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NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. The most probable underlying fetal physiologic cause for this tracing would be:

A) Release of catecholamines
B) Myocardial hypoxic depression
C) Vagal nerve stimulation in response to hypoxemia

2. Intrapartum asphyxia can be determined by:

A) Cord blood gas analysis
B) One-minute Apgar score
C) Fetal heart rate interpretation

3. This fetal heart rate tracing is of a woman in labor with dichorionic-diamniotic twins at 36-weeks gestation, 4 cm dilated. She is on oxygen via face mask. Based on the fetal heart rate tracing, what is the most appropriate action?

(Tracing A = black; Tracing B = blue)

A) Continue to observe
B) Cesarean birth
C) Give terbutaline

4. 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) cesarean birth
B) continued pushing
C) vacuum-assisted vaginal birth

5. This fetal heart rate tracing is obtained upon the woman's admission to labor and delivery. This tracing is most reflective of:

A) Fetal dysrhythmia
B) Complete heart block
C) Atrial flutter

Solutions: