NCC Electronic Fetal Monitoring Certification

NCC Electronic Fetal Monitoring Certificationare abnormal FHR rhythms associated with disordered impulse formation, conduction, or both. A. Arrhythmias B. Supraventricular tachycardias C. Dysrhythmias - ANS-C. Dysrhythmias are patterns of abnormal FHR associated with variability in R-to-R intervals, but withnormal P-waves preceding normal QRS complexes. A. Arrhythmias B. Complete heart blocks C. Dysrhythmias - ANS-A. Arrhythmias cord blood sampling is predictive of uteroplacental function. A. Arterial B. Venous C. Maternal - ANS-B. Venous denotes the ability of cardiac cells to conduct electrical impulses fromone cell to another. A. Automaticity B. Excitability C. Conductivity - ANS-C. Conductivity denotes the readiness of cardiac cells to receive and respond to electrical stimuli. A. Automaticity B. Excitability C. Conductivity - ANS-B. Excitability denotes the spontaneous, rhythmic depolarization of cardiac cells. A. Automaticity B. Excitability C. Conductivity - ANS-A. Automaticity occurs when the HCO3 concentration is higher than normal. A. Base deficit B. Base excess C. Metabolic acidosis - ANS-B. Base excess occurs when the HCO3 concentration is lower than normal. A. Base deficit B. Base excess ONLYSTUDENTS STORE 2025 ALL THE BESTONLYSTUDENTS STORE 2 DO NOT COPYC. Metabolic acidosis - ANS-A. Base deficit occurs when there is high PCO2 with normal bicarbonate levels. A. Metabolic acidosis B. Respiratory acidosis C. Metabolic alkalosis - ANS-B. Respiratory acidosis occurs when there is low bicarbonate (base excess) in the presence of normal pressure of carbon dioxide (PCO2) values. A. Metabolic acidosis B. Respiratory acidosis C. Metabolic alkalosis - ANS-A. Metabolic acidosis are protective stretch receptors located in the aortic arch and the carotid sinuses at thebifurcation of the external and internal carotid arteries. A. Baroreceptors B. Chemoreceptors C. Arteries - ANS-A. Baroreceptors decelerations occur with greater than or equal to 50% of contractions. A. Recurrent B. Intermittent C. Repetitive - ANS-A. Recurrent decelerations occur with less than 50% of contractions. A. Recurrent B. Intermittent C. Repetitive - ANS-B. Intermittent denotes a decrease in oxygen content of the fetal blood. A. Hypercapnia B. Hypoxia C. Hypoxemia - ANS-C. Hypoxemia denotes a decrease in oxygenation of the fetal tissues. A. Hypercapnia B. Hypoxia C. Hypoxemia - ANS-B. Hypoxia denotes an increase in carbon dioxide in the fetal blood. A. Hypercapnia B. Hypoxia C. Hypoxemia - ANS-A. Hypercapnia ONLYSTUDENTS STORE 2025 ALL THE BESTONLYSTUDENTS STORE 3 DO NOT COPYdenotes an increase in hydrogen ions in the fetal blood. A. Acidosis B. Acidemia C. Hypercapnia - ANS-B. Acidemia denotes an increase in hydrogen ions in the fetal tissues. A. Acidosis B. Acidemia C. Hypercapnia - ANS-A. Acidosis FHR patterns are those associated with uterine contractions. A. Periodic B. Episodic C. Recurrent D. Irregular - ANS-A. Periodic FHR patterns are those that are not associated with uterine contractions. A. Periodic B. Episodic C. Recurrent D. Irregular - ANS-B. Episodic is defined as the energy-consuming process of metabolism. - ANS-Anabolismis defined as the energy-releasing process of metabolism. - ANS-Catabolismprimarily 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 - ANS-B. Chemoreceptors represents increased sympathetic or decreased parasympathetic autonomic tone. A. Bradycardia B. Tachycardia - ANS-B. Tachycardia respond to increases in fetal arterial blood pressure by detecting the amount of stretchand sending impulses via the vagus nerve to the midbrain, decreasing FHR, CO, and BP. A. Baroreceptors B. Chemoreceptors C. Veins - ANS-A. Baroreceptors variability warrants cesarean section delivery. A. Minimal ONLYSTUDENTS STORE 2025 ALL THE BESTONLYSTUDENTS STORE 4 DO NOT COPYB. Moderate C. Marked D. Absent - ANS-D. Absent (T/F) An internal scalp electrode can solely diagnose a fetal dysrhythmia. - ANS-False (T/F) An internal scalp electrode will detect the actual fetal ECG. - ANS-True (T/F) Contractions during a contraction stress test (CST) may be spontaneous or inducedwithoxytocin or nipple stimulation. - ANS-True (T/F) Metabolic acidosis is more easily reversible and potentially less detrimental to the fetuswhen compared to respiratory acidosis. - ANS-False (T/F) Sinus bradycardias, sinus tachycardias, and sinus arrhythmias are all associated withnormal conduction (normal P-waves followed by narrow QRS complexes). - ANS-True (T/F) The baseline can be established in a fetal heart rate tracing in which there is markedvariability. - ANS-False (T/F) There is a strong correlation between arterial cord blood gas results and Apgar scores. - ANS-False (T/F) Vibroacoustic stimulation may be less effective for preterm fetuses or when membraneshave been ruptured. - ANS-True A 35 week gestation fetus is having an NST. The fetal heart rate baseline is 130 bpm. Thenurseis using vibroacoustic stimulation to reduce the length of time needed to obtain the NST. Fetal well-being requires A. 1 acceleration to 145 bpm B. 2 accelerations to 140 bpm C. 2 accelerations to at least 145 bpm - ANS-C. 2 accelerations to at least 145 bpmA 36 week gestation patient is brought to triage by squad after an MVA on her back. Sheisnot bleeding and denies pain. She is not short of breath, but c/o dizziness and nausea sincetheyput her on the gurney. The most likely cause is A. Abruptio placenta B. Preterm labor C. Supine hypotension - ANS-C. Supine hypotension A 42 week gestation woman has been diagnosed with oligohydramnios. Based on this, aFHRchange that can be expected is A. Late deceleration B. Minimal variability ONLYSTUDENTS STORE 2025 ALL THE BESTONLYSTUDENTS STORE 5 DO NOT COPYC. Variable deceleration - ANS-C. Variable deceleration A BPP score of 6 is considered A. Abnormal B. Normal C. Equivocal - ANS-C. Equivocal A Category I FHR tracing requires which of the following? A. Baseline rate 110-160 bpm B. Accelerations C. No late, variable, or early decelerations - ANS-A. Baseline rate 110-160 bpmA Category II tracing A. Predicts abnormal fetal acid-base status B. Excludes abnormal fetal acid-base status C. Is not predictive of abnormal fetal acid-base status - ANS-C. Is not predictive of abnormal fetal acid-base status A complete description of an FHR tracing requires a qualitative and quantitative descriptionof all of the following except A. Baseline rate B. Beat-to-beat variability C. Changes or trends in the FHR patterns over time - ANS-B. Beat-to-beat variability A contraction stress test (CST) is done. During the testing, there were three contractions in10minutes, no decels, the baseline was 145, and there was moderate variability. This is interpretedas A. Negative B. Positive C. Suspicious - ANS-A. Negative A contraction stress test (CST) is performed. Late decelerations were noted in three out of thefive contractions in 10 minutes. This is interpreted as A. Positive B. Negative C. Suspicious - ANS-A. Positive A contraction stress test (CST) is performed. Late decelerations were noted in two out of thefivecontractions in 10 minutes. This is interpreted as A. Positive B. Negative C. Suspicious - ANS-C. Suspicious ONLYSTUDENTS STORE 2025 ALL THE BESTONLYSTUDENTS STORE 6 DO NOT COPYA contraction stress test (CST) is performed. No decelerations were noted with the two contractions that occurred over 10 minutes. This is interpreted as A. Positive B. Negative C. Unsatisfactory - ANS-C. Unsatisfactory A contraction stress test (CST) is performed. Two variable decelerations were seen on theFHRtracing and there were four contractions in 10 minutes. This is interpreted as A. Positive B. Negative C. Suspicious - ANS-B. Negative A deceleration from 145bpm down to 100bpm lasting 12 minutes may be defined as a A. Prolonged deceleration B. Variable deceleration C. Late deceleration D. Baseline change - ANS-D. Baseline change A fetal heart rate change that can be seen after administration of butorphanol (Stadol) is A. Bradycardia B. Marked variability C. Sinusoidal-appearing - ANS-C. Sinusoidal-appearing A fetal heart rate pattern that can occur when there is a prolapsed cord is A. Marked variability B. Prolonged decelerations C. Tachycardia - ANS-B. Prol