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NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. 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) Administer terbutaline
B) Perform cesarean birth
C) Continued monitoring

2. A woman is admitted at 41-weeks gestation for fetal evaluation following a motor vehicle accident. She reports that she hit her abdomen on the steering wheel. The underlying physiology of the tracing is most likely:

A) Placental abruption
B) Fetal trauma
C) Cord accident

3. This fetal heart rate pattern is classified as Category III based on:

A) Contraction pattern
B) Type of deceleration
C) Absent variability

4. A woman at 39-weeks gestation is being induced. She has chronic hypertension controlled by methyldopa (Aldomet). Spontaneous rupture of membranes has occurred; she is 10 cm dilated and at +1 station. The fetal monitor tracing shown is obtained by spiral electrode and tocodynamometer. The next best appropriate action is to:

A) Modify pushing
B) Administer terbutaline
C) Consider amnioinfusion

5. Fetal supraventricular tachycardia will often appear on the monitor as

A) artifact
B) the same rate as the maternal pulse
C) half the actual rate

Solutions: