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AWHONN INTERMEDIATE FETAL MONITORING FINAL COMPLETE QUESTIONS AND

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1 P a g e
AWHONN INTERMEDIATE FETAL
MONITORING FINAL 2026-2027
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
( ANSWERS)
• What is the baseline rate? - CORRECT ANSWER-B. 135
bpm
What type of variability is observed? - CORRECT ANSWER-C.
Moderate
What do you observe in the tracing that rules out metabolic
acidemia at this time? - CORRECT ANSWER-A: 15x15
accelerations
What pattern is observed in the fetal heart tracing? - CORRECT
ANSWER-A. Late decelerations
What extrinsic factor can you identify as a possible cause for the
observed pattern? - CORRECT ANSWER-C. Aging placenta

2 P a g e
What physiologic goals are priorities for Olivia's care? -
CORRECT ANSWER-B. Maximize oxygenation and maintain
appropriate uterine activity
What bedside interventions are appropriate for Olivia at this
time? - CORRECT ANSWER-C. 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 ANSWER-B. Encourage
Olivia to push with every other contraction
Did the fetal monitor tracing prior to delivery accurately predict
the cor - CORRECT ANSWER-A> Yes, the presence of
moderate variability rules out the metabolic acidemia.
What is the baseline FHR? - CORRECT ANSWER-B. 160 bpm
What type of variability is observed? - CORRECT ANSWERA. Moderate
What interventions are appropriate at this time? - CORRECT
ANSWER-C. Reposition Shelby from left lateral to right lateral

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