Question 1

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

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

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 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

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