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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Electronic Monitoring Equipment | 5% | - Calibration and accuracy - Proper application and use - Troubleshooting artifacts |
| Topic 2: Pattern Recognition and Intervention | 70% | - Fetal heart rate patterns classification - Tracing evaluation and management - Clinical decision-making and interventions - Interpretation per NICHD standards |
| Topic 3: Professional Issues | 5% | - Legal and ethical aspects - Documentation standards - Safety and quality improvement |
| Topic 4: Physiology | 11% | - Factors affecting fetal oxygenation - Uteroplacental function - Fetal cardiovascular physiology |
| Topic 5: Fetal Assessment and Methods | 9% | - Auxiliary assessment techniques - Correlation with clinical status - Indications for monitoring |
1. Fetal heart rate variability results from normal variance in fetal:
A) Cardiac responsiveness
B) Levels of carbon dioxide
C) R-R intervals
2. An internal electronic fetal monitor tracing continues to record artifact despite equipment troubleshooting and replacement of the spiral electrode. The next action is to:
A) Provide oxygen
B) Reposition the woman
C) Auscultate the fetal heart rate
3. Patient safety is enhanced when alarms:
A) Can be called by anyone
B) Occur infrequently
C) Are determined by the unit leaders
4. When a difference in interpretation occurs over a non-emergent electronic fetal heart rate tracing, the first step toward resolution is to:
A) Follow the chain of command
B) Document the incident in the medical record
C) Have the involved clinicians review the tracing together
5. When fetal arterial blood pressure increases, the baroreceptors send impulses to the vagus nerve resulting in:
A) Reflex tachycardia
B) Decreased heart rate
C) Decreased PO#
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: C | Question # 3 Answer: A | Question # 4 Answer: C | Question # 5 Answer: B |
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