NCC ELECTRONIC FETAL MONITORING
CERTIFICATION EXAM -
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: One characteristic of a high reliability perinatal unit is
A. Alarms can only be called by unit leaders
B. Reliance on memorization of protocols
C. The organization creates a safety-oriented culture
Answer:
C. The organization creates a safety-oriented culture
Question 2: One example of evidence-based practice related to
fetal monitoring is
A. Diagnosis of uterine rupture with an IUPC
B. Intermittent auscultation for the low-risk patient
C. Using electronic fetal monitoring to prevent cerebral palsy
Answer:
B. Intermittent auscultation for the low-risk patient
Question 3: Supporting the parents decision to choose no
extraordinary measures on their baby who is about to deliver at 24
3/7 weeks gestation despite the nurses personal opinion is an
example of
A. Autonomy
B. Beneficence
C. Non-maleficence
,Answer:
A. Autonomy
Question 4: _______ primarily function(s) to regulate respiratory
activity and control circulation by responding to changes in arterial
PO2, PCO2, and acid-base balance.
A. Baroreceptors
B. Chemoreceptors
C. Cardioregulatory center
Answer:
B. Chemoreceptors
Question 5: _______ are protective stretch receptors located in the
aortic arch and the carotid sinuses at the bifurcation of the external
and internal carotid arteries.
A. Baroreceptors
B. Chemoreceptors
C. Arteries
Answer:
A. Baroreceptors
Question 6: _______ respond to increases in fetal arterial blood
pressure by detecting the amount of stretch and sending impulses
via the vagus nerve to the midbrain, decreasing FHR, CO, and BP.
A. Baroreceptors
B. Chemoreceptors
C. Veins
Answer:
, A. Baroreceptors
Question 7: As a contraction beings, partial umbilical cord
compression causes occlusion of the low-pressure vein and
decreased return of blood to the fetal heart, resulting in decreased
CO, hypotension, and a compensatory FHR _____.
A. Acceleration
B. Early deceleration
C. Late deceleration
D. Variable deceleration
Answer:
A. Acceleration
Question 8: With complete umbilical cord occlusion, the two
umbilical arteries also become occluded, resulting in sudden fetal
hypertension, stimulation of the baroreceptors, and a sudden
_______ in FHR.
A. Increase
B. Decrease
Answer:
B. Decrease
Question 9: Central _______ are located in the medulla oblongata;
peripheral _______ are found in the carotid sinuses and aortic arch.
A. Baroreceptors
B. Chemoreceptors
Answer:
, B. Chemoreceptors
Question 10: When a fetus is stressed, catecholamine release
(epinephrine, norepinephrine) occurs from the medulla oblongata,
shunting blood _______ the brain, heart, and adrenal glands.
A. Toward
B. Away from
Answer:
A. Toward
Question 11: Because stroke volume in the fetus does not fluctuate
significantly, fetal cardiac output is _______ fetal heart rate.
A. Greater than
B. Less than
C. Approximately equal to
Answer:
C. Approximately equal to
Question 12: In _____ sleep, the fetus may be observed to have
infrequent or absent body movements, normal FHR baseline,
minimal variability, and a nonreactive NST, but may respond to
external stimuli. Such typically occurs by 28 to 32 weeks' gestation.
A. REM (active sleep state)
B. Non-REM (quiet sleep state)
Answer:
B. Non-REM (quiet sleep state)
CERTIFICATION EXAM -
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: One characteristic of a high reliability perinatal unit is
A. Alarms can only be called by unit leaders
B. Reliance on memorization of protocols
C. The organization creates a safety-oriented culture
Answer:
C. The organization creates a safety-oriented culture
Question 2: One example of evidence-based practice related to
fetal monitoring is
A. Diagnosis of uterine rupture with an IUPC
B. Intermittent auscultation for the low-risk patient
C. Using electronic fetal monitoring to prevent cerebral palsy
Answer:
B. Intermittent auscultation for the low-risk patient
Question 3: Supporting the parents decision to choose no
extraordinary measures on their baby who is about to deliver at 24
3/7 weeks gestation despite the nurses personal opinion is an
example of
A. Autonomy
B. Beneficence
C. Non-maleficence
,Answer:
A. Autonomy
Question 4: _______ primarily function(s) to regulate respiratory
activity and control circulation by responding to changes in arterial
PO2, PCO2, and acid-base balance.
A. Baroreceptors
B. Chemoreceptors
C. Cardioregulatory center
Answer:
B. Chemoreceptors
Question 5: _______ are protective stretch receptors located in the
aortic arch and the carotid sinuses at the bifurcation of the external
and internal carotid arteries.
A. Baroreceptors
B. Chemoreceptors
C. Arteries
Answer:
A. Baroreceptors
Question 6: _______ respond to increases in fetal arterial blood
pressure by detecting the amount of stretch and sending impulses
via the vagus nerve to the midbrain, decreasing FHR, CO, and BP.
A. Baroreceptors
B. Chemoreceptors
C. Veins
Answer:
, A. Baroreceptors
Question 7: As a contraction beings, partial umbilical cord
compression causes occlusion of the low-pressure vein and
decreased return of blood to the fetal heart, resulting in decreased
CO, hypotension, and a compensatory FHR _____.
A. Acceleration
B. Early deceleration
C. Late deceleration
D. Variable deceleration
Answer:
A. Acceleration
Question 8: With complete umbilical cord occlusion, the two
umbilical arteries also become occluded, resulting in sudden fetal
hypertension, stimulation of the baroreceptors, and a sudden
_______ in FHR.
A. Increase
B. Decrease
Answer:
B. Decrease
Question 9: Central _______ are located in the medulla oblongata;
peripheral _______ are found in the carotid sinuses and aortic arch.
A. Baroreceptors
B. Chemoreceptors
Answer:
, B. Chemoreceptors
Question 10: When a fetus is stressed, catecholamine release
(epinephrine, norepinephrine) occurs from the medulla oblongata,
shunting blood _______ the brain, heart, and adrenal glands.
A. Toward
B. Away from
Answer:
A. Toward
Question 11: Because stroke volume in the fetus does not fluctuate
significantly, fetal cardiac output is _______ fetal heart rate.
A. Greater than
B. Less than
C. Approximately equal to
Answer:
C. Approximately equal to
Question 12: In _____ sleep, the fetus may be observed to have
infrequent or absent body movements, normal FHR baseline,
minimal variability, and a nonreactive NST, but may respond to
external stimuli. Such typically occurs by 28 to 32 weeks' gestation.
A. REM (active sleep state)
B. Non-REM (quiet sleep state)
Answer:
B. Non-REM (quiet sleep state)