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NCC Certified - Electronic Fetal Monitoring Sample Questions:

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

2. 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) Abruptio placenta
B) Ruptured vasa previa
C) Placenta previa

3. A woman at 36-weeks gestation comes in because of uterine contractions radiating to the back. She has no insurance. In accordance with the Emergency Medical Treatment and Active Labor Act (EMTALA), she is obligated to be:

A) Stabilized and receive a medical screening examination
B) Admitted without delay
C) Transferred to a safety-net hospital

4. 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

5. When auscultating the fetal heart rate, the Doppler should be placed over the fetal:

A) Abdomen
B) Chest
C) Back

Solutions: