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NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. (Full question statement)
Interobserver reliability in interpretation of fetal heart rate tracings is greatest when the tracing is:

A) Normal
B) Indeterminate
C) Abnormal

2. A fetal heart rate tracing is abnormal. A change in maternal position and oxygen administration do not correct the pattern. Following birth, a fetal cord blood sample is taken:
pH = 7.25
PaCO# = 46 mm Hg
PaO# = 20 mm Hg
HCO# = 22 mEq/L
Base deficit = -4 mEq/L
These results are best interpreted as:

A) Normal
B) Hypoxia
C) Acidosis

3. A woman at 38-weeks gestation is admitted to labor and delivery following a fall down the stairs three hours ago. She started feeling contractions in the ambulance. The fetal heart rate tracing shown is on initial evaluation and represents 25 minutes. This tracing is most consistent with a

A) category III tracing
B) category I tracing
C) category II tracing

4. The ratio of oxyhemoglobin to the total amount of hemoglobin available is called oxygen

A) carrying capacity
B) affinity
C) saturation

5. Based on the fetal heart rate tracing shown, the expected fetal pH would be:

A) Below 7.15
B) Unaffected by the fetal heart rate
C) Above 7.15

Solutions: