North American Registry of Midwives (NARM) Practice Exam

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What is a reliable way to detect abnormal changes in fetal heart tones?

  1. Counting the FHT in 10 sec increments

  2. Listening during contractions only

  3. Counting the FHT in 5 sec increments with breaks

  4. Evaluating FHT only if there are concerns

The correct answer is: Counting the FHT in 5 sec increments with breaks

Counting fetal heart tones (FHT) in 5-second increments with breaks is a reliable method to detect abnormal changes in fetal heart tones because it allows for a more detailed and accurate assessment of the fetal heart rate variability. By measuring in shorter intervals, practitioners can more specifically identify any changes or irregularities in the heart rate that could indicate potential fetal distress or other complications. The breaks allow the provider to maintain focus on any patterns or abnormalities without being overwhelmed by continuous measurement data. This method facilitates timely interventions if abnormal patterns are noted, enhancing fetal monitoring during labor. Regular and systematic assessment contributes to a better understanding of the fetus's condition and helps guide clinical decisions effectively.