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Question 1

A 30-minute tracing with moderate variability, accelerations, and one variable deceleration would be classified as:

Options :

A : Category I

B : Category II

C : Category III

Answer: B

Question 2

A woman at 41-weeks gestation is being induced. She is 2 cm dilated and is on oxytocin at 8 milliunits /minute. Based on the fetal heart rate tracing shown, the best initial response is to:

Options :

A : Continue to observe

B : Decrease the oxytocin

C : Place a fetal spiral electrode

Answer: B

Question 3

An electronic fetal monitoring factor that best correlates with fetal well-being is:

Options :

A : Absence of decelerations

B : Baseline heart rate 140–150 bpm

C : Presence of variability

Answer: C

Question 4

A patient presents at 38-weeks gestation with complaints of decreased fetal movement and ruptured membranes. The fetal heart rate is not able to be determined with an external ultrasound monitor. A spiral electrode is placed, and the tracing shows a rate of 90 bpm. What is the next most appropriate action?

Options :

A : Intrauterine resuscitation measures

B : Palpation of the maternal radial pulse

C : Request for an urgent bedside ultrasound

Answer: B

Question 5

Nonstress testing is used more frequently for antepartum testing than contraction stress testing because contraction stress testing has a:

Options :

A : Higher frequency of equivocal test results

B : Limited reporting option for the compromised fetus

C : Low predictability of fetal well-being within 7 days of a negative test

Answer: A