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NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. The baseline fetal heart rate in this tracing is:

A) 155 beats per minute
B) Indeterminate
C) Tachycardia

2. Patient safety is enhanced when alarms:

A) Occur infrequently
B) Are determined by the unit leaders
C) Can be called by anyone

3. A woman in active labor at 8 cm experiences spontaneous rupture of membranes and acute bright red vaginal bleeding. The uterus is soft and nontender to palpation. The fetal monitor tracing has been normal and now shows tachycardia followed by bradycardia with minimal variability. The maternal blood pressure is 130/76 mm Hg, and the pulse is 86 beats per minute. The most likely cause of these findings is:

A) Abruptio placenta
B) Placenta previa
C) Ruptured vasa previa

4. When the fetal heart rate is measured by a Doppler transducer and the intervals between heart beats are persistently identical, this shows as

A) normal baseline
B) bradycardia
C) absent variability

5. The tracing shown is from a woman at 28-weeks gestation in the post-anesthesia care unit (PACU) after an appendectomy. She is alert and awake. Based on this fetal heart rate pattern, the most appropriate intervention is:

A) Administer terbutaline
B) Continued monitoring
C) Perform cesarean birth

Solutions: