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NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. When evaluating a baseline fetal heart rate change, the fetal heart rate is assessed for a minimum of:

A) 30 minutes
B) 15 minutes
C) 10 minutes

2. A patient at 41 weeks gestation is being induced. She has progressed slowly and is now at 6 cm, 90% effaced,
-1 station. She has the fetal heart tracing shown despite repositioning. The next step in the management of this patient should be to:

A) Decrease the oxytocin
B) Perform an amnioinfusion
C) Apply a spiral electrode

3. A 45-year-old woman at 36-weeks gestation presents for a nonstress test. Vital signs are:

* Maternal pulse rate: 86 beats per minute
* Blood pressure: 118/76 mm Hg
* Temperature: 36.7°C (98.1°F)
The next course of action would include:

A) Perform a Kleihauer-Betke test
B) Discharge home
C) Induce labor

4. This fetal heart rate tracing is obtained upon the woman's admission to labor and delivery. This tracing is most reflective of:

A) Complete heart block
B) Atrial flutter
C) Fetal dysrhythmia

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

Solutions: