Question 1

A woman at 39-weeks gestation is in early labor, 2–3 cm dilated, 85% effaced, and –2 station. Based on the fetal heart rate tracing shown, what is the most appropriate first intervention?

Options :

A : Adjust the fetal monitor

B : Administer an IV fluid bolus

C : Administer terbutaline

Answer: A

Question 2

A woman at 41-weeks gestation is being induced. She is 2 cm dilated and is on oxytocin at 8 milliunits /minute. Based on the fetal heart rate tracing shown, the best initial response is to:

Options :

A : Continue to observe

B : Decrease the oxytocin

C : Place a fetal spiral electrode

Answer: B

Question 3

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:

Options :

A : Cord compression

B : Vagal stimulation

C : Vasospasm

Answer: B

Question 4

A 30-minute tracing with moderate variability, accelerations, and one variable deceleration would be classified as:

Options :

A : Category I

B : Category II

C : Category III

Answer: B

Question 5

The decelerations seen in the fetal monitoring tracing shown are best described as:

Options :

A : Early

B : Late

C : Variable

Answer: C

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