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The NICHD definitions are applicable to
a. Antepartum only
b. Antepartum and intrapartum
c. Intrapartum only - Answer- b. Antepartum and intrapartum
A wandering FHR baseline may be indicative of
a. Fetal seizure activity
b. Impending fetal death
c. Maternal medication administration - Answer- b. Impending fetal death
A fetal heart rate pattern that is likely to be seen with maternal hypothermia is
a. Bradycardia
b. Marked variability
c. Tachycardia - Answer- a. Bradycardia
Tachycardia is associated with increased
a. Parasympathetic tone
b. Sympathetic tone
c. Vagal response - Answer- b. Sympathetic tone
Baseline FHR variability is determined in what amount of time, excluding accels and
decels?
a. 10 minutes
b. 20 minutes
c. 30 minutes - Answer- a. 10 minutes
One possible cause of a sinusoidal FHR pattern from fetal hypoxemia is
a. Fetal anemia
b. Fetal thumb sucking
c. Maternal administration of a narcotic - Answer- a. Fetal anemia
According to NICHD definitions, which one of the following decelerations must drop by
at least 15 beats per minute
a. Early
b. Late
C. Prolonged - Answer- c. Prolonged
, According to the task force of national institute of child health and human development
of the NIH, decelerations that have an abrupt onset and a nadir in less than 30 seconds
are
a. Early
b. Late
c. Variable - Answer- c. Variable
Amnioinfusion is recommended for a FHR pattern with recurrent
a. Early decelerations
b. Late decelerations
c. Variable decelerations - Answer- c. Variable decelerations
Which one of the following tachyarrthymias can result in fetal hydrops?
a. Persistent SVT
b. Premature atrial contractions
c. Sinus tachycardia - Answer- a. Persistent SVT
A preterm fetus with persistent PVT that is not hydropic is best treated with maternal
administration of
a. Digoxin
b. Phenobarbital
c. Terbutaline - Answer- a. Digoxin
A maternal medical condition which predisposes the fetus to a heart block is
a. Lupus erythematosus
b. Marfans disease
c. Mitral valve prolapse - Answer- a. Lupus erythematosus
A woman being monitored externally has a suspected fetal arrhythmia. The most
appropriate action is to
a. Insert an FSE and turn off the logic
b. Turn the logic on if an external monitor is in place
c. Use a doppler to listen to the ventricular rate - Answer- a. Insert an FSE and turn off
the logic
Which fetal heart sounds are counted with a stethoscope or fetoscope?
a. Atrial
b. Atrial and ventricular
c. Ventricular - Answer- c. Ventricular
When using auscultation to determine the DHR baseline, the FHR should be counted
after the contractions for
a. 5-10 seconds
b. 15-30 seconds
c. 30-60 seconds - Answer- c. 30-60 seconds