NCC EFM

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NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. A woman is being induced with oxytocin. The tracing shown is representative of 20 minutes. Based on this tracing, the next step would be to:

A) Place a spiral electrode
B) Discontinue oxytocin
C) Proceed to operative birth

2. Accelerations that last 10 minutes or more are considered:

A) Tachycardia
B) A baseline change
C) Baseline variability

3. A reliable indicator of fetal oxygenation is fetal

A) movement
B) regular sleep-wake cycles
C) heart rate accelerations

4. 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) Hypoxia
B) Normal
C) Acidosis

5. In the event of recurrent variable decelerations with thick meconium, amnioinfusion is recommended to:

A) Restore uterine blood flow
B) Dilute thick meconium
C) Treat oligohydramnios

Solutions: