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NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. The fetal heart rate baseline is

A) established between periodic and episodic changes
B) documented in a 15 beats per minute range
C) normally between 110 and 170 beats per minute

2. Fetal respiratory acidosis is most likely to present with which of the following fetal heart rate decelerations?

A) Early
B) Late
C) Variable

3. This fetal heart rate tracing is of a woman in labor with dichorionic-diamniotic twins at 36-weeks gestation, 4 cm dilated. She is on oxygen via face mask. Based on the fetal heart rate tracing, what is the most appropriate action?

(Tracing A = black; Tracing B = blue)

A) Continue to observe
B) Give terbutaline
C) Cesarean birth

4. Accelerations that last 10 minutes or more are considered:

A) Baseline variability
B) Tachycardia
C) A baseline change

5. This is a tracing of a multiparous woman in the second stage of labor. The vertex is at +3 station. This pattern has continued for the last 20 minutes. She has been pushing for 2½ hours, and oxytocin is infusing at 12 milliunits/minute. Management should include

A) preparing for cesarean birth
B) increasing the oxytocin
C) preparing for operative vaginal birth

Solutions: