EFM practice test exam with correct |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answers
What FHR finding is top priority for immediate interventions?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a. heart block rate of 60 bpm
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
b.bradycardia
c.tachycardia with minimal variability rate of 170 with pushing - correct answer✔✔B. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
BRADYCARDIA
The change from moderate to minimal variability which is most concerning would be when:
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a. association with tachysystole with or without pitocin
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
b. association after giving stadol and phenergan
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
c. association with active phase of pushing +3 station - correct answer✔✔a. association with
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
tachysystole with or without pitocin |||\\\ |||\\\ |||\\\ |||\\\
Explain the difference between "shoulders" and "overshoots" associated with variable decels
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
(not approved NICHD approved terminology
|||\\\ |||\\\ |||\\\ |||\\\
a.shoulders are associated with moderate variability |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
b. over shoots are associated with moderate variability
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
c. shoulders are associated with minimal variability and overshoots are associated with absent
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
variability - correct answer✔✔a.shoulders are associated with moderate variability
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Define tachysystole with pitocin: |||\\\ |||\\\ |||\\\
a. tachysystole is > or equal to 5 contractions in 10 minutes averaged over a 30-minute time
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
frame but only with fetal intolerance
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
b. tachysystole is > or equal to 5 contractions in 10 minutes averaged over a 30-min time
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
despite fetal intolerance of pattern, category 1 tracing
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
, c. tachysystole is >5 contractions in 10 minutes averaged over a 30-min period of time - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔c. tachysystole is >5 contractions in 10 minutes averaged over a 30-min period of
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
time
What category tracing is baseline rate of 120, absent variability and prolonged 5-minute decel
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
to the 60s? |||\\\ |||\\\
a. cat 1 |||\\\ |||\\\
b. cat 2 |||\\\ |||\\\
c. cat 3 - correct answer✔✔cat 2
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
as the labor nurse is setting up for vacuum assisted or forcep assisted delivery by the provider,
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
the stimulation of the ___________ nerve occurs which results in fetal heart characteristic of
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a. vagus, tachycardia and minimal variability
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
b. vagus, bradycardia
|||\\\ |||\\\
c. trigeminal, minimal variability and an arrhythmia - correct answer✔✔b. vagus, bradycardia
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
which tracing reveals the highest indicator for potential fetal acidemia?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a. recurrent late decelerations with minimal variability, baseline rate of 115 bpm
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
b. bradycardia with minimal variability, baseline rate of 85 bpm
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
c.prolonged 7- minute decel with baseline recovery to 110s with minimal variability - correct |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔b. bradycardia with minimal variability, baseline rate of 85 bpm |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
NST for a 32.5 week gestation G2P1 with acceleration criteria 2 accelerations of 15 x 15 is
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
considered
a. reactive
|||\\\
b.reassuring, cat 1 |||\\\ |||\\\
c. negative - correct answer✔✔a. reactive
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answers
What FHR finding is top priority for immediate interventions?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a. heart block rate of 60 bpm
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
b.bradycardia
c.tachycardia with minimal variability rate of 170 with pushing - correct answer✔✔B. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
BRADYCARDIA
The change from moderate to minimal variability which is most concerning would be when:
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a. association with tachysystole with or without pitocin
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
b. association after giving stadol and phenergan
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
c. association with active phase of pushing +3 station - correct answer✔✔a. association with
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
tachysystole with or without pitocin |||\\\ |||\\\ |||\\\ |||\\\
Explain the difference between "shoulders" and "overshoots" associated with variable decels
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
(not approved NICHD approved terminology
|||\\\ |||\\\ |||\\\ |||\\\
a.shoulders are associated with moderate variability |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
b. over shoots are associated with moderate variability
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
c. shoulders are associated with minimal variability and overshoots are associated with absent
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
variability - correct answer✔✔a.shoulders are associated with moderate variability
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Define tachysystole with pitocin: |||\\\ |||\\\ |||\\\
a. tachysystole is > or equal to 5 contractions in 10 minutes averaged over a 30-minute time
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
frame but only with fetal intolerance
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
b. tachysystole is > or equal to 5 contractions in 10 minutes averaged over a 30-min time
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
despite fetal intolerance of pattern, category 1 tracing
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
, c. tachysystole is >5 contractions in 10 minutes averaged over a 30-min period of time - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔c. tachysystole is >5 contractions in 10 minutes averaged over a 30-min period of
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
time
What category tracing is baseline rate of 120, absent variability and prolonged 5-minute decel
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
to the 60s? |||\\\ |||\\\
a. cat 1 |||\\\ |||\\\
b. cat 2 |||\\\ |||\\\
c. cat 3 - correct answer✔✔cat 2
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
as the labor nurse is setting up for vacuum assisted or forcep assisted delivery by the provider,
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
the stimulation of the ___________ nerve occurs which results in fetal heart characteristic of
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a. vagus, tachycardia and minimal variability
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
b. vagus, bradycardia
|||\\\ |||\\\
c. trigeminal, minimal variability and an arrhythmia - correct answer✔✔b. vagus, bradycardia
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
which tracing reveals the highest indicator for potential fetal acidemia?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a. recurrent late decelerations with minimal variability, baseline rate of 115 bpm
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
b. bradycardia with minimal variability, baseline rate of 85 bpm
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
c.prolonged 7- minute decel with baseline recovery to 110s with minimal variability - correct |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔b. bradycardia with minimal variability, baseline rate of 85 bpm |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
NST for a 32.5 week gestation G2P1 with acceleration criteria 2 accelerations of 15 x 15 is
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
considered
a. reactive
|||\\\
b.reassuring, cat 1 |||\\\ |||\\\
c. negative - correct answer✔✔a. reactive
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
