EFM practice test
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 - ANS-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 - ANS-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 - ANS-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 -
ANS-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 - ANS-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 - ANS-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 -
ANS-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 - ANS-a. reactive
during the NST a qualifying acceleration:
a. does not have to return to the baseline rate.
b. must meet criteria of 10x10 in a fetus <32 weeks or 15 x 15 in a fetus >32 weeks.
c. if minimal variability accompanies the qualifying accels based on gestation, the NST
is considered non reassuring - ANS-b. must meet criteria of 10x10 in a fetus <32 weeks
or 15 x 15 in a fetus >32 weeks.
the baseline rate for marked variability is
a. find the mid-point of the baseline with marked variability and chart that number
b. there is no baseline rate in marked variability
c. establish a mid-point range of the baseline and if accels are present, assume fetus is
reactive - ANS-b. there is no baseline rate in marked variability
immediately following SROM a prolonged decel to 80 x 5 mins is noted. immediate
nursing action is
a. sterile vaginal exam
b. turn to lateral position and apply o2, prepare for stat c section
c. IVF bolus, O2 therapy, turn to lateral position - ANS-a. sterile vaginal exam
the common finding of hypertension and the association with amniotic fluid index will be
a. oligo
b. poly
c. normal AFI - ANS-a. oligo
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 - ANS-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 - ANS-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 - ANS-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 -
ANS-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 - ANS-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 - ANS-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 -
ANS-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 - ANS-a. reactive
during the NST a qualifying acceleration:
a. does not have to return to the baseline rate.
b. must meet criteria of 10x10 in a fetus <32 weeks or 15 x 15 in a fetus >32 weeks.
c. if minimal variability accompanies the qualifying accels based on gestation, the NST
is considered non reassuring - ANS-b. must meet criteria of 10x10 in a fetus <32 weeks
or 15 x 15 in a fetus >32 weeks.
the baseline rate for marked variability is
a. find the mid-point of the baseline with marked variability and chart that number
b. there is no baseline rate in marked variability
c. establish a mid-point range of the baseline and if accels are present, assume fetus is
reactive - ANS-b. there is no baseline rate in marked variability
immediately following SROM a prolonged decel to 80 x 5 mins is noted. immediate
nursing action is
a. sterile vaginal exam
b. turn to lateral position and apply o2, prepare for stat c section
c. IVF bolus, O2 therapy, turn to lateral position - ANS-a. sterile vaginal exam
the common finding of hypertension and the association with amniotic fluid index will be
a. oligo
b. poly
c. normal AFI - ANS-a. oligo
