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NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. This external tracing is from a 19-year-old (G1P0) at 39-weeks gestation. She is 6 cm dilated, 100% effaced, and -2 station. The fetus is in an occiput posterior position. She rates her pain as 8. She reports being lightheaded. She is most likely at risk for respiratory:

A) Acidosis
B) Depression
C) Alkalosis

2. 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

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

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

4. A woman in active labor at 8 cm experiences spontaneous rupture of membranes and acute bright red vaginal bleeding. The uterus is soft and nontender to palpation. The fetal monitor tracing has been normal and now shows tachycardia followed by bradycardia with minimal variability. The maternal blood pressure is 130/76 mm Hg, and the pulse is 86 beats per minute. The most likely cause of these findings is:

A) Ruptured vasa previa
B) Placenta previa
C) Abruptio placenta

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

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

Solutions: