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NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. A pattern of recurrent variable decelerations would move from Category II to Category III if what fetal heart rate change occurs?

A) Tachysystole
B) Late decelerations
C) Absent variability

2. Tachysystole can have a negative effect on fetal oxygenation during labor by

A) blocking active transport of oxygen to the fetus
B) increasing maternal blood pressure
C) interfering with reperfusion of the intervillous space

3. This tracing reflects

A) Moderate variability
B) Sinusoidal pattern
C) Minimal variability

4. A 20-year-old woman (G1P0) at 40-weeks gestation was admitted for cervical ripening with dinoprostone (Cervidil) four hours ago. She developed the pattern shown one hour ago. She has been changed to a lateral position and given a fluid bolus, and the pattern continues. An appropriate intervention would be to:

A) Continue to observe
B) Give 0.25 mg of terbutaline subcutaneously
C) Remove the dinoprostone (Cervidil) insert

5. When the fetal heart rate is measured by a Doppler transducer and the intervals between heart beats are persistently identical, this shows as

A) absent variability
B) normal baseline
C) bradycardia

Solutions: