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NCC Electronic Fetal Monitoring Certification Exams ||Just
Out!!!
When the internal mode of monitoring (FSE, IUPC) is used, the
information obtained on the uterine activity panel on the fetal
monitor should be validated by the clinician by
A. Asking the patient to report when she is feeling a contraction
B. Ultrasound imaging
C. Palpation - ANSWER-C. Palpation
T/F: Use of a fetoscope for intermittent auscultation of the fetal
heart rate may be used to detect baseline, rhythm, changes
from baseline, and presence of an irregular rhythm. - ANSWER-
True
T/F: A Doppler device used for intermittent auscultation of the
fetal heart rate may be used to identify rhythm irregularities,
such as supraventricular tachycardia. - ANSWER-False
T/F: Use of a fetoscope for intermittent auscultation of the fetal
heart rate may be used to detect accelerations and
decelerations from the baseline, and can clarify double-
counting of half-counting of baseline rate. - ANSWER-True
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T/F: Auscultation may be used to detect baseline variability and
discriminate FHR deceleration patterns. - ANSWER-False
_______ represents increased sympathetic or decreased
parasympathetic autonomic tone.
A. Bradycardia
B. Tachycardia - ANSWER-B. Tachycardia
T/F: In the context of moderate variability, late decelerations
are considered neurogenic in origin and are typically amenable
to intrauterine resuscitation techniques directed towards
maximizing uterine blood flow. - ANSWER-True
When coupling or tripling is apparent on the uterine activity
tracing, this may be indicative of a dysfunctional labor process
and saturation (down regulation) of uterine oxytocin receptor
sites in response to excess exposure to oxytocin. Which of the
following interventions would be most appropriate?
A. Normal response; continue to increase oxytocin titration
B. Turn patient on side
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C. Decrease or discontinue oxytocin infusion - ANSWER-C.
Decrease or discontinue oxytocin infusion
The most common tachyarrhythmia in fetuses, supraventricular
tachycardia, typically occurs at a rate of _____ to _____ bpm
with minimal or absent variability.
A. 160-200
B. 200-240
C. 240-260 - ANSWER-C. 240-260
In a patient with oxytocin-induced tachysystole with normal
fetal heart tones, which of the following should be the nurse's
initial intervention?
A. Assist the patient to lateral position
B. Discontinue Pitocin
C. Administer IV fluid bolus - ANSWER-A. Assist the patient to
lateral position
In a patient with oxytocin-induced tachysystole with
indeterminate or abnormal fetal heart tones, which of the
following should be the nurse's initial intervention?
, 4|Page
A. Assist the patient to lateral position
B. Discontinue Pitocin
C. Administer IV fluid bolus - ANSWER-B. Discontinue Pitocin
Fetal hypoxia and acidemia are demonstrated by pH < _____
and base excess < _____. - ANSWER-< 7.15; < -8
T/F: Amnioinfusion is an appropriate intervention to attempt to
resolve patterns of moderate to severe late decelerations. -
ANSWER-False
T/F: Amnioinfusion is an appropriate intervention to attempt to
resolve patterns with absent variability. - ANSWER-False
T/F: Amnioinfusion may be an appropriate intervention for
patients with oligohydramnios in the prevention of the
development of variable decelerations. - ANSWER-False
Not for prevention
NCC Electronic Fetal Monitoring Certification Exams ||Just
Out!!!
When the internal mode of monitoring (FSE, IUPC) is used, the
information obtained on the uterine activity panel on the fetal
monitor should be validated by the clinician by
A. Asking the patient to report when she is feeling a contraction
B. Ultrasound imaging
C. Palpation - ANSWER-C. Palpation
T/F: Use of a fetoscope for intermittent auscultation of the fetal
heart rate may be used to detect baseline, rhythm, changes
from baseline, and presence of an irregular rhythm. - ANSWER-
True
T/F: A Doppler device used for intermittent auscultation of the
fetal heart rate may be used to identify rhythm irregularities,
such as supraventricular tachycardia. - ANSWER-False
T/F: Use of a fetoscope for intermittent auscultation of the fetal
heart rate may be used to detect accelerations and
decelerations from the baseline, and can clarify double-
counting of half-counting of baseline rate. - ANSWER-True
,2|Page
T/F: Auscultation may be used to detect baseline variability and
discriminate FHR deceleration patterns. - ANSWER-False
_______ represents increased sympathetic or decreased
parasympathetic autonomic tone.
A. Bradycardia
B. Tachycardia - ANSWER-B. Tachycardia
T/F: In the context of moderate variability, late decelerations
are considered neurogenic in origin and are typically amenable
to intrauterine resuscitation techniques directed towards
maximizing uterine blood flow. - ANSWER-True
When coupling or tripling is apparent on the uterine activity
tracing, this may be indicative of a dysfunctional labor process
and saturation (down regulation) of uterine oxytocin receptor
sites in response to excess exposure to oxytocin. Which of the
following interventions would be most appropriate?
A. Normal response; continue to increase oxytocin titration
B. Turn patient on side
,3|Page
C. Decrease or discontinue oxytocin infusion - ANSWER-C.
Decrease or discontinue oxytocin infusion
The most common tachyarrhythmia in fetuses, supraventricular
tachycardia, typically occurs at a rate of _____ to _____ bpm
with minimal or absent variability.
A. 160-200
B. 200-240
C. 240-260 - ANSWER-C. 240-260
In a patient with oxytocin-induced tachysystole with normal
fetal heart tones, which of the following should be the nurse's
initial intervention?
A. Assist the patient to lateral position
B. Discontinue Pitocin
C. Administer IV fluid bolus - ANSWER-A. Assist the patient to
lateral position
In a patient with oxytocin-induced tachysystole with
indeterminate or abnormal fetal heart tones, which of the
following should be the nurse's initial intervention?
, 4|Page
A. Assist the patient to lateral position
B. Discontinue Pitocin
C. Administer IV fluid bolus - ANSWER-B. Discontinue Pitocin
Fetal hypoxia and acidemia are demonstrated by pH < _____
and base excess < _____. - ANSWER-< 7.15; < -8
T/F: Amnioinfusion is an appropriate intervention to attempt to
resolve patterns of moderate to severe late decelerations. -
ANSWER-False
T/F: Amnioinfusion is an appropriate intervention to attempt to
resolve patterns with absent variability. - ANSWER-False
T/F: Amnioinfusion may be an appropriate intervention for
patients with oligohydramnios in the prevention of the
development of variable decelerations. - ANSWER-False
Not for prevention
