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Free Certified - Electronic Fetal Monitoring Practice Questions

Question # 21

Based on the tracing shown, the first action should be to

Question # 21

Options:

A.  

administer vibroacoustic stimulation

B.  

assess maternal temperature

C.  

palpate for contractions

Discussion 0
Question # 22

What is the appropriate interpretation of this tracing?

Question # 22

Options:

A.  

Marked variability

B.  

Multiple prolonged accelerations

C.  

Tachycardia with variable decelerations

Discussion 0
Question # 23

This tracing has lasted for 20 minutes in a woman who is 6 cm dilated. The most appropriate intervention is:

Question # 23

Options:

A.  

Delivery

B.  

Fetal scalp stimulation

C.  

Intravenous bolus of D5% Lactated Ringers

Discussion 0
Question # 24

When the fetal heart rate is measured by a Doppler transducer and the intervals between heart beats are persistently identical, this shows as

Options:

A.  

absent variability

B.  

bradycardia

C.  

normal baseline

Discussion 0
Question # 25

Intermittent fetal heart rate auscultation for a low-risk, spontaneous laboring patient who is 4–5 centimeters dilated should be assessed at intervals every

Options:

A.  

5–10 minutes

B.  

15–30 minutes

C.  

45–60 minutes

Discussion 0
Question # 26

(Full question statement)

The fetal heart rate tracing shown is obtained upon the woman's admission to labor and delivery. This tracing is most consistent with what maternal condition?

Question # 26

Options:

A.  

Eisenmenger's syndrome

B.  

Sickle cell anemia

C.  

Systemic lupus erythematosus

Discussion 0
Question # 27

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

Options:

A.  

Improvement in fetal heart rate variability

B.  

Increase in fetal heart rate baseline

C.  

Resolution of variable decelerations

Discussion 0
Question # 28

The presence of fetal breathing movements on a biophysical profile reflects adequate:

Options:

A.  

Neurologic function

B.  

Pulmonary vasoconstriction

C.  

Surfactant levels

Discussion 0
Question # 29

A woman is admitted at 41-weeks gestation for fetal evaluation following a motor vehicle accident. She reports that she hit her abdomen on the steering wheel. The underlying physiology of the tracing is most likely:

Question # 29

Options:

A.  

Cord accident

B.  

Fetal trauma

C.  

Placental abruption

Discussion 0
Question # 30

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:

Options:

A.  

Abruptio placenta

B.  

Placenta previa

C.  

Ruptured vasa previa

Discussion 0

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