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NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. A reliable indicator of fetal oxygenation is fetal

A) movement
B) heart rate accelerations
C) regular sleep-wake cycles

2. A woman at 38-weeks gestation is admitted to labor and delivery following a fall down the stairs three hours ago. She started feeling contractions in the ambulance. The fetal heart rate tracing shown is on initial evaluation and represents 25 minutes. This tracing is most consistent with a

A) category II tracing
B) category III tracing
C) category I tracing

3. During the second stage of labor, a period of bradycardia develops. The fetal heart rate baseline variability is moderate. The most likely cause of this bradycardia is:

A) Vagal stimulation
B) Vasospasm
C) Cord compression

4. A woman is being induced with oxytocin. The tracing shown is representative of 20 minutes. Based on this tracing, the next step would be to:

A) Place a spiral electrode
B) Discontinue oxytocin
C) Proceed to operative birth

5. The tracing shown is from a woman at 28-weeks gestation in the post-anesthesia care unit (PACU) after an appendectomy. She is alert and awake. Based on this fetal heart rate pattern, the most appropriate intervention is:

A) Continued monitoring
B) Perform cesarean birth
C) Administer terbutaline

Solutions: