NCC ELECTRONIC FETAL MONITORING CERTIFICATION
EXAM QUESTIONS AND ANSWERS
The primary physiologic goal of interventions for late decelerations is to
A. Decrease maternal oxygen consumption
B. Maximize placental blood flow
C. Maximize umbilical circulation
B. Maximize placental blood flow
Which of the following is most responsible for producing FHR variability as the
fetus grows?
A. Maturation of the parasympathetic nervous system
B. Maturation of the sympathetic nervous system
C. Release of maternal prostaglandins
A. Maturation of the parasympathetic nervous system
Using the NICHD terminology, tachysystole is defined as
A. More than 5 contractions in 10 minutes averaged over a 20-minute period
B. More than 5 contractions in 15 minutes averaged over a 30-minute period
C. More than 5 contractions in 10 minutes averaged over a 30-minute period
C. More than 5 contractions in 10 minutes averaged over a 30-minute period
When a patient reports that she is feeling contractions but the nurse does not
note any on the toco tracing, what is the first intervention that should be
performed?
A. Ask the provider to place an IUPC
B. Reposition the toco
C. Palpate the uterus
C. Palpate the uterus
Which of the following represents the normal range for FHR baseline?
A. 120-160 bpm
B. 110-160 bpm
B. 110-160 bpm
Which of the following is not a type of supraventricular dysrhythmia?
A. Premature atrial contraction (PAC)
, B. Premature ventricular contraction (PVC)
C. Supraventricular tachycardia (SVT)
B. Premature ventricular contraction (PVC)
Which is the most common type of fetal dysrhythmia?
A. Premature atrial contraction (PAC)
B. Premature ventricular contraction (PVC)
C. Third-degree heart block
A. Premature atrial contraction (PAC)
What is the most common cause of third-degree heart block in the fetus?
A. Maternal HIV infection
B. Maternal lupus
C. Tocolysis
B. Maternal lupus
All of the following are traits of fetal supraventricular tachycardia (SVT), but
which is most problematic?
A. Decreases diastolic filling time
B. Dramatically increases oxygen consumption
C. Often leads to ventricular tachycardia (VT)
C. Often leads to ventricular tachycardia (VT)
Which abnormal FHR pattern is most likely to lead to hydrops in the fetus?
A. Marked variability
B. A premature ventricular contraction (PVC)
C. Supraventricular tachycardia (SVT)
C. Supraventricular tachycardia (SVT)
Which of the following is an irregular FHR pattern associated with normal
conduction and rate?
A. Premature atrial contractions (PACs)
B. Sinus arrhythmias
C. Sinus tachycardias
B. Sinus arrhythmias
EXAM QUESTIONS AND ANSWERS
The primary physiologic goal of interventions for late decelerations is to
A. Decrease maternal oxygen consumption
B. Maximize placental blood flow
C. Maximize umbilical circulation
B. Maximize placental blood flow
Which of the following is most responsible for producing FHR variability as the
fetus grows?
A. Maturation of the parasympathetic nervous system
B. Maturation of the sympathetic nervous system
C. Release of maternal prostaglandins
A. Maturation of the parasympathetic nervous system
Using the NICHD terminology, tachysystole is defined as
A. More than 5 contractions in 10 minutes averaged over a 20-minute period
B. More than 5 contractions in 15 minutes averaged over a 30-minute period
C. More than 5 contractions in 10 minutes averaged over a 30-minute period
C. More than 5 contractions in 10 minutes averaged over a 30-minute period
When a patient reports that she is feeling contractions but the nurse does not
note any on the toco tracing, what is the first intervention that should be
performed?
A. Ask the provider to place an IUPC
B. Reposition the toco
C. Palpate the uterus
C. Palpate the uterus
Which of the following represents the normal range for FHR baseline?
A. 120-160 bpm
B. 110-160 bpm
B. 110-160 bpm
Which of the following is not a type of supraventricular dysrhythmia?
A. Premature atrial contraction (PAC)
, B. Premature ventricular contraction (PVC)
C. Supraventricular tachycardia (SVT)
B. Premature ventricular contraction (PVC)
Which is the most common type of fetal dysrhythmia?
A. Premature atrial contraction (PAC)
B. Premature ventricular contraction (PVC)
C. Third-degree heart block
A. Premature atrial contraction (PAC)
What is the most common cause of third-degree heart block in the fetus?
A. Maternal HIV infection
B. Maternal lupus
C. Tocolysis
B. Maternal lupus
All of the following are traits of fetal supraventricular tachycardia (SVT), but
which is most problematic?
A. Decreases diastolic filling time
B. Dramatically increases oxygen consumption
C. Often leads to ventricular tachycardia (VT)
C. Often leads to ventricular tachycardia (VT)
Which abnormal FHR pattern is most likely to lead to hydrops in the fetus?
A. Marked variability
B. A premature ventricular contraction (PVC)
C. Supraventricular tachycardia (SVT)
C. Supraventricular tachycardia (SVT)
Which of the following is an irregular FHR pattern associated with normal
conduction and rate?
A. Premature atrial contractions (PACs)
B. Sinus arrhythmias
C. Sinus tachycardias
B. Sinus arrhythmias
