NCC EFM Certification 2023//2024 QUESTION AND CORRECT ANSWER.

NCC EFM Certification 2023//2024 QUESTION AND CORRECT ANSWER. Which of the following factors can have a negative effect on uterine blood flow? a. Hypertension b. Epidural c. Hemorrhage d. Diabetes e. All of the above - ANSWER 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. c. Increases cardiac output by increasing fetal movement. - ANSWER b. Increases cardiac output by increasing it's heart rate. Stimulating the vagus nerve typically produces: a. A decrease in the heart rate b. An increase in the heart rate c. An increase in stroke volume d. No change - ANSWER a. A decrease in the heart rate What initially causes a chemoreceptor response? a. Epidurals b. Supine maternal position c. Increased CO2 levels d. Decreased O2 levels e. A & C f. A & B g. C & D - ANSWER g. C & D The vagus nerve begins maturation 26 to 28 weeks. Its dominance results in what effect to the FHR baseline? a. Increases baseline b. Decreases baseline - ANSWER b. Decreases baseline T/F: Oxygen exchange in the placenta takes place in the intervillous space. - ANSWER True T/F: The parasympathetic nervous system is a cardioaccelerator. - ANSWER False T/F: Baroreceptors are stretch receptors which respond to increases or decreases in blood pressure. - ANSWER True T/F: There are two electronic fetal monitoring methods of obtaining the fetal heart rate: the ultrasound transducer and the fetal spiral electrode. - ANSWER True T/F: Variability can be determined with the fetoscope. - ANSWER False T/F: Because the ultrasound transducer and toco transducer are sealed units, they can be dipped in warm water to make cleaning easier. - ANSWER False T/F: The most common artifact with the ultrasound transducer system for fetal heart rate is increased variability. - ANSWER True T/F: All fetal monitors contain a logic system designed to reject artifact. - ANSWER True T/F: The monitor should always be tested before starting a tracing, either external or internal mode and labeled a test. - ANSWER True T/F: The paper speed on the fetal monitor should always be set at 1cm/min. - ANSWER False T/F: Both internal and external monitoring methods are equally accurate means of obtaining the fetal heart rate and contraction patterns. - ANSWER False T/F: The external toco is usually placed over the uterine fundus to pick up contractions. - ANSWER True T/F: The external toco gives measurable uterine pressure. - ANSWER False T/F: The fetal spiral electrode can be placed when vaginal bleeding of unknown origin is present. - ANSWER False T/F: The ultrasound transducer is usually placed on the side of the uterus over the baby's back, as the fetal heart is heard best there. - ANSWER True T/F: The spiral electrode is used to more accurately determine the frequency, duration, and intensity of uterine contractions. - ANSWER False T/F: The heart rate from a well-applied fetal spiral electrode can only be fetal, not maternal. - ANSWER False T/F: The intrauterine catheter is used to pick up the fetal heart rate. - ANSWER False T/F: The internal spiral electrode may pick up the maternal heart rate if the baby has died. - ANSWER True T/F: Fetal arrhythmias can be seen on both internal and external monitor tracings. - ANSWER True T/F: Variability and periodic changes can be detected with both internal and external monitoring. - ANSWER True T/F: Variable decelerations are a result of cord compression. - ANSWER True T/F: The presence of FHR accelerations in the intrapartum and antepartum periods is a sign of adequate fetal oxygenation. - ANSWER True T/F: Variable decelerations are a vagal response. - ANSWER True T/F: Late decelerations have a gradual decrease in FHR (onset to nadir 30 seconds) and are delayed in timing with the nadir of the deceleration occurring after the peak of the contraction. - ANSWER True T/F: The fetal heart rate baseline can be determined during periods of marked variability. - ANSWER False T/F: Anything that affects maternal blood flow (cardiac output) can affect the blood flow through the placenta. - ANSWER True T/F: Variable decelerations are the most frequently seen fetal heart rate deceleration pattern in labor. - ANSWER True T/F: Minimal variability is always an indicator of hypoxia and a Cesarean section is indicated. - ANSWER False What is your first intervention in management of a patient experiencing variable decelerations? a. Immediate delivery b. Change maternal position c. No treatment indicated d. Oxygen e. Stop oxytocin infusion - ANSWER b. Change maternal position Etiology of a baseline FHR of 165bpm occurring for the last hour can be: 1. Maternal supine hypotension 2. Maternal fever 3. Maternal dehydration 4. Unknown a. 1 and 2 b. 1, 2 and 3 c. 2, 3 and 4 - ANSWER c. 2, 3 and 4 What is the most probable cause of recurrent late decelerations? a. Utero-placental insufficiency