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NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. When accelerations precede a variable deceleration pattern, this is caused by

A) occlusion of the umbilical vein
B) oligohydramnios
C) hypoxic reflex response

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

A) palpate for contractions
B) administer vibroacoustic stimulation
C) assess maternal temperature

3. An internal electronic fetal monitor tracing continues to record artifact despite equipment troubleshooting and replacement of the spiral electrode. The next action is to:

A) Auscultate the fetal heart rate
B) Provide oxygen
C) Reposition the woman

4. During the second stage of labor, a period of bradycardia develops. The fetal heart rate baseline variability is moderate. The most likely cause of this bradycardia is:

A) Vagal stimulation
B) Vasospasm
C) Cord compression

5. In the event of recurrent variable decelerations with thick meconium, amnioinfusion is recommended to:

A) Dilute thick meconium
B) Restore uterine blood flow
C) Treat oligohydramnios

Solutions: