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Fetal Health Surveillance Exam Questions (120) EFM NST Decelerations Acid Base Monitoring 2026

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This document contains approximately 120 exam-style multiple-choice questions and verified answers focused on fetal health surveillance, with an emphasis on clinical interpretation and decision-making in obstetrics. It covers key topics such as electronic fetal monitoring (EFM), intermittent auscultation (IA), non-stress tests (NST), contraction patterns, and fetal heart rate (FHR) characteristics including variability, accelerations, and decelerations. The structured Q&A format supports active recall and is highly effective for exam preparation and concept reinforcement. The material provides a comprehensive and clinically relevant understanding of fetal monitoring and physiology, including acid-base balance, hypoxia, and interpretation of cord blood gases. It also integrates evidence-based guidelines such as SOGC recommendations and findings from studies like the Cochrane review comparing EFM and IA. For example, early sections (page 1–3) highlight key outcomes of EFM versus IA and foundational physiology concepts, while later sections expand into NST interpretation, contraction assessment, and clinical documentation standards, offering both theoretical and applied learning. This resource aligns with maternal-newborn nursing and obstetrics curricula and reflects the level of detail found in textbooks such as Maternal Child Nursing Care by Perry, Hockenberry, Lowdermilk, and Wilson, as well as clinical practice guidelines in fetal surveillance. It is suitable for nursing, midwifery, and medical students, as well as healthcare professionals preparing for exams, certifications, or clinical practice in labour and delivery settings. It is particularly useful for students in obstetrics, maternal-child nursing, and fetal monitoring courses. The format also makes it ideal for use with Anki or other flashcard-based study tools, enabling efficient memorization and high-yield revision. Keywords: fetal monitoring, EFM, NST, intermittent auscultation, fetal heart rate, decelerations, variability, uterine activity, labour monitoring, hypoxia, acid base balance, cord blood gases, obstetrics, maternal newborn nursing, SOGC guidelines, nursing exam, anki obstetrics

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Instelling
Electronic Fetal Monitoring
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Electronic fetal monitoring

Voorbeeld van de inhoud

Fetal Health Surveillance 2026
Exam Questions with 100%
Correct Answers | Latest Update



What were the 3 main findings of the Cochrane review on intrapartum EFM

vs IA? - 🧠 ANSWER ✔✔1. EFM associated with higher C/S


2. No difference in neo or mat mortality or morbidity

3. EFM reduction 50% of neonatal seizures, but no long term differences

(cerebral palsy, mortality or well-being)

,The following are outcomes related to which type of labour support?:




Increased spontaneous vaginal birth

Shorter duration of labour

Decreased operative births (cesarean and instrumental vaginal birth)

Decreased use of any analgesia and/or regional analgesia

Fewer low 5-minute Apgar scores

Fewer negative feelings about childbirth experience - 🧠 ANSWER

✔✔Continuous labour support (1-to-1)


When a normal tracing is identified it may be appropriate to interrupt the

EFM tracing for up to _____________ minutes to facilitate periods of

ambulation, bathing, or position change, providing that a) the maternal fetal

condition is stable and b) if Oxytocin is being administered, the infusion rate

is not increased. (III-B) - 🧠 ANSWER ✔✔30 minutes


Is EFM or IA recommended for the labour admission assessment of a low

risk individual? - 🧠 ANSWER ✔✔IA

, Sympathetic Nervous System - 🧠 ANSWER ✔✔1. nerves - medulla

oblongata --> ventricles

2. neurotransmitter is norepinephrine

3. stimulation = increase FHR


Parasympathetic Nervous System - 🧠 ANSWER ✔✔1. vagus nerve from

medulla oblongata innervates the sino-atrial (SA) and atrioventricular (AV)

nodes in the heart

2. neurotransmitter is acetylcholine

3. stimulation = decrease FHR


Where are baroreceptors located? - 🧠 ANSWER ✔✔1. Aortic arch


2. Carotid sinus


Are barometric responses abrupt or gradual? - 🧠 ANSWER ✔✔abrupt (<30

seconds from onset to nadir)


Are chemoreceptor changes abrupt or gradual? - 🧠 ANSWER ✔✔gradual

(>30 seconds from onset to nadir

Where are the peripheral and central chemoreceptors located? - 🧠

ANSWER ✔✔peripherally in the aortic arch and carotid sinus

3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
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Instelling
Electronic fetal monitoring
Vak
Electronic fetal monitoring

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30 maart 2026
Aantal pagina's
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Geschreven in
2025/2026
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