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NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. A woman (G1, P0) at 41-weeks gestation presents to OB triage to rule out labor. Her cervical exam is 1 cm/50%/-2. Membranes are intact. She would like to go home if not in labor. Based on this tracing, which represents the last two hours, the best approach is:

A) further observation
B) discharge to home
C) admission to hospital

2. After spontaneous rupture of membranes, this fetal heart rate pattern is observed. The initial intervention should be to:

A) Perform a vaginal examination
B) Position the woman on her left side
C) Increase intravenous fluid intake

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

4. A reliable indicator of fetal oxygenation is fetal

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

5. A patient presents at 38-weeks gestation with complaints of decreased fetal movement and ruptured membranes. The fetal heart rate is not able to be determined with an external ultrasound monitor. A spiral electrode is placed, and the tracing shows a rate of 90 bpm. What is the next most appropriate action?

A) Request for an urgent bedside ultrasound
B) Palpation of the maternal radial pulse
C) Intrauterine resuscitation measures

Solutions: