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NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. (Full question)
This tracing would be categorized as a

A) Category III
B) Category I
C) Category II

2. A woman in active labor at 8 cm experiences spontaneous rupture of membranes and acute bright red vaginal bleeding. The uterus is soft and nontender to palpation. The fetal monitor tracing has been normal and now shows tachycardia followed by bradycardia with minimal variability. The maternal blood pressure is 130/76 mm Hg, and the pulse is 86 beats per minute. The most likely cause of these findings is:

A) Abruptio placenta
B) Ruptured vasa previa
C) Placenta previa

3. A fetal heart rate tracing is abnormal. A change in maternal position and oxygen administration do not correct the pattern. Following birth, a fetal cord blood sample is taken:
pH = 7.25
PaCO# = 46 mm Hg
PaO# = 20 mm Hg
HCO# = 22 mEq/L
Base deficit = -4 mEq/L
These results are best interpreted as:

A) Acidosis
B) Normal
C) Hypoxia

4. This fetal heart rate tracing is from a woman in the second stage of labor. This tracing is best interpreted as:

A) Variable decelerations
B) Wandering baseline
C) Intermittent late decelerations

5. To differentiate a fetal dysrhythmia from artifact, it is important to recognize that artifact appears as deflections that are:

A) Uniform but occur irregularly
B) Similar in pattern
C) Varied and disorganized

Solutions: