EFM practice test exam with correct answers.

EFM practice test exam with correct |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




answers
What FHR finding is top priority for immediate interventions?
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a. heart block rate of 60 bpm
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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:
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a. association with tachysystole with or without pitocin
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b. association after giving stadol and phenergan
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c. association with active phase of pushing +3 station - correct answer✔✔a. association with
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tachysystole with or without pitocin |||\\\ |||\\\ |||\\\ |||\\\




Explain the difference between "shoulders" and "overshoots" associated with variable decels
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(not approved NICHD approved terminology
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a.shoulders are associated with moderate variability |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




b. over shoots are associated with moderate variability
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c. shoulders are associated with minimal variability and overshoots are associated with absent
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variability - correct answer✔✔a.shoulders are associated with moderate variability
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Define tachysystole with pitocin: |||\\\ |||\\\ |||\\\




a. tachysystole is > or equal to 5 contractions in 10 minutes averaged over a 30-minute time
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frame but only with fetal intolerance
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b. tachysystole is > or equal to 5 contractions in 10 minutes averaged over a 30-min time
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despite fetal intolerance of pattern, category 1 tracing
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, c. tachysystole is >5 contractions in 10 minutes averaged over a 30-min period of time - correct
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answer✔✔c. tachysystole is >5 contractions in 10 minutes averaged over a 30-min period of
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time



What category tracing is baseline rate of 120, absent variability and prolonged 5-minute decel
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to the 60s? |||\\\ |||\\\




a. cat 1 |||\\\ |||\\\




b. cat 2 |||\\\ |||\\\




c. cat 3 - correct answer✔✔cat 2
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as the labor nurse is setting up for vacuum assisted or forcep assisted delivery by the provider,
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the stimulation of the ___________ nerve occurs which results in fetal heart characteristic of
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a. vagus, tachycardia and minimal variability
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b. vagus, bradycardia
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c. trigeminal, minimal variability and an arrhythmia - correct answer✔✔b. vagus, bradycardia
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which tracing reveals the highest indicator for potential fetal acidemia?
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a. recurrent late decelerations with minimal variability, baseline rate of 115 bpm
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b. bradycardia with minimal variability, baseline rate of 85 bpm
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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
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considered

a. reactive
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b.reassuring, cat 1 |||\\\ |||\\\




c. negative - correct answer✔✔a. reactive
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