North American Registry of Midwives (NARM) Practice Exam

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How often should fetal heart tone patterns be evaluated during the active first stage of labor according to Varney?

Every 15 minutes
Every 30 minutes
Every 45 minutes
Every hour

The correct answer is: Every 30 minutes

During the active first stage of labor, it is essential to monitor fetal heart tones to assess the well-being of the fetus and to detect any signs of distress. According to Varney's Midwifery, the recommended frequency for evaluating fetal heart tone patterns is every 30 minutes. This intervals strike a balance, ensuring that healthcare providers can accurately monitor fetal status while allowing sufficient time between assessments to observe patterns and trends in the fetal heart rate. Frequent assessments at this interval enable practitioners to respond quickly to any abnormalities or changes in fetal heart rate characteristics, which is crucial for the timely management of potential complications. This practice aligns with guidelines for intrapartum care aimed at improving outcomes for both the mother and the baby.