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NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. A woman at 41-weeks gestation is being induced. She is 2 cm dilated and is on oxytocin at 8 milliunits
/minute. Based on the fetal heart rate tracing shown, the best initial response is to:

A) Continue to observe
B) Place a fetal spiral electrode
C) Decrease the oxytocin

2. The fetal heart rate tracing shown demonstrates:

A) Category II tracing
B) Marked variability
C) Accelerations

3. A woman in active labor at 8 cm experiences spontaneous rupture of membranes and acute bright red vaginal bleeding. The uterus is soft and nontender to palpation. The fetal monitor tracing has been normal and now shows tachycardia followed by bradycardia with minimal variability. The maternal blood pressure is 130/76 mm Hg, and the pulse is 86 beats per minute. The most likely cause of these findings is:

A) Placenta previa
B) Ruptured vasa previa
C) Abruptio placenta

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

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

5. A key differentiating factor when determining if a deceleration is early or late is the

A) timing in relation to contractions
B) depth of the deceleration
C) onset to nadir

Solutions: