2024 ELECTRONIC FETAL
MONITORING PRACTICE EXAM
QUESTIONS WITH ANSWERS
A maternal nurse is observing that a fetus has increases in FHR that are
above the baseline and greater than or equal to 15 bpm and lasting longer
than or equal to 15 seconds in relation to mom's uterine contractions. The
nurses' priority action would be to:
a. Report this as a normal finding, known as accelerations that indicate the
fetus is doing well.
b. Report this immediately to the doctor because this indicates that the fetus
is compromised.
c. Adminster mom oxygen from 8-10 l/min immediately and then notify
doctor. - CORRECT-ANSWERSa. Report this as a normal finding, known as
accelerations that indicate the fetus is doing well.
The nurse identifies which type of fetal heart rate pattern that occurs with
sympathetic nervous response in breech presentation and occurs directly
with contractions?
a. episodic
b. periodic - CORRECT-ANSWERSb. periodic
The nurse identifies variable decelerations in a FHR on a EFM strip. The nurse
knows that these type of patterns are known as________ because they do not
occur in relation to contractions :
a. episodic
b. periodic - CORRECT-ANSWERSa. episodic
The nurse notices that on a EFM there is a gradual decrease in return to
baseline of FHR that is begins just as the mother's uterine contractions. The
nurse documents this finding as:
a. a normal finding of early decelerations associated with head compression
b. a normal finding of early declerations associated with cord compression
c. a normal finding of late declerations associated with uteroplacental
insufficiency - CORRECT-ANSWERSa. a normal finding of early decelerations
associated with head compression
, The nurse is observing a decleration pattern of the FHR that is the mirror
image of the contraction and has started in the 1st stage of the mom's labor
when she was 4-7 cm. The deceleration pattern continued through the
mother's 2nd stage as she was pushing in active labor. The nurse knows that
this is indicative of:
a. early decelerations
b. late decelerations
c. variable declerations - CORRECT-ANSWERSa. early decelerations
The nurse is observing a pattern on the EFM that indicates a gradual
decrease in a return to baseline FHR that begins after the contraction has
started. There was a decrease that is greater than or equal to 15 bpm that
lasts for greater than or equal to 15 seconds. The nurse records that this
pattern is:
a. a late deceleration associated with uteroplacental insufficiency
b. a late deceleration associated with head compression
c. a late deceleration associated with cord compression - CORRECT-
ANSWERSa. a late deceleration associated with uteroplacental insufficiency
The nurse is monitoring a FHR and uterine contractions on a EFM strip. The
nurse notices that the lowest point of the deceleration occurs after the peak
of the contraction. The nurse documents this as a:
a. early deceleration
b. late deceleration
c. variable deceleration - CORRECT-ANSWERSb. late deceleration
A nurse informs a nursing student that if late deceleration are persistent and
repetitive, it indicates:
a. fetal hypoxemia stemming from insufficient placental perfusion
b. considered a normal finding and should not cause alarm
c. fetal hypoxemia stemming from cord compression - CORRECT-ANSWERSa.
fetal hypoxemia stemming from insufficient placental perfusion
A nurse has tried multiple measures to increase a patient's baby's FHR. The
nurse would deem which of the following situations not correctable and
omnious?
a. early decelerations associated with decreased variability and tachycardia
b. late decelerations associated with decreased variability and tachycardia
c. variable declerations associated with decreased variability and tachycardia
- CORRECT-ANSWERSb. late decelerations associated with decreased
variability and tachycardia
A nurse is observing her 42 year old patient who is having increased uterine
contractions due to IV oxytocin. The nurse notices that there has been a
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