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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Physiology | 11% | - Uteroplacental function - Fetal cardiovascular physiology - Factors affecting fetal oxygenation |
| Topic 2: Fetal Assessment and Methods | 9% | - Indications for monitoring - Correlation with clinical status - Auxiliary assessment techniques |
| Topic 3: Professional Issues | 5% | - Safety and quality improvement - Documentation standards - Legal and ethical aspects |
| Topic 4: Pattern Recognition and Intervention | 70% | - Clinical decision-making and interventions - Tracing evaluation and management - Fetal heart rate patterns classification - Interpretation per NICHD standards |
| Topic 5: Electronic Monitoring Equipment | 5% | - Proper application and use - Troubleshooting artifacts - Calibration and accuracy |
1. A 30-year-old woman (G2P0) is experiencing preterm labor at 26-weeks gestation. She is receiving magnesium sulfate for neuroprotection. Her external fetal monitoring tracing over the past 30 minutes is shown. The next step would be to:
A) Evaluate for chorioamnionitis
B) Discontinue magnesium sulfate
C) Administer acetaminophen
2. A pattern of recurrent variable decelerations would move from Category II to Category III if what fetal heart rate change occurs?
A) Late decelerations
B) Absent variability
C) Tachysystole
3. A woman has been 5 cm dilated for the past 3 hours. The tracing shown has developed over the last 30 minutes. The best initial course of action is to:
A) Proceed with cesarean section
B) Continue to monitor
C) Perform intrauterine resuscitative measures
4. Amnioinfusion can cause what changes in the fetal heart rate tracing?
A) Resolution of variable decelerations
B) Improvement in fetal heart rate variability
C) Increase in fetal heart rate baseline
5. A reliable indicator of fetal oxygenation is fetal
A) heart rate accelerations
B) regular sleep-wake cycles
C) movement
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: B | Question # 3 Answer: C | Question # 4 Answer: A | Question # 5 Answer: A |
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