Question 1

The baseline fetal heart rate decreases with gestational age as a result of an increase in:

Options :

A : Catecholamine production

B : Intrinsic ventricular rate

C : Parasympathetic tone

Answer: C

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

An electronic fetal monitoring factor that best correlates with fetal well-being is:

Options :

A : Absence of decelerations

B : Baseline heart rate 140–150 bpm

C : Presence of variability

Answer: C

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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