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NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. A 20-year-old woman (G1P0) at 40-weeks gestation was admitted for cervical ripening with dinoprostone (Cervidil) four hours ago. She developed the pattern shown one hour ago. She has been changed to a lateral position and given a fluid bolus, and the pattern continues. An appropriate intervention would be to:

A) Give 0.25 mg of terbutaline subcutaneously
B) Continue to observe
C) Remove the dinoprostone (Cervidil) insert

2. Patient safety is enhanced when alarms:

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

3. During the second stage of labor, a period of bradycardia develops. The fetal heart rate baseline variability is moderate. The most likely cause of this bradycardia is:

A) Vasospasm
B) Cord compression
C) Vagal stimulation

4. When monitoring monochorionic-monoamniotic twins, which of the following fetal heart rate patterns would be anticipated?

A) Variable decelerations
B) Minimal variability
C) Baseline tachycardia

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

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

Solutions: