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NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. A nulliparous woman at term presents with leaking fluid. Rupture of membranes confirmed. After 6 hours she is completely dilated, +2 station, has been pushing 2 hours with oxytocin at 10 mU/min. The fetal tracing is shown. What is the next step in management?

A) Continue pushing for another hour
B) Decrease oxytocin
C) Expedite birth

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) Continue to observe
B) Decrease the oxytocin
C) Place a fetal spiral electrode

3. This tracing reflects

A) Moderate variability
B) Sinusoidal pattern
C) Minimal variability

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

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

5. Amnioinfusion can cause what changes in the fetal heart rate tracing?

A) Improvement in fetal heart rate variability
B) Resolution of variable decelerations
C) Increase in fetal heart rate baseline

Solutions: