FREE EFM Clinical Interpretation Questions and Answers

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What is the likely cause of this fetal tracing?

Correct! Wrong!

Explanation:
This is a sinusoidal pattern associated with severe fetal anemia.

Is this FHT reassuring?

Correct! Wrong!

Explanation:
The FHT is overall reassuring, but not reactive.

What is the baseline rate?

Correct! Wrong!

Explanation:
The baseline rate doesn't include areas of marked variability or accelerations or decelerations.

Are contractions present?

Correct! Wrong!

Explanation:
Regular contractions are present.

What category is this tracing?

Correct! Wrong!

Explanation:
It is Category 2 tracing. Category 2 tracing in Electronic Fetal Monitoring (EFM) represents an indeterminate or non-reassuring fetal heart rate pattern.

Assuming the patient has an IUPC, please calculate the MVUs for this tracing.

Correct! Wrong!

Explanation:
The MVUs for this tracing would be 245.

How would you describe the contractions noted on this fetal tracing?

Correct! Wrong!

Explanation:
Tachysystole describes contractions that occur with 5 or more in 10 minutes. The term hyperstimulation is no longer used.

Which of the following interventions would be appropriate for this tracing?

Correct! Wrong!

Explanation:
Cord compression may be alleviated by position change or amnioinfusion.

What is considered to be the normal range of fetal heart rates?

Correct! Wrong!

Explanation:
The normal fetal heart ranges between 110 and 160 bpm.

Are there accelerations present?

Correct! Wrong!

Explanation:
There are accelerations present in addition to the marked variability.

Are there decelerations present?

Correct! Wrong!

Explanation:
Decelerations are not present.

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