CMA Fetal Monitoring & Assessment 3

Question 1

A sinusoidal fetal heart rate pattern is most commonly associated with:

Accepted Answer

Severe fetal anemia or hypoxia

Answer

Normal fetal sleep cycle

Answer

Maternal fever above 38°C

Answer

Routine fetal hiccups

Question 2

The contraction stress test (CST) assesses the fetal response to:

Accepted Answer

Simulated or oxytocin-induced uterine contractions

Answer

Maternal positional changes

Answer

Fetal vibroacoustic stimulation

Answer

Maternal deep breathing exercises

Question 3

Which maternal position is recommended first when late decelerations are observed to improve fetal oxygenation?

Accepted Answer

Left lateral decubitus

Answer

Supine

Answer

Trendelenburg

Answer

Semi-Fowler's

Question 4

FHR accelerations during fetal monitoring indicate:

Accepted Answer

Fetal well-being and adequate oxygenation

Answer

Developing fetal acidosis

Answer

Umbilical cord compression

Answer

Uteroplacental insufficiency

Question 5

A BPP score of 6/10 at 38 weeks gestation is best interpreted as:

Accepted Answer

Equivocal — further evaluation or delivery may be indicated

Answer

Reassuring — no further action needed

Answer

Normal variant — repeat in one week

Answer

Severely abnormal — immediate cesarean required

Question 6

Prolonged FHR decelerations are defined as a decrease of ≥15 bpm below baseline lasting:

Accepted Answer

2 to 10 minutes

Answer

15 seconds to 2 minutes

Answer

10 to 20 minutes

Answer

More than 20 minutes

Question 7

During active labor in a low-risk pregnancy, intermittent auscultation of the FHR should be performed at minimum every:

Accepted Answer

15–30 minutes

Answer

5 minutes

Answer

60 minutes

Answer

90 minutes