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NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. The tracing shown is a:

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


2. The baseline fetal heart rate in this tracing is:

A) 155 beats per minute
B) Indeterminate
C) Tachycardia


3. 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


4. This patient received an epidural 15 minutes prior to the tracing shown. The next course of action is to:

A) Check maternal blood pressure
B) Continue to monitor
C) Perform a cervical exam


5. Intrapartum asphyxia can be determined by:

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


Solutions:

Question # 1
Answer: B
Question # 2
Answer: C
Question # 3
Answer: A
Question # 4
Answer: A
Question # 5
Answer: B

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