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NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. Maternal-fetal exchange during labor is diminished by:

A) Open-glottis pushing in second stage
B) An increase in maternal cardiac output
C) Placental calcifications

2. 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

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

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

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

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

5. A woman in labor has been pushing for 4 hours. For the last 2 hours, there have been recurrent variable decelerations. Variability has evolved from moderate to minimal. Cervical exam is 10/100%
/+2, fetal head OP. There has been no fetal descent for the last 45 minutes. Based on the tracing shown, the most reasonable approach is

A) continued pushing
B) cesarean birth
C) vacuum-assisted vaginal birth

Solutions: