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NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. A fetus displays a baseline heart rate of 125 beats per minute with moderate variability. During a contraction, the baseline rate drops abruptly to 80 beats per minute with gradual return to baseline over 90 seconds. This is classified as:

A) Variable deceleration
B) Early deceleration
C) Prolonged deceleration

2. The tracing shown is a:

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

3. A woman at 41-weeks gestation is being induced. She is 2 cm dilated and is on oxytocin at 8 milliunits
/minute. Based on the fetal heart rate tracing shown, the best initial response is to:

A) Place a fetal spiral electrode
B) Decrease the oxytocin
C) Continue to observe

4. A nulliparous woman at term presents with leaking fluid. Rupture of membranes confirmed. After 6 hours she is completely dilated, +2 station, has been pushing 2 hours with oxytocin at 10 mU/min. The fetal tracing is shown. What is the next step in management?

A) Continue pushing for another hour
B) Expedite birth
C) Decrease oxytocin

5. This tracing demonstrates:

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

Solutions: