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NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. 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) Intrauterine resuscitation measures
C) Palpation of the maternal radial pulse

2. (Full question)
Spontaneous fetal heart rate accelerations indicate

A) integrated response of the fetal central nervous system
B) immaturity of the fetal parasympathetic nervous system
C) dominance of the fetal sympathetic nervous system

3. What is the appropriate interpretation of this tracing?

A) Tachycardia with variable decelerations
B) Multiple prolonged accelerations
C) Marked variability

4. (Full question statement)
A dysrhythmia is noted. The pregnancy and labor course has been normal with no complications. The next step in management is to

A) administer maternal oxygen
B) start an IV fluid bolus
C) continue to observe

5. A nonstress test is nonreactive in a 36-week gestational age fetus. Vibroacoustic stimulation (VAS) is applied with no fetal response. The next step is to proceed to:

A) Induction of labor
B) Cesarean birth
C) Biophysical profile

Solutions: