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NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. Based on the fetal heart rate tracing shown, the expected fetal pH would be:

A) Below 7.15
B) Unaffected by the fetal heart rate
C) Above 7.15

2. The most probable underlying fetal physiologic cause for this tracing would be:

A) Release of catecholamines
B) Myocardial hypoxic depression
C) Vagal nerve stimulation in response to hypoxemia

3. Maternal fever can cause fetal tachycardia because the increased maternal temperature:

A) Increases fetal metabolism
B) Decreases tissue perfusion
C) Inhibits catecholamine release

4. A woman at 39-weeks gestation is being induced. She has chronic hypertension controlled by methyldopa (Aldomet). Spontaneous rupture of membranes has occurred; she is 10 cm dilated and at +1 station. The fetal monitor tracing shown is obtained by spiral electrode and tocodynamometer. The next best appropriate action is to:

A) Administer terbutaline
B) Consider amnioinfusion
C) Modify pushing

5. When fetal arterial blood pressure increases, the baroreceptors send impulses to the vagus nerve resulting in:

A) Decreased PO#
B) Decreased heart rate
C) Reflex tachycardia

Solutions: