Practice Test GeeksEFM - Electronic Fetal Monitoring Practice Test
← All EFM Flashcard Decks

Clinical Decision-Making Flashcards

11 cards from real EFM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 11 Clinical Decision-Making flashcards as text

  1. Which one of the following is usually associated with fetal head compression?

    Answer: A

    Explanation: Early decelerations are associated with fetal head compression.

  2. Which one of the following is associated with uteroplacental insufficiency?

    Answer: B

    Explanation: Late decelerations are associated uteroplacental insufficiency.

  3. Which of the following patterns is typically associated with cord compression?

    Answer: C

    Explanation: Variable decelerations are often associated with cord compression.

  4. Describe the variability.

    Answer: Marked

    Explanation: Marked variability is 25 bpm or more of fluctuation around the baseline.

  5. Which of the following is the most important characteristic of fetal heart tracings to determine fetal well-being?

    Answer: Variability

    Explanation: Variability is the single most important determinant of fetal well-being.

  6. Which of the following is not considered a Category 3 fetal tracing?

    Answer: Recurrent late decelerations with minimal variability

    Explanation: Absent fetal heart rate variability is required for Category 3 tracings. Late decelerations with minimal variability is still Category 2.

  7. Which of the following describes the criteria of an acceleration after 32 weeks gestation?

    Answer: A rise in the fetal heart rate of at least 15 bpm for at least 15 seconds

    Explanation: Accelerations in fetal heart rate after 32 weeks gestation are defined by an increase in the fetal heart rate of at least 15 beats per minute (bpm) above the baseline, lasting for at least 15 seconds. This criteria indicates fetal well-being and is considered reassuring during electronic fetal monitoring.

  8. Which of the following is not a possible cause of the tachycardia seen in the last tracing?

    Answer: Fetal heart block

    Explanation: Fetal heart block is not typically associated with tachycardia; instead, it often presents with bradycardia. Tachycardia in electronic fetal monitoring can be caused by maternal fever, sympathomimetic drugs, maternal hyperthyroidism, and fetal sepsis, among other factors.

  9. Management of a prolonged deceleration should include which of the following:

    Answer: All of the above

    Explanation: Management of a prolonged deceleration typically involves a multifaceted approach, including maternal position change, assessment of uterine contractions, evaluation of maternal vital signs, and occasionally, a cervical examination to assess for potential causes or progress of labor.

  10. What is the appropriate next step if a prolonged deceleration persists after maternal position change?

    Answer: Administering oxygen to the mother

    Explanation: Administering oxygen to the mother can help improve oxygen delivery to the fetus and is a common intervention following a prolonged deceleration.

  11. Which intervention is indicated if there is persistent fetal tachycardia on Electronic Fetal Monitoring?

    Answer: Immediate cesarean delivery

    Explanation: Persistent fetal tachycardia can indicate fetal distress, and immediate cesarean delivery may be necessary to prevent adverse outcomes.