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NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. A woman is admitted to labor and delivery with vaginal bleeding. This tracing is obtained. This is most consistent with:

A) Normal baseline
B) An indeterminate pattern
C) Dysrhythmia

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. In documenting auscultation of the fetal heart rate, it is important to record findings in relationship to:

A) Uterine activity
B) Stage of labor
C) Fetal position

4. A fetal heart rate tracing is abnormal. A change in maternal position and oxygen administration do not correct the pattern. Following birth, a fetal cord blood sample is taken:
pH = 7.25
PaCO# = 46 mm Hg
PaO# = 20 mm Hg
HCO# = 22 mEq/L
Base deficit = -4 mEq/L
These results are best interpreted as:

A) Normal
B) Hypoxia
C) Acidosis

5. When accelerations precede a variable deceleration pattern, this is caused by

A) hypoxic reflex response
B) occlusion of the umbilical vein
C) oligohydramnios

Solutions: