NCC EFM Certification Exam Test with Answers Rated A
Which of the following factors can have a negative ettect
on uterine blood flow?
a. Hypertension
b. Epidural e. All of the above
c. Hemorrhage
d. Diabetes
e. All of the above
How does the fetus compensate for decreased maternal
circulating volume?
a. Increases cardiac output by increasing stroke volume. b. Increases cardiac output by increasing it's heart rate.
b. Increases cardiac output by increasing it's heart rate.
c. Increases cardiac output by increasing fetal movement.
Stimulating the vagus nerve typically produces:
a. A decrease in the heart rate
b. An increase in the heart rate a. A decrease in the heart rate
c. An increase in stroke volume
d. No change
What initially causes a chemoreceptor response?
a. Epidurals
b. Supine maternal position
c. Increased CO2 levels
g. C & D
d. Decreased O2 levels
e. A & C
f. A & B
g. C & D
The vagus nerve begins maturation 26 to 28 weeks. Its
dominance results in what ettect to the FHR baseline?
b. Decreases baseline
a. Increases baseline
b. Decreases baseline
, NCC EFM Certification Exam Test with Answers Rated A
T/F: Oxygen exchange in the placenta takes place in the
True
intervillous space.
T/F: The parasympathetic nervous system is a cardioaccel-
False
erator.
T/F: Baroreceptors are stretch receptors which respond to
True
increases or decreases in blood pressure.
T/F: There are two electronic fetal monitoring methods of
obtaining the fetal heart rate: the ultrasound transducer True
and the fetal spiral electrode.
T/F: Variability can be determined with the fetoscope. False
T/F: Because the ultrasound transducer and toco trans-
ducer are sealed units, they can be dipped in warm water False
to make cleaning easier.
T/F: The most common artifact with the ultrasound trans-
True
ducer system for fetal heart rate is increased variability.
T/F: All fetal monitors contain a logic system designed to
True
reject artifact.
T/F: The monitor should always be tested before starting
a tracing, either external or internal mode and labeled a True
test.
T/F: The paper speed on the fetal monitor should always
False
be set at 1cm/min.
T/F: Both internal and external monitoring methods are
equally accurate means of obtaining the fetal heart rate False
and contraction patterns.
T/F: The external toco is usually placed over the uterine
True
fundus to pick up contractions.
T/F: The external toco gives measurable uterine pressure. False
, NCC EFM Certification Exam Test with Answers Rated A
T/F: The fetal spiral electrode can be placed when vaginal
False
bleeding of unknown origin is present.
T/F: The ultrasound transducer is usually placed on the
side of the uterus over the baby's back, as the fetal heart True
is heard best there.
T/F: The spiral electrode is used to more accurately de-
termine the frequency, duration, and intensity of uterine False
contractions.
T/F: The heart rate from a well-applied fetal spiral elec-
False
trode can only be fetal, not maternal.
T/F: The intrauterine catheter is used to pick up the fetal
False
heart rate.
T/F: The internal spiral electrode may pick up the maternal
True
heart rate if the baby has died.
T/F: Fetal arrhythmias can be seen on both internal and
True
external monitor tracings.
T/F: Variability and periodic changes can be detected with
True
both internal and external monitoring.
T/F: Variable decelerations are a result of cord compres-
True
sion.
T/F: The presence of FHR accelerations in the intrapartum
and antepartum periods is a sign of adequate fetal oxy- True
genation.
T/F: Variable decelerations are a vagal response. True
T/F: Late decelerations have a gradual decrease in FHR
(onset to nadir 30 seconds) and are delayed in timing with
True
the nadir of the deceleration occurring after the peak of
the contraction.
, NCC EFM Certification Exam Test with Answers Rated A
T/F: The fetal heart rate baseline can be determined dur-
False
ing periods of marked variability.
T/F: Anything that attects maternal blood flow (cardiac
True
output) can attect the blood flow through the placenta.
T/F: Variable decelerations are the most frequently seen
True
fetal heart rate deceleration pattern in labor.
T/F: Minimal variability is always an indicator of hypoxia
False
and a Cesarean section is indicated.
What is your first intervention in management of a patient
experiencing variable decelerations?
a. Immediate delivery
b. Change maternal position b. Change maternal position
c. No treatment indicated
d. Oxygen
e. Stop oxytocin infusion
Etiology of a baseline FHR of 165bpm occurring for the
last hour can be:
1. Maternal supine hypotension
2. Maternal fever
3. Maternal dehydration c. 2, 3 and 4
4. Unknown
a. 1 and 2
b. 1, 2 and 3
c. 2, 3 and 4
What is the most probable cause of recurrent late decel-
erations?
a. Utero-placental insuflciency
a. Utero-placental insuflciency
b. Head compression
c. Cord compression
d. Maternal position change
Which of the following factors can have a negative ettect
on uterine blood flow?
a. Hypertension
b. Epidural e. All of the above
c. Hemorrhage
d. Diabetes
e. All of the above
How does the fetus compensate for decreased maternal
circulating volume?
a. Increases cardiac output by increasing stroke volume. b. Increases cardiac output by increasing it's heart rate.
b. Increases cardiac output by increasing it's heart rate.
c. Increases cardiac output by increasing fetal movement.
Stimulating the vagus nerve typically produces:
a. A decrease in the heart rate
b. An increase in the heart rate a. A decrease in the heart rate
c. An increase in stroke volume
d. No change
What initially causes a chemoreceptor response?
a. Epidurals
b. Supine maternal position
c. Increased CO2 levels
g. C & D
d. Decreased O2 levels
e. A & C
f. A & B
g. C & D
The vagus nerve begins maturation 26 to 28 weeks. Its
dominance results in what ettect to the FHR baseline?
b. Decreases baseline
a. Increases baseline
b. Decreases baseline
, NCC EFM Certification Exam Test with Answers Rated A
T/F: Oxygen exchange in the placenta takes place in the
True
intervillous space.
T/F: The parasympathetic nervous system is a cardioaccel-
False
erator.
T/F: Baroreceptors are stretch receptors which respond to
True
increases or decreases in blood pressure.
T/F: There are two electronic fetal monitoring methods of
obtaining the fetal heart rate: the ultrasound transducer True
and the fetal spiral electrode.
T/F: Variability can be determined with the fetoscope. False
T/F: Because the ultrasound transducer and toco trans-
ducer are sealed units, they can be dipped in warm water False
to make cleaning easier.
T/F: The most common artifact with the ultrasound trans-
True
ducer system for fetal heart rate is increased variability.
T/F: All fetal monitors contain a logic system designed to
True
reject artifact.
T/F: The monitor should always be tested before starting
a tracing, either external or internal mode and labeled a True
test.
T/F: The paper speed on the fetal monitor should always
False
be set at 1cm/min.
T/F: Both internal and external monitoring methods are
equally accurate means of obtaining the fetal heart rate False
and contraction patterns.
T/F: The external toco is usually placed over the uterine
True
fundus to pick up contractions.
T/F: The external toco gives measurable uterine pressure. False
, NCC EFM Certification Exam Test with Answers Rated A
T/F: The fetal spiral electrode can be placed when vaginal
False
bleeding of unknown origin is present.
T/F: The ultrasound transducer is usually placed on the
side of the uterus over the baby's back, as the fetal heart True
is heard best there.
T/F: The spiral electrode is used to more accurately de-
termine the frequency, duration, and intensity of uterine False
contractions.
T/F: The heart rate from a well-applied fetal spiral elec-
False
trode can only be fetal, not maternal.
T/F: The intrauterine catheter is used to pick up the fetal
False
heart rate.
T/F: The internal spiral electrode may pick up the maternal
True
heart rate if the baby has died.
T/F: Fetal arrhythmias can be seen on both internal and
True
external monitor tracings.
T/F: Variability and periodic changes can be detected with
True
both internal and external monitoring.
T/F: Variable decelerations are a result of cord compres-
True
sion.
T/F: The presence of FHR accelerations in the intrapartum
and antepartum periods is a sign of adequate fetal oxy- True
genation.
T/F: Variable decelerations are a vagal response. True
T/F: Late decelerations have a gradual decrease in FHR
(onset to nadir 30 seconds) and are delayed in timing with
True
the nadir of the deceleration occurring after the peak of
the contraction.
, NCC EFM Certification Exam Test with Answers Rated A
T/F: The fetal heart rate baseline can be determined dur-
False
ing periods of marked variability.
T/F: Anything that attects maternal blood flow (cardiac
True
output) can attect the blood flow through the placenta.
T/F: Variable decelerations are the most frequently seen
True
fetal heart rate deceleration pattern in labor.
T/F: Minimal variability is always an indicator of hypoxia
False
and a Cesarean section is indicated.
What is your first intervention in management of a patient
experiencing variable decelerations?
a. Immediate delivery
b. Change maternal position b. Change maternal position
c. No treatment indicated
d. Oxygen
e. Stop oxytocin infusion
Etiology of a baseline FHR of 165bpm occurring for the
last hour can be:
1. Maternal supine hypotension
2. Maternal fever
3. Maternal dehydration c. 2, 3 and 4
4. Unknown
a. 1 and 2
b. 1, 2 and 3
c. 2, 3 and 4
What is the most probable cause of recurrent late decel-
erations?
a. Utero-placental insuflciency
a. Utero-placental insuflciency
b. Head compression
c. Cord compression
d. Maternal position change
