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| Section | Weight | Objectives |
|---|---|---|
| Pattern Recognition and Intervention | 70% | - Fetal heart rate patterns classification - Clinical decision-making and interventions - Interpretation per NICHD standards - Tracing evaluation and management |
| Fetal Assessment and Methods | 9% | - Auxiliary assessment techniques - Correlation with clinical status - Indications for monitoring |
| Physiology | 11% | - Uteroplacental function - Fetal cardiovascular physiology - Factors affecting fetal oxygenation |
| Electronic Monitoring Equipment | 5% | - Troubleshooting artifacts - Proper application and use - Calibration and accuracy |
| Professional Issues | 5% | - Legal and ethical aspects - Documentation standards - Safety and quality improvement |
Question 1
A pattern of recurrent variable decelerations would move from Category II to Category III if what fetal heart rate change occurs?
A. Absent variability
B. Late decelerations
C. Tachysystole
Question 2
The most highly oxygenated blood in the fetal circulation is found in the
A. ductus venosus
B. pulmonary arteries
C. descending aorta
Question 3
A woman at 39-weeks gestation is being induced. She has chronic hypertension controlled by methyldopa (Aldomet). Spontaneous rupture of membranes has occurred; she is 10 cm dilated and at +1 station. The fetal monitor tracing shown is obtained by spiral electrode and tocodynamometer. The next best appropriate action is to:
A. Administer terbutaline
B. Modify pushing
C. Consider amnioinfusion
Question 4
A key differentiating factor when determining if a deceleration is early or late is the
A. onset to nadir
B. timing in relation to contractions
C. depth of the deceleration
Question 5
A fetal heart rate deceleration that is episodic is a/an:
A. Early deceleration
B. Late deceleration
C. Variable deceleration
Solutions:
| Question 1 Answer: A | Question 2 Answer: A | Question 3 Answer: B | Question 4 Answer: B | Question 5 Answer: C |
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