NCC EFM practice
_____ are strange FHR rhythms related to disordered impulse formation, conduction, or each.
A. Arrhythmias
B. Supraventricular tachycardias
C. Dysrhythmias - ANS-C. Dysrhythmias
_____ are styles of abnormal FHR related to variability in R-to-R periods, but with normal
P-waves previous ordinary QRS complexes.
A. Arrhythmias
B. Complete coronary heart blocks
C. Dysrhythmias - ANS-A. Arrhythmias
_____ wire blood sampling is predictive of uteroplacental characteristic.
A. Arterial
B. Venous
C. Maternal - ANS-B. Venous
_______ _______ occurs whilst the HCO3 concentration is higher than regular.
A. Base deficit
B. Base extra
C. Metabolic acidosis - ANS-B. Base extra
_______ _______ takes place while the HCO3 awareness is lower than ordinary.
A. Base deficit
B. Base extra
C. Metabolic acidosis - ANS-A. Base deficit
_______ _______ occurs whilst there is excessive PCO2 with ordinary bicarbonate levels.
A. Metabolic acidosis
B. Respiratory acidosis
C. Metabolic alkalosis - ANS-B. Respiratory acidosis
_______ _______ occurs whilst there's low bicarbonate (base excess) inside the presence of
everyday pressure of carbon dioxide (PCO2) values.
A. Metabolic acidosis
B. Respiratory acidosis
C. Metabolic alkalosis - ANS-A. Metabolic acidosis
_______ denotes an growth in hydrogen ions in the fetal blood.
A. Acidosis
B. Acidemia
C. Hypercapnia - ANS-B. Acidemia
_______ is defined as the energy-eating method of metabolism. - ANS-Anabolism
_______ is defined as the power-liberating technique of metabolism. - ANS-Catabolism
(T/F) An internal scalp electrode can entirely diagnose a fetal dysrhythmia. - ANS-False
(T/F) An internal scalp electrode will come across the actual fetal ECG. - ANS-True
,(T/F) Metabolic acidosis is extra without difficulty reversible and probably less adverse to the
fetus when compared to breathing acidosis. - ANS-False
(T/F) Sinus bradycardias, sinus tachycardias, and sinus arrhythmias are all related to normal
conduction (everyday P-waves observed by means of narrow QRS complexes). - ANS-True
(T/F) There is a robust correlation among arterial cord blood gas effects and Apgar ratings. -
ANS-False
(T/F) Vibroacoustic stimulation may be much less powerful for preterm fetuses or while
membranes have been ruptured. - ANS-True
***
pH 6.86
pCO2 28
pO2 2.1
HCO3 4.Zero
B.D. 42
the umbilical arterial wire blood fuel values mirror
A. Metabolic acidemia
B. Mixed acidemia
C. Breathing acidemia - ANS-A. Metabolic acidemia
*** A preterm fetus with persistent supraventricular tachycardia that isn't hydropic is exceptional
treated with maternal administration of
A. Digoxin
B. Phenobarbital
C. Terbutaline - ANS-A. Digoxin
*** As fetal hypoxia (asphyxia) worsens, the closing component of the BPP to disappear is fetal
A. Breathing
B. Movement
C. Tone - ANS-C. Tone
*** Baseline FHR variability is decided in what amount of time, excluding accelerations and
decelerations?
A. 10 min
B. 20 min
C. 30 min - ANS-A. 10 min
*** Regarding the reliability of EFM, there's
A. Good interobserver reliability
B. Good intraobserver reliability
C. Poor interobserver and intraobserver reliability - ANS-C. Poor interobserver and intraobserver
reliability
*** The fetus responds to a widespread drop of PO2 by way of
A. Increasing O2 intake
B. Reducing lactic acid manufacturing
C. Shifting blood to crucial organs - ANS-C. Shifting blood to important organs
*** When using auscultation to decide FHR baseline, the FHR need to count after the
contractions for
A. Five-10 sec
, B. 15-30 sec
C. 30-60 sec - ANS-C. 30-60 sec
***A woman being monitored externally has a suspected fetal arrhythmia. The maximum
suitable action is to
A. Insert a spiral electrode and turn off the good judgment
B. Turn the common sense on if an external reveal is in location
C. Use a Doppler to pay attention to the ventricular fee - ANS-A. Insert a spiral electrode and flip
off the good judgment
***A woman receives terbutaline for an external version. You may also count on what at the fetal
heart tracing?
A. Decrease in variability
B. Increase in baseline
C. No exchange - ANS-B. Increase in baseline
***Betamethasone given to the mother can transiently have an effect on the FHR via
A. Decreasing variability
B. Increasing variability
C. Lowering the baseline - ANS-A. Decreasing variability
A 36 week gestation patient is delivered to triage by squad after an MVA on her again. She isn't
bleeding and denies ache. She isn't short of breath, however c/o dizziness and nausea due to
the fact they positioned her at the gurney. The maximum possibly cause is
A. Abruptio placenta
B. Preterm exertions
C. Supine hypotension - ANS-C. Supine hypotension
A BPP rating of 6 is taken into consideration
A. Abnormal
B. Normal
C. Equivocal - ANS-C. Equivocal
A Category II tracing
A. Predicts strange fetal acid-base reputation
B. Excludes strange fetal acid-base status
C. Is not predictive of peculiar fetal acid-base repute - ANS-C. Is not predictive of odd fetal
acid-base popularity
A contraction stress test (CST) is completed. Late decelerations were referred to in two out of
the 5 contractions in 10 minutes. This is interpreted as
A. Positive
B. Negative
C. Suspicious - ANS-C. Suspicious
A contraction stress take a look at (CST) is performed. No decelerations had been cited with the
two contractions that came about over 10 minutes. This is interpreted as
A. Positive
B. Negative
C. Unsatisfactory - ANS-C. Unsatisfactory
_____ are strange FHR rhythms related to disordered impulse formation, conduction, or each.
A. Arrhythmias
B. Supraventricular tachycardias
C. Dysrhythmias - ANS-C. Dysrhythmias
_____ are styles of abnormal FHR related to variability in R-to-R periods, but with normal
P-waves previous ordinary QRS complexes.
A. Arrhythmias
B. Complete coronary heart blocks
C. Dysrhythmias - ANS-A. Arrhythmias
_____ wire blood sampling is predictive of uteroplacental characteristic.
A. Arterial
B. Venous
C. Maternal - ANS-B. Venous
_______ _______ occurs whilst the HCO3 concentration is higher than regular.
A. Base deficit
B. Base extra
C. Metabolic acidosis - ANS-B. Base extra
_______ _______ takes place while the HCO3 awareness is lower than ordinary.
A. Base deficit
B. Base extra
C. Metabolic acidosis - ANS-A. Base deficit
_______ _______ occurs whilst there is excessive PCO2 with ordinary bicarbonate levels.
A. Metabolic acidosis
B. Respiratory acidosis
C. Metabolic alkalosis - ANS-B. Respiratory acidosis
_______ _______ occurs whilst there's low bicarbonate (base excess) inside the presence of
everyday pressure of carbon dioxide (PCO2) values.
A. Metabolic acidosis
B. Respiratory acidosis
C. Metabolic alkalosis - ANS-A. Metabolic acidosis
_______ denotes an growth in hydrogen ions in the fetal blood.
A. Acidosis
B. Acidemia
C. Hypercapnia - ANS-B. Acidemia
_______ is defined as the energy-eating method of metabolism. - ANS-Anabolism
_______ is defined as the power-liberating technique of metabolism. - ANS-Catabolism
(T/F) An internal scalp electrode can entirely diagnose a fetal dysrhythmia. - ANS-False
(T/F) An internal scalp electrode will come across the actual fetal ECG. - ANS-True
,(T/F) Metabolic acidosis is extra without difficulty reversible and probably less adverse to the
fetus when compared to breathing acidosis. - ANS-False
(T/F) Sinus bradycardias, sinus tachycardias, and sinus arrhythmias are all related to normal
conduction (everyday P-waves observed by means of narrow QRS complexes). - ANS-True
(T/F) There is a robust correlation among arterial cord blood gas effects and Apgar ratings. -
ANS-False
(T/F) Vibroacoustic stimulation may be much less powerful for preterm fetuses or while
membranes have been ruptured. - ANS-True
***
pH 6.86
pCO2 28
pO2 2.1
HCO3 4.Zero
B.D. 42
the umbilical arterial wire blood fuel values mirror
A. Metabolic acidemia
B. Mixed acidemia
C. Breathing acidemia - ANS-A. Metabolic acidemia
*** A preterm fetus with persistent supraventricular tachycardia that isn't hydropic is exceptional
treated with maternal administration of
A. Digoxin
B. Phenobarbital
C. Terbutaline - ANS-A. Digoxin
*** As fetal hypoxia (asphyxia) worsens, the closing component of the BPP to disappear is fetal
A. Breathing
B. Movement
C. Tone - ANS-C. Tone
*** Baseline FHR variability is decided in what amount of time, excluding accelerations and
decelerations?
A. 10 min
B. 20 min
C. 30 min - ANS-A. 10 min
*** Regarding the reliability of EFM, there's
A. Good interobserver reliability
B. Good intraobserver reliability
C. Poor interobserver and intraobserver reliability - ANS-C. Poor interobserver and intraobserver
reliability
*** The fetus responds to a widespread drop of PO2 by way of
A. Increasing O2 intake
B. Reducing lactic acid manufacturing
C. Shifting blood to crucial organs - ANS-C. Shifting blood to important organs
*** When using auscultation to decide FHR baseline, the FHR need to count after the
contractions for
A. Five-10 sec
, B. 15-30 sec
C. 30-60 sec - ANS-C. 30-60 sec
***A woman being monitored externally has a suspected fetal arrhythmia. The maximum
suitable action is to
A. Insert a spiral electrode and turn off the good judgment
B. Turn the common sense on if an external reveal is in location
C. Use a Doppler to pay attention to the ventricular fee - ANS-A. Insert a spiral electrode and flip
off the good judgment
***A woman receives terbutaline for an external version. You may also count on what at the fetal
heart tracing?
A. Decrease in variability
B. Increase in baseline
C. No exchange - ANS-B. Increase in baseline
***Betamethasone given to the mother can transiently have an effect on the FHR via
A. Decreasing variability
B. Increasing variability
C. Lowering the baseline - ANS-A. Decreasing variability
A 36 week gestation patient is delivered to triage by squad after an MVA on her again. She isn't
bleeding and denies ache. She isn't short of breath, however c/o dizziness and nausea due to
the fact they positioned her at the gurney. The maximum possibly cause is
A. Abruptio placenta
B. Preterm exertions
C. Supine hypotension - ANS-C. Supine hypotension
A BPP rating of 6 is taken into consideration
A. Abnormal
B. Normal
C. Equivocal - ANS-C. Equivocal
A Category II tracing
A. Predicts strange fetal acid-base reputation
B. Excludes strange fetal acid-base status
C. Is not predictive of peculiar fetal acid-base repute - ANS-C. Is not predictive of odd fetal
acid-base popularity
A contraction stress test (CST) is completed. Late decelerations were referred to in two out of
the 5 contractions in 10 minutes. This is interpreted as
A. Positive
B. Negative
C. Suspicious - ANS-C. Suspicious
A contraction stress take a look at (CST) is performed. No decelerations had been cited with the
two contractions that came about over 10 minutes. This is interpreted as
A. Positive
B. Negative
C. Unsatisfactory - ANS-C. Unsatisfactory
