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

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 3

The baseline fetal heart rate in this tracing is:

Options :

A : 155 beats per minute

B : Indeterminate

C : Tachycardia

Answer: C

Question 4

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 5

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

Options :

A : Early

B : Late

C : Variable

Answer: C