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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Pattern Recognition and Intervention | 70% | - Fetal Heart Rate Patterns
|
| Topic 2: Fetal Assessment Methods | 9% | - Assessment Techniques
|
| Topic 3: Electronic Monitoring Equipment | 5% | - Monitoring Systems
|
| Topic 4: Physiology | 11% | - Maternal-Fetal Physiology
|
| Topic 5: Professional Issues | 5% | - Clinical Practice and Safety
|
1. When fetal arterial blood pressure increases, the baroreceptors send impulses to the vagus nerve resulting in:
A) Reflex tachycardia
B) Decreased heart rate
C) Decreased PO#
2. The most probable underlying fetal physiologic cause for this tracing would be:
A) Vagal nerve stimulation in response to hypoxemia
B) Release of catecholamines
C) Myocardial hypoxic depression
3. A fetal heart rate tracing is abnormal. A change in maternal position and oxygen administration do not correct the pattern. Following birth, a fetal cord blood sample is taken:
pH = 7.25
PaCO# = 46 mm Hg
PaO# = 20 mm Hg
HCO# = 22 mEq/L
Base deficit = -4 mEq/L
These results are best interpreted as:
A) Acidosis
B) Hypoxia
C) Normal
4. The decelerations seen in the fetal monitoring tracing shown are best described as:
A) Early
B) Late
C) Variable
5. During the second stage of labor, a period of bradycardia develops. The fetal heart rate baseline variability is moderate. The most likely cause of this bradycardia is:
A) Vagal stimulation
B) Vasospasm
C) Cord compression
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: B | Question # 3 Answer: C | Question # 4 Answer: C | Question # 5 Answer: A |
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