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NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. A woman has been 5 cm dilated for the past 3 hours. The tracing shown has developed over the last 30 minutes. The best initial course of action is to:

A) Perform intrauterine resuscitative measures
B) Continue to monitor
C) Proceed with cesarean section

2. A patient presents at 38-weeks gestation with complaints of decreased fetal movement and ruptured membranes. The fetal heart rate is not able to be determined with an external ultrasound monitor. A spiral electrode is placed, and the tracing shows a rate of 90 bpm. What is the next most appropriate action?

A) Palpation of the maternal radial pulse
B) Intrauterine resuscitation measures
C) Request for an urgent bedside ultrasound

3. A woman at 39-weeks gestation is being induced. She has chronic hypertension controlled by methyldopa (Aldomet). Spontaneous rupture of membranes has occurred; she is 10 cm dilated and at +1 station. The fetal monitor tracing shown is obtained by spiral electrode and tocodynamometer. The next best appropriate action is to:

A) Administer terbutaline
B) Consider amnioinfusion
C) Modify pushing

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

5. A pattern of recurrent variable decelerations would move from Category II to Category III if what fetal heart rate change occurs?

A) Tachysystole
B) Late decelerations
C) Absent variability

Solutions: