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NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. Interventions undertaken to address fetal tachycardia are targeted at maximizing

A) maternal circulation
B) sympathetic autonomic tone
C) uteroplacental perfusion

2. 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) Administer terbutaline
B) Modify pushing
C) Consider amnioinfusion

3. This fetal heart rate tracing represents:

A) Prolonged acceleration
B) Coupling of contractions
C) Category I tracing

4. This external tracing is from a 19-year-old (G1P0) at 39-weeks gestation. She is 6 cm dilated, 100% effaced, and -2 station. The fetus is in an occiput posterior position. She rates her pain as 8. She reports being lightheaded. She is most likely at risk for respiratory:

A) Acidosis
B) Alkalosis
C) Depression

5. A woman reports 12 fetal movements over one hour. The best recommendation is to:

A) Continue to monitor for one hour
B) Instruct her to count again the next day
C) Administer a nonstress test

Solutions: