COMPREHENSIVE EXAM 2026 QUESTIONS
AND ANSWERS GUARANTEED TO PASS
◍ Remove fetal spiral electrode . Answer: Turn wires counterclockwise
until electrode is dislodged
◍ Accelerations of FHR . Answer: Occur due to stimulation of
sympathetic nervous system
◍ Risk management strategies for documentation . Answer: Include
evaluation of maternal and fetal responses to interventions
◍ Auscultating FHR . Answer: Simultaneously palpate uterus to
correlate changes in FHR to uterine activity
◍ Best location for auscultating FHR . Answer: Over the fetal back
◍ Uterine resting tone . Answer: Pressure within the uterus between
contractions
, ◍ Most accurate assessment of uterine activity . Answer: Intrauterine
pressure catheter (IUPC)
◍ Contraindication to applying fetal spiral electrode . Answer: Presence
of HIV
◍ Verifying FHR with external ultrasound transducer . Answer: Palpate
maternal pulse while auscultating fetal heart
◍ Cause of early decelerations . Answer: Head compression
◍ Assessing uterine activity . Answer: Contractions every 4-5 minutes,
lasting 40-60 seconds, resting tone of 8-10 mm Hg, peak intensity of 25-
30 mm Hg
◍ Risk management strategy for fetal heart monitoring . Answer:
Development of emergency drill exercises
◍ Late deceleration of FHR . Answer: Gradual decrease and return to
baseline associated with uterine contraction, occurs after peak of
contraction
◍ Measurement of uterine activity . Answer: Tocodynamometer