect Bof Bregional Banesthesia Band Banalgesia.
BWhat Bnursing Binterventions Bcould Byou Buse Bto Braise Bthe Bclient's Bblood
Bpressure? BChoose Ball Bthat Bapply.
A) BPlace Bthe Bwoman Bin Ba Bsupine Bposition.
B) BPlace Bthe Bwoman Bin Ba Blateral Bposition.
C) BIncrease Bintravenous B(IV) Bfluids.
D) BContinuous BFetal BMonitor
E) BAdminister Bephedrine Bper BMD Border
, systolic BBP B>= B140mm Bhg, Ba Bdiastolic BBP>= B90 Bmm Bhg Bor BMAP Bof B>=105 B-
B Bcorrect Banswer- BDefine Bmaternal Bhypertension B(gestational).
17g/dl, Bfetal Bhgb Bhas Ba Bhigher Boxygen Baffinity Bthan Ban Badult Bto Bdevelop Bin
Ban Boxygen Bpoor Benvironment. BThe Bfetal Bcirculatory Bpattern Bensures Bblood
Bwith Bhigher BO2 Band Bnutrition Bcontent Bis Bdelivered Bto Bthe Bvital Borgans B(brain
Band Bheart) Bto Btolerate Bthe Bstress Bof Blabor. B- B Bcorrect Banswer- BWhat Bis Bthe
Bnormal Bexpected Bvalue Bfor Ba Bterm Bfetal BHGB?
1 Bvein, B2 Barteries Bencased Bin Bwharton's Bjelly.
O2 B(high Bcontent) Btravels Bvia Bthe Bvein
CO2 Btravels Bvia B2 Barteries Bback Bto Bplacenta B- B Bcorrect Banswer- Bdetail Bthe
Bumbilical Bcord
A Bdecrease Bof Bblood Bflow Band BO2 Bdelivery Bto Bfetus B& Bincreases BCO2 Blevel
Bin Bfetus.
Transient Bcord Bcompression Bcan Bbe Bcommon Bin Blabor. BVariable BFHR Bdecel's
Bis Bfrequently Bassociated Bwith Bcord Bcompression. B- B Bcorrect Banswer- BDefine
Bcord Bcompression.
May Blead Bto Bhypoxemia Band Bfetal Bacidemia. BThe Bdepth Bof Bvariable
Bdeceleration's Bis Bnot Benough Bto Bdetermine Bdegree. BEvaluate Boxygenation
Bthrough Bbaseline Bheart Brate Bcharacteristics Bthrough Brate, Bvariability Band
Bpresence Bor Babsence Bof Baccelerations. B- B Bcorrect Banswer- BExplain Bpersistent
Bor Brecurrent Bcord Bcompression Bconcerns Band Bwhat Bto Blook Bat.
A Bnormal Bpart Bof Blabor. BAs Bcontractions Bbuild Bincreased Buterine Bpressure
Bprevents Bblood Bfrom Bentering/leaving Bthe Bintervillous Bspace. BDuring Bthe Bpeak
Bthe Bfetus Brelies Bcompletely Bon Bits Boxygen Breserve B(an Baerobic Bchallenge Bthat
Bis Bnot Ban Bissue Bfor Ba Bhealth Bfetus. B- B Bcorrect Banswer- BExplain Btransient
Binterruptions Bin Bfetal Boxygen Bsupple Bduring Blabor.
Chronic Bdeficiency Bof Bplacenta Bfunction, Busually Bfrom Ban Binterruption Bof
Boxygenation Bpathway Bdue Bto Babruption, Bmat. Bhypo Bor Bhypertension Bor Bother
Bissues. BInfant Bis Bnot Btolerant Bof Bcontractions. BCan Bresult Bin Bfetal Bgrow
Brestrictions B(FGR) B- B Bcorrect Banswer- BDefine BUteroplacental Binsufficiency
B(UPI)
Assess Bbaseline BFHR
Determine Brhythms B(regular Bvs Birregular)
ID Baccelerations Band Bdeceleration's Bbut Bnot Bthe Btype Bof Bdeceleration
B(early/late/variable)
The Bfetal Bheartbeat Bis Bbest Bheard Bover Bthe Bfetal Bback. B- B Bcorrect Banswer-
BAuscultation Bof BFetal BHeart BSounds Btell Byou Bwhat Binformation?
Where Bis Bthe Bbest Bplace Bto Blisten?
Palpation Bto Bdetermine Bpresentation Band Bposition Bof Bthe Bfetus Band Baid Bin
Blocation Bof Bfetal Bheart Bsounds.
Head=hard, Bround, Bmovable Bobject
Buttocks=soft Band Birregular Bshape
MONITORING BASICS TEST WITH ALL
ANSWERS CORRECT
a) BFrequency
b) BDuration B- B Bcorrect Banswer- BWhich Bcontraction Bcharacteristics Bcan Bbe
Bassessed Bwith Ba Btocodynamometer?
a) BFrequency
b) BDuration
c) BIntensity
Uterus B- B Bcorrect Banswer- BAll BFetuses Bof Bmothers Bin Blabor Bexperience Ban
Binterruption Bof Bthe Boxygenation Bpathway Bat Bwhich Bpoint?
a) BThroughout Blabor Band Bdelivery Bunless Bthe Buse Bof Ba Bmore Baccurate
Bmethod Bis Bclearly Bindicated B- B Bcorrect Banswer- BThe BFHR Bcan Bbe Bmonitored
Busing Bdoppler Bultrasound?
a) BThroughout Blabor Band Bdelivery Bunless Bthe Buse Bof Ba Bmore Baccurate
Bmethod Bis Bclearly Bindicated
b) BInternally
c) BOnly Bearly Bin Blabor
d) BThe BFHR Bcannot Bbe Bmonitored Bby Bdoppler Bultrasound
b) B110-160 Bbpm B- B Bcorrect Banswer- BWhat Bis Bthe Bnormal Brange Bfor BFHR
Bbase Bline Bin Ba Bterm Binfant?
a) B80-120 Bbpm
b) B110-160 Bbpm
c) B140-180bpm
d) Bit Bdepends Bon Bthe Bsex Bof Bthe Bfetus
,Mother's Binhalation Bto Blungs Bto Bmat. Bcirculatory Bsystem Bto Bhemoglobin Bin
BRBC's Bto Bbloodstream Bin Buterus. BUterus Bto Bspiral Barteries Bto Bplacenta Bto
Bintervillous Bspace Bto Btravel Bvia Bsimple Bdiffusion Binto Bthe Bvilli. BThe Bcapillaries
Bto Bthe Bumb. Bvein Bto Bthe Bfetus.
The Bumb. Bartery Bsends Bwaste B(CO2) Bto Bthe Bintervillous Bspace Bto Bthe Bmothers
Bvenous Bsystem. B- B Bcorrect Banswer- BTrace Bthe Bflow Bof Boxygen Bfrom Bmother
Bto Bfetus Band Bback.
1. BMother B(blood Bplasma, Bcardiac Boutput, Bhemoglobin Bconcentration B& BO2
Bsaturation)
2. BPlacenta/intervillous Bspace B(uterine Bcontractions B& Bcalcification's)
3. BFetus B(vagal Bresponse Baka Bdecel Bor Bcord Bcompression) B- B Bcorrect Banswer-
BWhat Bfactors Bimpact Bmaternal Boxygen Bdelivery?
30-50%
lateral Brecumbent Bor Bsemi-Fowler's B- B Bcorrect Banswer- BBy Bwhat B% Bdoes
Bmaternal Bcardiac Boutput Bincrease Babove Bthe Bnon-pregnant Bstate Band Bwhat
Bposition Bhelps Bthis Buteroplacental Bblood Bflow?
>5 Bcontractions Bin B10 Bmin B(more Bfrequently Bthan BQ B2 Bmin) Baveraged Bover
B30 Bmin Bwindow.
Caused Bby Boxytocin, Baminoinfusion Bor Bin Brare Bcases Bspontaneously. B- B
Bcorrect Banswer- BDefine Btachysystole Bcontractions Band Bthe Bcause Bof.
Maintaining Bmat. Bvolume, Bmat. Bpositioning, Bintravenous Bhydration. BDecreasing
Bmat. Bpain/anxiety.
1. BReposition Bpt Bto Bside.
2. BAdmin BIV Bfluid Bbolus.
3. BAdmin B0.25mg Bterbutaline BSQ.
4. BAdmin BO2 B10L Bvia Bnon Brebreather Bface Bmask. B- B Bcorrect Banswer- BList
Binterventions Bfor Btachysystole Bcontractions.
higher Bconc. Bto Blower Bconcentration.
1.Oxygen Bfrom Bmaternal B(higher) Bto Bfetal Bcompartment B(lower) Bto Bfetal Bhgb
Bthen Btransported Bto Bfetal Btissue.
2. BCO2 Breturns Bto Bintervillous Bspace Bby Bpassive Bdiffusion Band Bis Bremoved Bby
Bthe Bmat. Bvenous Bsystem. B- B Bcorrect Banswer- BDescribe Bpassive Bdiffusion Bas
Brelated Bto Bthe Bmaternal Bplacental Bfetal Bsystem.
Place Bher Bin Blateral Bposition, B& Bincrease BIV Bfluids. BIf Bno Bimprovement Bmay
Bneed Bto Bgive Bepi Bto Bincrease Bvascular Btone. B- B Bcorrect Banswer- BMaternal
Bhypotension Bis Ba Bpotential Bside Beffect Bof Bregional Banesthesia Band Banalgesia.
BWhat Bnursing Binterventions Bcould Byou Buse Bto Braise Bthe Bclient's Bblood
Bpressure? BChoose Ball Bthat Bapply.
A) BPlace Bthe Bwoman Bin Ba Bsupine Bposition.
B) BPlace Bthe Bwoman Bin Ba Blateral Bposition.
C) BIncrease Bintravenous B(IV) Bfluids.
D) BContinuous BFetal BMonitor
E) BAdminister Bephedrine Bper BMD Border
, systolic BBP B>= B140mm Bhg, Ba Bdiastolic BBP>= B90 Bmm Bhg Bor BMAP Bof B>=105 B-
B Bcorrect Banswer- BDefine Bmaternal Bhypertension B(gestational).
17g/dl, Bfetal Bhgb Bhas Ba Bhigher Boxygen Baffinity Bthan Ban Badult Bto Bdevelop Bin
Ban Boxygen Bpoor Benvironment. BThe Bfetal Bcirculatory Bpattern Bensures Bblood
Bwith Bhigher BO2 Band Bnutrition Bcontent Bis Bdelivered Bto Bthe Bvital Borgans B(brain
Band Bheart) Bto Btolerate Bthe Bstress Bof Blabor. B- B Bcorrect Banswer- BWhat Bis Bthe
Bnormal Bexpected Bvalue Bfor Ba Bterm Bfetal BHGB?
1 Bvein, B2 Barteries Bencased Bin Bwharton's Bjelly.
O2 B(high Bcontent) Btravels Bvia Bthe Bvein
CO2 Btravels Bvia B2 Barteries Bback Bto Bplacenta B- B Bcorrect Banswer- Bdetail Bthe
Bumbilical Bcord
A Bdecrease Bof Bblood Bflow Band BO2 Bdelivery Bto Bfetus B& Bincreases BCO2 Blevel
Bin Bfetus.
Transient Bcord Bcompression Bcan Bbe Bcommon Bin Blabor. BVariable BFHR Bdecel's
Bis Bfrequently Bassociated Bwith Bcord Bcompression. B- B Bcorrect Banswer- BDefine
Bcord Bcompression.
May Blead Bto Bhypoxemia Band Bfetal Bacidemia. BThe Bdepth Bof Bvariable
Bdeceleration's Bis Bnot Benough Bto Bdetermine Bdegree. BEvaluate Boxygenation
Bthrough Bbaseline Bheart Brate Bcharacteristics Bthrough Brate, Bvariability Band
Bpresence Bor Babsence Bof Baccelerations. B- B Bcorrect Banswer- BExplain Bpersistent
Bor Brecurrent Bcord Bcompression Bconcerns Band Bwhat Bto Blook Bat.
A Bnormal Bpart Bof Blabor. BAs Bcontractions Bbuild Bincreased Buterine Bpressure
Bprevents Bblood Bfrom Bentering/leaving Bthe Bintervillous Bspace. BDuring Bthe Bpeak
Bthe Bfetus Brelies Bcompletely Bon Bits Boxygen Breserve B(an Baerobic Bchallenge Bthat
Bis Bnot Ban Bissue Bfor Ba Bhealth Bfetus. B- B Bcorrect Banswer- BExplain Btransient
Binterruptions Bin Bfetal Boxygen Bsupple Bduring Blabor.
Chronic Bdeficiency Bof Bplacenta Bfunction, Busually Bfrom Ban Binterruption Bof
Boxygenation Bpathway Bdue Bto Babruption, Bmat. Bhypo Bor Bhypertension Bor Bother
Bissues. BInfant Bis Bnot Btolerant Bof Bcontractions. BCan Bresult Bin Bfetal Bgrow
Brestrictions B(FGR) B- B Bcorrect Banswer- BDefine BUteroplacental Binsufficiency
B(UPI)
Assess Bbaseline BFHR
Determine Brhythms B(regular Bvs Birregular)
ID Baccelerations Band Bdeceleration's Bbut Bnot Bthe Btype Bof Bdeceleration
B(early/late/variable)
The Bfetal Bheartbeat Bis Bbest Bheard Bover Bthe Bfetal Bback. B- B Bcorrect Banswer-
BAuscultation Bof BFetal BHeart BSounds Btell Byou Bwhat Binformation?
Where Bis Bthe Bbest Bplace Bto Blisten?
Palpation Bto Bdetermine Bpresentation Band Bposition Bof Bthe Bfetus Band Baid Bin
Blocation Bof Bfetal Bheart Bsounds.
Head=hard, Bround, Bmovable Bobject
Buttocks=soft Band Birregular Bshape
