NCC Certified Electronic Fetal Monitoring (C-EFM) Practice Exam

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Which fetal heart rate pattern is a sign of potential fetal distress?

Variable decelerations

Variable decelerations in fetal heart rate patterns are often indicative of potential fetal distress. These decelerations can occur when the umbilical cord is compressed or kinked, leading to a transient decrease in fetal heart rate. This can suggest that the fetus may be experiencing some degree of stress or compromised blood flow, typically related to cord issues or uterine contractions.

In contrast, accelerations are generally reassuring and indicate fetal well-being, as they show an increase in the fetal heart rate in response to fetal movement or stimulation. A normal baseline heart rate is also a positive sign, reflecting the absence of distress. Category I patterns are considered normal and are not indicative of impending distress, representing stable fetal status. Thus, among the options presented, variable decelerations stand out as a significant indicator warranting further assessment and potential intervention.

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Accelerations

Normal baseline heart rate

Category I patterns

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