Name:
MCR or Employee Number:
CTG Training and Assessment (12 May 2009)
Multiple Choice Question Assessment
Instructions to participants:
Please attempt each question and circle the correct answer for
each question.
Questions 1 through to 20 relate to CTG traces, which shall be
projected onto the screen. Please indicate on the answer sheet
whether each trace is reassuring, suspicious or pathological, and
by indicating your course of action, by circling your choice clearly.
Negative marks MAY be awarded for wrong answers. Nonattempt MAY be awarded negative marks.
Questions 21 through to 35 are True/False questions. Please
indicate whether you think each statement is True (T) or False (F).
No negative marks will be awarded for wrong answers.
1
Name:
MCR or Employee Number:
1.
2.
Trace 1 is: -
Reassuring
-
Suspicious
-
Pathological
My reaction to Trace 1 would be to:
-
Observe and reassure the patient
-
Call the MO or Registrar to review
-
Call the Registrar directly to review urgently
and prepare for delivery
3.
4.
Trace 2 is: -
Reassuring
-
Suspicious
-
Pathological
My reaction to Trace 2 would be to:
-
Observe and reassure the patient
-
Call the MO or Registrar to review
-
Call the Registrar directly to review urgently
and prepare for delivery
5.
Trace 3 is: -
Reassuring
-
Suspicious
-
Pathological
2
Name:
MCR or Employee Number:
6.
My reaction to Trace 3 would be to:
-
Observe and reassure the patient
-
Call the MO or Registrar to review
-
Call the Registrar directly to review urgently
and prepare for delivery
7.
8.
Trace 4 is: -
Reassuring
-
Suspicious
-
Pathological
My reaction to Trace 4 would be to:
-
Observe and reassure the patient
-
Call the MO or Registrar to review
-
Call the Registrar directly to review urgently
and prepare for delivery
9.
10.
Trace 5 is: -
Reassuring
-
Suspicious
-
Pathological
My reaction to Trace 5 would be to:
-
Observe and reassure the patient
-
Call the MO or Registrar to review
-
Call the Registrar directly to review urgently
and prepare for delivery
3
Name:
MCR or Employee Number:
11.
12.
Trace 6 is: -
Reassuring
-
Suspicious
-
Pathological
My reaction to Trace 6 would be to:
-
Observe and reassure the patient
-
Call the MO or Registrar to review
-
Call the Registrar directly to review urgently
and prepare for delivery
13.
14.
Trace 7 is: -
Reassuring
-
Suspicious
-
Pathological
My reaction to Trace 7 would be to:
-
Observe and reassure the patient
-
Call the MO or Registrar to review
-
Call the Registrar directly to review urgently
and prepare for delivery
15.
Trace 8 is: -
Reassuring
-
Suspicious
-
Pathological
4
Name:
MCR or Employee Number:
16.
My reaction to Trace 8 would be to:
-
Observe and reassure the patient
-
Call the MO or Registrar to review
-
Call the Registrar directly to review urgently
and prepare for delivery
17.
18.
Trace 9 is: -
Reassuring
-
Suspicious
-
Pathological
My reaction to Trace 9 would be to:
-
Observe and reassure the patient
-
Call the MO or Registrar to review
-
Call the Registrar directly to review urgently
and prepare for delivery
19.
20.
Trace 10 is:-
Reassuring
-
Suspicious
-
Pathological
My reaction to Trace 10 would be to:
-
Observe and reassure the patient
-
Call the MO or Registrar to review
-
Call the Registrar directly to review urgently
and prepare for delivery
5
Name:
MCR or Employee Number:
21.
Intramuscular Pethidine can cause reduced variability
True / False
22.
Decelerations after epidural insertion are normal
True / False
23.
Reduced fetal heart rate variability with no accelerations is
very worrying
True / False
24.
Continuous external fetal heart rate monitoring leads to a rise
in Caesarean Section rates in low risk pregnancies
True / False
25.
In obtaining a fetal cord blood sample for suspected fetal
distress, the umbilical venous sample provides the most
accurate information regarding fetal and newborn acid base
status.
True / False
26.
A
CTG
showing
reduced
variability
with
a
shallow
deceleration is normal in a preterm fetus
True / False
27.
In obtaining a fetal cord blood sample, a clamped segment of
cord is stable for at least 30 minutes.
True / False
28.
Whenever possible a scalp electrode should be inserted in
labour
True / False
6
Name:
MCR or Employee Number:
29. During the second stage of labour, decelerations are
common
True / False
30.
A baseline less than 110 may be normal post dates
True / False
31.
Absence of accelerations is always pathological in labour
True / False
32.
A period of reduced fetal heart rate variability is always
abnormal
True / False
33.
Pressure on the fetal head during a VE can cause
decelerations
True / False
34.
The fetal scalp electrode can detect maternal pulse
True / False
35.
The presence of prolonged bradycardia always predicts a
baby with poor outcome
True / False
7