AWHONN Fetal Monitoring Practice Test 2026 – Complete Exam Prep

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What physiological change occurs as a result of sympathetic activation in a fetus?

Decreased heart rate

Accelerated heart rate

Sympathetic activation in a fetus leads to an accelerated heart rate, which reflects the body's 'fight or flight' response. This activation stimulates the release of catecholamines, such as epinephrine and norepinephrine, which increase the heart rate and enhance cardiac output. This physiological response is critical in situations where the fetus might need to react quickly, helping to ensure adequate perfusion and oxygen delivery.

An accelerated heart rate can also improve blood flow to vital organs, supporting the fetus's overall health and development. Additionally, during labor and delivery, sympathetic activity increases to help the fetus respond appropriately to the stresses of childbirth. Understanding this relationship between sympathetic activation and heart rate is important for monitoring fetal distress and overall well-being during labor.

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Increased variability

Decreased variability

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