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NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. The baseline fetal heart rate decreases with gestational age as a result of an increase in:

A) Parasympathetic tone
B) Catecholamine production
C) Intrinsic ventricular rate

2. (Full question)
Vibroacoustic stimulation (VAS) is a useful intervention which can

A) provide an indication of the amount of amniotic fluid
B) relax the uterus during tachysystole
C) shorten the length of the nonstress test (NST)

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

4. An electronic fetal monitoring factor that best correlates with fetal well-being is:

A) Baseline heart rate 140-150 bpm
B) Presence of variability
C) Absence of decelerations

5. A woman at 39-weeks gestation is in early labor, 2-3 cm dilated, 85% effaced, and -2 station. Based on the fetal heart rate tracing shown, what is the most appropriate first intervention?

A) Administer terbutaline
B) Administer an IV fluid bolus
C) Adjust the fetal monitor

Solutions: