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| Section | Weight | Objectives |
|---|---|---|
| Electronic Monitoring Equipment | 5% | - Calibration and accuracy - Troubleshooting artifacts - Proper application and use |
| Pattern Recognition and Intervention | 70% | - Interpretation per NICHD standards - Clinical decision-making and interventions - Tracing evaluation and management - Fetal heart rate patterns classification |
| Professional Issues | 5% | - Documentation standards - Legal and ethical aspects - Safety and quality improvement |
| Physiology | 11% | - Factors affecting fetal oxygenation - Uteroplacental function - Fetal cardiovascular physiology |
| Fetal Assessment and Methods | 9% | - Auxiliary assessment techniques - Indications for monitoring - Correlation with clinical status |
1. This is a tracing of a multiparous woman in the second stage of labor. The vertex is at +3 station. This pattern has continued for the last 20 minutes. She has been pushing for 2½ hours, and oxytocin is infusing at 12 milliunits/minute. Management should include
A) preparing for cesarean birth
B) increasing the oxytocin
C) preparing for operative vaginal birth
2. Patient safety is enhanced when alarms:
A) Occur infrequently
B) Can be called by anyone
C) Are determined by the unit leaders
3. When R-R intervals are short, the fetal heart rate is
A) slow
B) normal
C) fast
4. Prenatal diagnosis shows that a fetus has renal agenesis. During delivery, what type of electronic fetal heart rate pattern is most likely to be seen due to a common complication associated with this syndrome?
A) Late decelerations
B) Variable decelerations
C) Fetal heart block
5. When a difference in interpretation occurs over a non-emergent electronic fetal heart rate tracing, the first step toward resolution is to:
A) Follow the chain of command
B) Have the involved clinicians review the tracing together
C) Document the incident in the medical record
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: B | Question # 3 Answer: C | Question # 4 Answer: B | Question # 5 Answer: B |
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