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| Section | Weight | Objectives |
|---|---|---|
| Pattern Recognition and Intervention | 70% | - Clinical decision-making and interventions - Interpretation per NICHD standards - Tracing evaluation and management - Fetal heart rate patterns classification |
| Professional Issues | 5% | - Documentation standards - Legal and ethical aspects - Safety and quality improvement |
| Physiology | 11% | - Uteroplacental function - Fetal cardiovascular physiology - Factors affecting fetal oxygenation |
| Fetal Assessment and Methods | 9% | - Auxiliary assessment techniques - Indications for monitoring - Correlation with clinical status |
| Electronic Monitoring Equipment | 5% | - Troubleshooting artifacts - Proper application and use - Calibration and accuracy |
1. A woman (G1P0) arrives in triage with a pain score of 4/10 at 39-weeks gestation. The fetal heart rate tracing shown is obtained. The best intervention is to:
A) Adjust tocotransducer and continue to monitor
B) Admit for induction
C) Discharge to home
2. Stimulation of the vagus nerve in a healthy fetus will cause:
A) Decreased fetal heart rate
B) Increased fetal blood pressure
C) Increased cardiac contractility
3. When auscultating the fetal heart rate, the Doppler should be placed over the fetal:
A) Abdomen
B) Chest
C) Back
4. A fetal heart rate pattern shows no accelerations or decelerations. It would be interpreted as a Category II pattern if it occurred with:
A) Marked variability
B) A fetal heart rate of 110 beats per minute
C) A sinusoidal pattern
5. This patient received an epidural 15 minutes prior to the tracing shown. The next course of action is to:
A) Continue to monitor
B) Perform a cervical exam
C) Check maternal blood pressure
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: A | Question # 3 Answer: C | Question # 4 Answer: A | Question # 5 Answer: C |
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