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NCC Certified - Electronic Fetal Monitoring Sample Questions:

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

2. This patient received an epidural 15 minutes prior to the tracing shown. The next course of action is to:

A) Continue to monitor
B) Check maternal blood pressure
C) Perform a cervical exam

3. Prenatal diagnosis shows that a fetus has renal agenesis. During delivery, what type of electronic fetal heart rate pattern is most likely to be seen due to a common complication associated with this syndrome?

A) Variable decelerations
B) Late decelerations
C) Fetal heart block

4. Amnioinfusion can cause what changes in the fetal heart rate tracing?

A) Improvement in fetal heart rate variability
B) Increase in fetal heart rate baseline
C) Resolution of variable decelerations

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

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

Solutions: