NCC EFM

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NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. A woman (G1P0) arrives in triage with a pain score of 4/10 at 39-weeks gestation. The fetal heart rate tracing shown is obtained. The best intervention is to:

A) Discharge to home
B) Adjust tocotransducer and continue to monitor
C) Admit for induction

2. A 20-year-old woman (G1P0) at 40-weeks gestation was admitted for cervical ripening with dinoprostone (Cervidil) four hours ago. She developed the pattern shown one hour ago. She has been changed to a lateral position and given a fluid bolus, and the pattern continues. An appropriate intervention would be to:

A) Continue to observe
B) Remove the dinoprostone (Cervidil) insert
C) Give 0.25 mg of terbutaline subcutaneously

3. This tracing demonstrates:

A) Category III tracing
B) Bradycardia
C) Prolonged deceleration

4. During amnioinfusion, the infusion should be stopped periodically to assess changes in:

A) Patient pain level
B) Baseline uterine pressure
C) Contraction pattern

5. An electronic fetal monitoring factor that best correlates with fetal well-being is:

A) Baseline heart rate 140-150 bpm
B) Absence of decelerations
C) Presence of variability

Solutions: