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NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. A 20-year-old woman (G1P0) at 40-weeks gestation was admitted for cervical ripening with dinoprostone (Cervidil) four hours ago. She developed the pattern shown one hour ago. She has been changed to a lateral position and given a fluid bolus, and the pattern continues. An appropriate intervention would be to:

A) Remove the dinoprostone (Cervidil) insert
B) Continue to observe
C) Give 0.25 mg of terbutaline subcutaneously

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

3. (Full question statement)
The American College of Obstetricians and Gynecologists (ACOG) recommends continuous electronic fetal monitoring in pregnancies when there is:

A) Maternal diabetes
B) A history of preterm birth
C) Macrosomia

4. The main reason intrauterine pressure catheters are placed is to:

A) Define the quality of the fetal baseline
B) Determine the contraction pattern
C) Rule out artifact

5. This tracing reflects

A) Moderate variability
B) Sinusoidal pattern
C) Minimal variability

Solutions: