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NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. When monitoring monochorionic-monoamniotic twins, which of the following fetal heart rate patterns would be anticipated?

A) Baseline tachycardia
B) Variable decelerations
C) Minimal variability

2. A sentinel or reportable event as defined by the Joint Commission or other regulatory bodies/agencies is one that

A) requires investigation and response
B) requires mandatory education for providers
C) must involve malpractice or negligence

3. 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

4. A reliable indicator of fetal oxygenation is fetal

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

5. The baseline fetal heart rate decreases with gestational age as a result of an increase in:

A) Intrinsic ventricular rate
B) Parasympathetic tone
C) Catecholamine production

Solutions: