Electronic Fetal Heart Monitoring Trivia Quiz Questions!

Reviewed by Farah Naz
Farah Naz, MBBS, Medicine |
Medical Expert
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Farah holds a Bachelor of Medicine and Bachelor of Surgery (MBBS) from Dow University of Health Sciences. She gained valuable experience through internships in Radiology, Cardiology, and Neurosurgery, and has contributed to two research publications in medical journals. Passionate about healthcare education, Farah excels in crafting medical content, including articles, literature reviews, and e-learning courses. Leveraging her expertise, she meticulously reviews medical science quizzes, ensuring accuracy and educational value for aspiring healthcare professionals.
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Electronic Fetal Heart Monitoring Trivia Quiz Questions! - Quiz

With the help of this Fetal heart monitoring trivia quiz and the questions accompanying it, you will know all about the process of fetal heart monitoring, which exists to let you and your doctor see exactly how fast your unborn baby's heart is beating. This is done to ensure that the baby is healthy and growing normally. This is most likely to be done in the late stages of your pregnancy, and it might be combined with other tests to see if you have either diabetes or high blood pressure, both of which can cause problems. However, you don't need Read moreto worry about this right now, especially if you prepare well with the help of our amazing quiz!


Questions and Answers
  • 1. 

    According to AWHONN, the normal baseline Fetal Heart Rate (FHR) is

    • A.

      90-150 bpm

    • B.

      100-170 bpm

    • C.

      110-160 bpm

    • D.

      120-140 bpm

    Correct Answer
    C. 110-160 bpm
    Explanation
    The correct answer is 110-160 bpm. This range is considered the normal baseline Fetal Heart Rate (FHR) according to AWHONN. FHR refers to the number of times the baby's heart beats per minute, and this range is considered within the normal range for a healthy fetus. It is important to monitor the FHR during pregnancy to ensure the baby's well-being and detect any abnormalities or distress.

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  • 2. 

    What are the two most important characteristics of the FHR?

    • A.

      Rate and decelerations

    • B.

      Variability and accelerations

    • C.

      Variability and decelerations

    • D.

      Rate and variability

    Correct Answer
    B. Variability and accelerations
    Explanation
    The FHR refers to the fetal heart rate, which is an important indicator of the baby's well-being during pregnancy. Variability refers to the fluctuations in the fetal heart rate, which is considered a sign of a healthy and responsive nervous system. Accelerations, on the other hand, are temporary increases in the fetal heart rate, often in response to fetal movement or stimulation, and are also indicative of a healthy baby. Therefore, variability and accelerations are the two most important characteristics of the FHR as they provide valuable information about the baby's condition and well-being.

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  • 3. 

    You are evaluating a patient in the Prenatal Testing Department who has just completed a biophysical profile (BPP). You suspect that there could be chronic fetal asphyxia because the score is below.

    • A.

      5

    • B.

      6

    • C.

      7

    • D.

      8

    Correct Answer
    A. 5
    Explanation
    If the biophysical profile (BPP) score is below 6, it suggests that there may be concerns about chronic fetal asphyxia. Therefore, the score being "5" would indicate a greater likelihood of chronic fetal asphyxia.

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  • 4. 

    What is the primary goal of effective communication in the care of the intrapartum patient?

    • A.

      Getting out of work on time

    • B.

      Preventing lawsuits

    • C.

      Meeting patients' needs appropriately

    • D.

      Maintaining a professional environment

    Correct Answer
    C. Meeting patients' needs appropriately
    Explanation
    The primary goal of effective communication in the care of the intrapartum patient is to meet patients' needs appropriately. Effective communication ensures that the healthcare providers understand and address the specific needs and concerns of the patient during the intrapartum period. It allows for clear and accurate information exchange, promotes trust and collaboration between the healthcare team and the patient, and ultimately leads to better outcomes and patient satisfaction.

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  • 5. 

    While caring for a gestational diabetic patient, you encounter a conflict with the attending physician because he refuses to order blood sugars on the patient. After speaking directly with the physician, the next person in the chain of command you should communicate with is

    • A.

      Hospital administrator

    • B.

      Medical director

    • C.

      Another staff nurse

    • D.

      Nurse Manager

    Correct Answer
    D. Nurse Manager
    Explanation
    After speaking directly with the physician, the next person in the chain of command that should be communicated with is the Nurse Manager. The Nurse Manager is responsible for overseeing the nursing staff and ensuring that patient care is being provided appropriately. In this situation, the conflict with the attending physician regarding the order for blood sugars on the gestational diabetic patient needs to be addressed with the Nurse Manager, who can then intervene and communicate with the physician to resolve the issue and ensure the patient receives the necessary care.

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  • 6. 

    The best placement for the tocodynamometer to pick up uterine contractions is the

    • A.

      Vagina

    • B.

      Perineum

    • C.

      Fundus

    • D.

      Lower abdomen

    Correct Answer
    C. Fundus
    Explanation
    The best placement for the tocodynamometer to pick up uterine contractions is the fundus. The fundus is the uppermost part of the uterus, located near the top of the abdomen. Placing the tocodynamometer at the fundus allows for accurate measurement and monitoring of uterine contractions, as it is the area where contractions are most easily detected. Placing it in the lower abdomen, vagina, or perineum may not provide as accurate readings or may not pick up contractions effectively.

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  • 7. 

    When using a fetal scalp electrode (FSE) you notice an abnormally low FHR on the monitor. You should first

    • A.

      Compare maternal pulse simultaneously with FHR

    • B.

      Remove FSE

    • C.

      Call the doctor immediately

    • D.

      Turn off the monitor

    Correct Answer
    A. Compare maternal pulse simultaneously with FHR
    Explanation
    When using a fetal scalp electrode (FSE) and noticing an abnormally low fetal heart rate (FHR) on the monitor, the first step is to compare the maternal pulse simultaneously with the FHR. This is important because it helps to differentiate between the fetal heart rate and the maternal heart rate. If the maternal pulse is mistakenly being recorded as the FHR, it may lead to unnecessary interventions. By comparing the two, healthcare professionals can ensure accurate monitoring and make informed decisions regarding further actions.

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  • 8. 

    Umbilical cord influences that can alter blood flow include true knots, hematomas, and the number of umbilical vessels.

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    The statement is true because the umbilical cord can be affected by various factors that can alter blood flow. True knots, which occur when the umbilical cord gets twisted, can restrict blood flow. Hematomas, which are blood clots, can also impede blood flow through the umbilical cord. Additionally, the number of umbilical vessels can impact blood flow, as variations in the normal two arteries and one vein can affect the supply of oxygen and nutrients to the fetus. Therefore, these influences can indeed alter blood flow in the umbilical cord.

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  • 9. 

    Low amplitude contractions are not an early sign of preterm labor.

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    Low amplitude contractions are not an early sign of preterm labor. This means that if a pregnant woman experiences low amplitude contractions, it does not necessarily indicate that she is going into preterm labor. Therefore, the statement "Low amplitude contractions are not an early sign of preterm labor" is false.

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  • 10. 

    Preterm contractions are usually painful.

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    Preterm contractions are not usually painful. Contractions that occur before the 37th week of pregnancy are considered preterm contractions. While some women may experience discomfort or mild pain with preterm contractions, they are typically not as painful as contractions during full-term labor. It is important for pregnant women to monitor and report any contractions to their healthcare provider to ensure the well-being of both the mother and the baby.

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  • 11. 

    Corticosteroid administration may cause an increase in FHR accelerations.

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    Corticosteroid administration does not cause an increase in FHR (fetal heart rate) accelerations. In fact, corticosteroids are usually given to pregnant women to help with fetal lung development and to prevent preterm birth. FHR accelerations are typically a sign of fetal well-being and are not influenced by corticosteroid administration.

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  • 12. 

    Contractions cause an increase in uterine venous pressure and a decrease in uterine artery perfusion.

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    Contractions during pregnancy cause an increase in uterine venous pressure, which refers to the pressure within the veins of the uterus. This increased pressure can restrict blood flow in the uterine arteries, leading to a decrease in uterine artery perfusion. Therefore, the statement that contractions cause an increase in uterine venous pressure and a decrease in uterine artery perfusion is true.

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  • 13. 

     Matching NICDH definitions of decelerations:  ____  Late                                                            A.) Abrupt decrease, > 15 bpm,                                                                                     > 15 secs long, but < 2 min long ____  Early                                                            B.) Gradual decrease; nadir                                                                                     delayed after uterine                                                                                    contraction ____  Variable                                                      C.) > 15 bpm below basline for                                                                                    > 2 min., but < 10 min in                                                                                   duration ____  Prolonged                                                   D.) Gradual decrease; nadir                                                                                   coincides with the peak of                                                                                   contraction

  • 14. 

    As a result of the intrinsic fetal response to oxygen deprivation, increased catecholamine levels cause the peripheral blood flow to decrease while the blood flow to vital organs increases. These flow changes, along with increased catecholamine secretions, have what effect on fetal blood pressure and fetal heart rate?

    Correct Answer
    Increase the blood pressure and decrease the heart rate
    Explanation
    In response to oxygen deprivation, the fetal body releases increased levels of catecholamines. This leads to a decrease in peripheral blood flow, which means less blood is reaching the extremities. At the same time, blood flow to vital organs such as the brain and heart increases. These changes in blood flow, along with the increased catecholamine levels, result in an increase in fetal blood pressure. Additionally, the increased catecholamines can have a negative chronotropic effect on the heart, leading to a decrease in fetal heart rate.

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  • 15. 

    List three ways in which you can determine that an FHR pattern is pseudo sinusoidal and NOT sinusoidal.

    Correct Answer
    It will have a "saw-toothed" appearance Its oscillating pattern is less uniform than in a sinusoidal pattern Accelerations may be present
    Explanation
    The presence of a "saw-toothed" appearance in the FHR pattern indicates that it is pseudo sinusoidal and not sinusoidal. Additionally, the oscillating pattern of the FHR in a pseudo sinusoidal pattern is less uniform compared to a sinusoidal pattern. Lastly, the presence of accelerations in the FHR pattern can also indicate that it is pseudo sinusoidal.

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  • 16. 

    List three primary interventions for fetal tachycardia.

    Correct Answer
    Assess maternal vital signs, specifically temperature and pulse Administer oxygen Increase IV fluid rate
    Explanation
    The three primary interventions for fetal tachycardia are assessing maternal vital signs, specifically temperature and pulse, administering oxygen, and increasing IV fluid rate. Assessing the maternal vital signs allows healthcare providers to monitor the mother's condition and identify any potential complications. Administering oxygen helps to improve oxygenation and support fetal well-being. Increasing the IV fluid rate helps to maintain hydration and optimize blood flow to the fetus. These interventions aim to stabilize the mother's condition and promote a healthy environment for the fetus.

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  • 17. 

    During a term antepartum NST (non-stress test), you notice several variable decelerations that decrease at least 15 bpm and last at least 15 secs long. Three causes for these decelerations would be

    Correct Answer
    Oligohydramnios Umbilical cord entanglement/compression Knot in umbilical cord
    Explanation
    Variable decelerations in a term antepartum NST can be caused by oligohydramnios, umbilical cord entanglement/compression, or a knot in the umbilical cord. Oligohydramnios refers to a decreased amount of amniotic fluid, which can lead to compression of the umbilical cord and subsequent variable decelerations. Umbilical cord entanglement or compression can occur when the umbilical cord becomes wrapped around the baby's body or compressed between the baby and the uterine wall, leading to decreased blood flow and variable decelerations. A knot in the umbilical cord can also cause variable decelerations by restricting blood flow.

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  • 18. 

    What kind of decelerations and variability does this strip show? What interventions would you take after evaluating this strip?

    Correct Answer
    Late decelerations with minimal variability. Change maternal position, administer oxygen via mask, increase IV fluid rate; decrease Pitocin rate if being administered.
    Explanation
    The strip shows late decelerations with minimal variability. Late decelerations are a concerning sign as they indicate poor oxygenation to the fetus. Minimal variability suggests that the fetal heart rate is not responding well to changes in oxygenation or other stimuli. To address this, the interventions would include changing the maternal position to improve blood flow, administering oxygen via a mask to increase oxygen levels, increasing the IV fluid rate to improve hydration and blood volume, and decreasing the Pitocin rate if it is being administered to reduce contractions and improve oxygenation to the fetus.

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  • 19. 

    What kind of variability and deceleration are seen in this strip? What interventions would you take after evaluating this strip?

    Correct Answer
    Marked variability and prolonged deceleration. Change maternal position, administer oxygen via mask, increase IV fluid rate, turn off Pitocin if being administered, check cervix for prolapsed cord.
    Explanation
    The strip shows marked variability and prolonged deceleration. These findings indicate that the fetal heart rate is fluctuating significantly and there is a prolonged decrease in heart rate. In response to these findings, the recommended interventions include changing the maternal position, administering oxygen via a mask, increasing the IV fluid rate, turning off Pitocin (a medication used to induce or augment labor) if it is being administered, and checking the cervix for a possible prolapsed cord. These interventions aim to improve fetal oxygenation and address any potential complications that may be causing the observed abnormalities in the strip.

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  • 20. 

    What are the rate and duration of the contractions seen on this strip? What intervention would you take after evaluating this strip?

    Correct Answer
    Rate is q 1-2 minutes; Duration is 60-80 seconds; Interventions would include increasing IV rate, administering Terbutaline, or decreasing rate of Pitocin if being administered.
    Explanation
    The rate of contractions is every 1-2 minutes, and the duration of each contraction is 60-80 seconds. Based on this strip, interventions that could be taken include increasing the rate of intravenous (IV) fluids, administering Terbutaline (a medication used to relax the uterus), or decreasing the rate of Pitocin (a medication used to induce or augment labor) if it is being administered.

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Farah Naz |MBBS, Medicine |
Medical Expert
Farah holds a Bachelor of Medicine and Bachelor of Surgery (MBBS) from Dow University of Health Sciences. She gained valuable experience through internships in Radiology, Cardiology, and Neurosurgery, and has contributed to two research publications in medical journals. Passionate about healthcare education, Farah excels in crafting medical content, including articles, literature reviews, and e-learning courses. Leveraging her expertise, she meticulously reviews medical science quizzes, ensuring accuracy and educational value for aspiring healthcare professionals.

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  • Current Version
  • Feb 20, 2024
    Quiz Edited by
    ProProfs Editorial Team

    Expert Reviewed by
    Farah Naz
  • Jul 28, 2010
    Quiz Created by
    Meb94
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