CMA Fetal Monitoring & Assessment 2

Question 1

Variable decelerations on a fetal monitor are most commonly associated with:

Accepted Answer

Umbilical cord compression

Answer

Variable decelerations have an abrupt onset and variable shape, classically caused by umbilical cord compression that transiently reduces fetal blood flow.

Question 2

Late decelerations are clinically significant because they indicate:

Accepted Answer

Uteroplacental insufficiency

Answer

Late decelerations begin after the contraction peak and represent inadequate oxygen delivery due to uteroplacental insufficiency.

Question 3

What is the maximum possible score on a biophysical profile?

Accepted Answer

10

Answer

The BPP has five parameters each scored 0 or 2, giving a maximum total of 10; a score of 8–10 is reassuring.

Question 4

Fetal tachycardia is defined as a baseline FHR above which value sustained for more than 10 minutes?

Accepted Answer

160 bpm

Answer

A baseline FHR exceeding 160 bpm for more than 10 minutes is classified as fetal tachycardia and may indicate infection, hypoxia, or medication effect.

Question 5

An amniotic fluid index (AFI) of less than 5 cm is diagnostic of:

Accepted Answer

Oligohydramnios

Answer

An AFI below 5 cm indicates oligohydramnios, which can result from renal anomalies, prolonged pregnancy, or uteroplacental compromise.

CMA - Certified Midwife Assistant Practice Test

CMA - Certified Midwife Assistant Practice Test

CMA Fetal Monitoring & Assessment 2