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Electronic Fetal Monitoring Exam Practice Questions Answers OB Nursing Study Guide PDF Download

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This Electronic Fetal Monitoring exam review supports nurses preparing for obstetric certification and clinical competency. It includes structured practice questions with correct answers and clear explanations. Content covers fetal heart rate interpretation, uterine contraction patterns, labor stages, fetal oxygenation, nursing interventions, and maternal fetal assessment. Each question focuses on applying EFM knowledge to labor and delivery scenarios. The material supports revision, self assessment, and exam preparation. It strengthens understanding of fetal monitoring required for safe obstetric nursing practice and certification exams.

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Electronic Fetal Monitoring
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Voorbeeld van de inhoud

ELECTRONIC FETAL MONITORING EXAM QUESTIONS WITH
CORRECT ANSWERS ASSURED A+

Which of the following dysrhythmias may progress to atrial fibrillation or
atrial flutter? A. Premature atrial contractions (PACs)
B. Supraventricular tachycardia (SVT)

C. Sinus tachycardia - SVT)



Which of the following is not commonly caused by administration of
indomethacin? A. Decreased fetal urine (decreased amniotic fluid index
[AFI])
B. Decreased FHR baseline

C. Increased variable decelerations -

Which of the following is not commonly caused by terbutaline
administration? A. Increased FHR baseline
B. Decreased FHR late decelerations

C. Increased maternal HR



Which of the following is not commonly caused by nifedipine
administration? A. Maternal hypotension

B. Decreased uterine blood flow
C. Increased FHR accelerations

Which of the following would likely be affected by betamethasone

administration? A. Fetal echocardiogram

B. Biophysical profile (BPP) score

C. Contraction stress test (CST) -

,Fetal breathing decreased with betamethasone administration



Which of the following is a common EFM finding when monitoring a
preterm fetus? A. Decreased baseline

B. Variable decelerations



C. Increased FHR variability
decelerations



Which of the following is most strongly correlated with placental
abruption? A. Uncontrolled gestational diabetes
B. Multiple gestation

C. Uncontrolled hypertension -



Which of the following is not typically associated with a post-term
pregnancy? A. Meconium-stained amniotic fluid

B. Presence of late decelerations in the fetal heart rate
C. Polyhydramnios -

Which of the following is the most appropriate method of monitoring a
patient who is a gestational diabetic?
• Daily NSTs

• Twice-weekly BPPs

Weekly contraction stress tests -

Which of the following is not commonly caused by
magnesium sulfate? A. Increased FHR baseline

B. Decreased FHR variability

,C. Decreased FHR accelerations

Which of the following FHR changes would not typically be seen in a mother
with chorioamnionitis?
A. Increased
baseline B.

Increased

variability
C. Decreased accelerations -

Which of the following is false regarding electronic fetal
monitoring of twins? A. Both twins must be monitored, as opposed
to monitoring one twin at a time
B. Twins rarely have accelerations and decelerations

simultaneously, and tracings should appear distinctly different
C. Twins must be identified and monitored as A or B throughout the entire

antenatal and intrapartum periods - CORRECT ANSWERS

pH 6.9, PO2 15, PCO2 55, HCO3 18, BE -22




The nurse reviews the arterial gas results and concludes that the
fetus had acidosis. With results such as these, you would expect a
resuscitation.

A. Metabolic;
lengthy B.
Metabolic; short

C. Respiratory; lengthy -

, Cord blood gases from one of the umbilical arteries best
represent A. The status of fetal acid-base balance

B. The status of maternal oxygenation

C. The status of placental function

A modified biophysical profile (mBPP) is considered normal if

A. NST is reactive and the mother reports at least 10 fetal
movements in 2 hours B. NST is reactive and the amniotic
fluid index (AFI) is greater than 5 cm

C. There are no decelerations following contractions -



Which of the following is not a component of

a BPP? A. Amniotic fluid index (AFI)

B. Fetal breathing
C. Nonstress test (NST) -



(Should be volume, no index)



A contraction stress test (CST) is done. During the testing, there were
three contractions in 10 minutes, no decals, the baseline was 145, and
there was moderate variability. This is interpreted as
A.

Negati
ve B.
Positive

C. Suspicious

Which of the following is most likely to result in absent end diastolic flow

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