North American Registry of Midwives (NARM) Practice Exam

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What fetal heart rate indicates marked tachycardia?

  1. Above 160 BPM

  2. Above 180 BPM

  3. Above 200 BPM

  4. Above 140 BPM

The correct answer is: Above 180 BPM

Marked tachycardia in a fetus is typically defined as a fetal heart rate exceeding 180 beats per minute (BPM). A heart rate above this threshold signifies an increased heart rate that may warrant further evaluation and intervention, as it can be indicative of underlying issues such as fetal hypoxia, infection, or maternal factors. While a heart rate above 160 BPM indicates tachycardia, marked tachycardia specifically highlights a more severe elevation in the heart rate, reaching the levels defined in the correct answer. This distinction is crucial for midwives and healthcare providers as they monitor fetal well-being during labor and may need to take specific measures if such elevated heart rates are observed, ensuring both maternal and fetal health are prioritized.