Question 1

Prenatal diagnosis shows that a fetus has renal agenesis. During delivery, what type of electronic fetal heart rate pattern is most likely to be seen due to a common complication associated with this syndrome?

Options :

A : Fetal heart block

B : Late decelerations

C : Variable decelerations

Answer: C

Question 2

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 3

To differentiate a fetal dysrhythmia from artifact, it is important to recognize that artifact appears as deflections that are:

Options :

A : Similar in pattern

B : Uniform but occur irregularly

C : Varied and disorganized

Answer: C

Question 4

A patient presents at 38-weeks gestation with complaints of decreased fetal movement and ruptured membranes. The fetal heart rate is not able to be determined with an external ultrasound monitor. A spiral electrode is placed, and the tracing shows a rate of 90 bpm. What is the next most appropriate action?

Options :

A : Intrauterine resuscitation measures

B : Palpation of the maternal radial pulse

C : Request for an urgent bedside ultrasound

Answer: B

Question 5

Nonstress testing is used more frequently for antepartum testing than contraction stress testing because contraction stress testing has a:

Options :

A : Higher frequency of equivocal test results

B : Limited reporting option for the compromised fetus

C : Low predictability of fetal well-being within 7 days of a negative test

Answer: A

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