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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Physiology | 11% | - Maternal-Fetal Physiology
|
| Topic 2: Electronic Monitoring Equipment | 5% | - Monitoring Systems
|
| Topic 3: Fetal Assessment Methods | 9% | - Assessment Techniques
|
| Topic 4: Pattern Recognition and Intervention | 70% | - Fetal Heart Rate Patterns
|
| Topic 5: Professional Issues | 5% | - Clinical Practice and Safety
|
Question 1
This fetal heart rate tracing is of a woman in labor with dichorionic-diamniotic twins at 36-weeks gestation, 4 cm dilated. She is on oxygen via face mask. Based on the fetal heart rate tracing, what is the most appropriate action?
(Tracing A = black; Tracing B = blue)
A. Cesarean birth
B. Continue to observe
C. Give terbutaline
Question 2
When auscultating the fetal heart rate, the Doppler should be placed over the fetal:
A. Abdomen
B. Chest
C. Back
Question 3
Upon admission, the clinician discusses indications, risks, and benefits of electronic fetal monitoring.
This reflects which ethical concept?
A. Autonomy
B. Informed consent
C. Fiduciary
Question 4
Fetal supraventricular tachycardia will often appear on the monitor as
A. artifact
B. the same rate as the maternal pulse
C. half the actual rate
Question 5
A woman has been 5 cm dilated for the past 3 hours. The tracing shown has developed over the last 30 minutes. The best initial course of action is to:
A. Proceed with cesarean section
B. Continue to monitor
C. Perform intrauterine resuscitative measures
Solutions:
| Question 1 Answer: B | Question 2 Answer: C | Question 3 Answer: B | Question 4 Answer: C | Question 5 Answer: C |
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