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NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. 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) Fetal trauma
B) Cord accident
C) Placental abruption

2. The baseline fetal heart rate in this tracing is:

A) Indeterminate
B) 155 beats per minute
C) Tachycardia

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

4. The most common fetal heart rate pattern consistent with uterine rupture is

A) absent variability
B) prolonged and variable decelerations
C) loss of uterine pressure

5. During the second stage of labor, a period of bradycardia develops. The fetal heart rate baseline variability is moderate. The most likely cause of this bradycardia is:

A) Vagal stimulation
B) Cord compression
C) Vasospasm

Solutions: