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NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. When accelerations precede a variable deceleration pattern, this is caused by

A) oligohydramnios
B) hypoxic reflex response
C) occlusion of the umbilical vein

2. A 45-year-old woman at 36-weeks gestation presents for a nonstress test. Vital signs are:

* Maternal pulse rate: 86 beats per minute
* Blood pressure: 118/76 mm Hg
* Temperature: 36.7°C (98.1°F)
The next course of action would include:

A) Discharge home
B) Perform a Kleihauer-Betke test
C) Induce labor

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. When auscultating the fetal heart rate, the Doppler should be placed over the fetal:

A) Chest
B) Abdomen
C) Back

5. After spontaneous rupture of membranes, this fetal heart rate pattern is observed. The initial intervention should be to:

A) Increase intravenous fluid intake
B) Perform a vaginal examination
C) Position the woman on her left side

Solutions: