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NCC Certified - Electronic Fetal Monitoring Sample Questions:

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: