NCC EFM TEST WITH FULL PACK
SOLUTIONS
The wfetal wspiral welectrode wmeasures wthe
A. wPeaks wof wthe wDoppler wwaveforms
B. wR wto wR wintervals wof wthe wfetal wheart
C. wST wsegments wof wthe wfetal wECG w- wcorrect wanswers w-B. wR wto wR wintervals
wof wthe wfetal wheart
The woptimal wlocation wfor wthe wultrasound wtransducer wfor wthe wfetus w- wcorrect
wanswers w-the wfetal wback
First wstep wwhen wcontraction wpattern wis wweird wwith wIUPC win wplace w- wcorrect
wanswers w-re wzero wthe wIUPC
Membranes wruptured w60 wminutes wago wand wnow wyou wsee wprolonged
wdeceleration, wfirst wstep: w- wcorrect wanswers w-perform wa wvaginal wexam
,A wwoman wwho wis wadmitted wfor wan winduction wof wlabor wwith woxytocin wis
wquestioning wthe wneed wfor wcontinuous wEFM. wThe wappropriate wresponse wto wthe
wwoman wis.
A. whospital wpolicy wrequires wall wpatients whave wcontinuous wEFM
B. wI wwould wlike wto wanswer wyour wquestions wabout wcontinuous wmonitoring wand
wgive wyou wsome winformation wabout wwhy wit wis wrecommended
C. wNurses whave wmore wtraining wwith wcontinuous wmonitoring wthan wwith
wintermittent wauscultation wso wit wis wsafer wfor wyou wand wbaby w- wcorrect wanswers
w-B. wI wwould wlike wto wanswer wyour wquestions wabout wcontinuous wmonitoring wand
wgive wyou wsome winformation wabout wwhy wit wis wrecommended
The wprocess wby wwhich woxygen wand wcarbon wdioxide wpass wfrom wa wregion wof
whigher wconcentration wto wone wof wlower wconcentration wis wcalled:
a. wactive wtransport
b. wsimple wdiffusion
c. wfacilitated wdiffusion w- wcorrect wanswers w-B. wsimple wdiffusion
The wgreater waffinity wthat wfetal whemoglobin whas wfor woxygen wallows wfor:
a. weasier wrelease wof woxygen wto wthe wtissues
b. wgreater wbinding wof woxygen
c. wstimulation wof werythropoietin wrelease w- wcorrect wanswers w-b. wgreater wbinding
wof woxygen
which wstatement wbest wdescribes wthe wrelationship wbetween wmaternal wand wfetal
whemoglobin wlevels?
a. wfetal whemoglobin wis whigher wthan wmaternal whemoglobin
b. wmaternal whemoglobin wis whigher wthan wfetal whemoglobin
c. wmaternal wand wfetal whemoglobin wis wthe wsame w- wcorrect wanswers w-a. wfetal
whemoglobin wis whigher wthan wmaternal whemoglobin
In wthe whealthy wfetus, wblood wflows wfrom wthe wright watrium wto wthe wleft watrium
wthrough wthe:
a. wductus warteriosis
b. wductus wvenosus
c. wForman wovale w- wcorrect wanswers w-c. wforamen wovale
In wthe whealthy wfetus, wthe wumbilical wcord wenters wthe wfetal wabdomen wand
wbypasses wthe wliver wthrough wthe
a. wductus warteriosis
b. wductus wvenosus
c. wForman wovale w- wcorrect wanswers w-b. wductus wvenosus
Stimulation wof wthe wsympathetic wnervous wsystem wcauses wthe wfetal wheart wrate wto
w
a. wdecrease
b. wincrease
c. wremain wthe wsame w- wcorrect wanswers w-b. wincrease
, baroreceptors wrespond wmainly wto wchanges win
a. wblood wpressure
b. whormonal wchanges
c. woxygen wand wcarbon wdioxide wlevels w- wcorrect wanswers w-a. wblood wpressure
Which wstatement wdescribes wnormal wuterine wactivity
a. wfrequency wof w1.5 w- w2 wminutes
b. wintensity wof w90mmhg wearly win wlabor
c. wresting wtone wless wthan w20-25 wmmHg w- wcorrect wanswers w-c. wresting wtone
wless wthan w20-25mmhg
Greater wthan w5 wcontractions win w10 wminutes waveraged wover w30 wminutes
windicates
A. wExcessive wuterine wactivity
B. wHyperstimulation
C. wTachysystole w- wcorrect wanswers w-c. wtachysystole
tracing wshowing wearly wphase wof wlabor. wExternal wtoco wbeing wused wand
wcontractions whave w"spiky wappearance" wthis wis wdue wto:
a. wartificat
b. wfetal wkicks
c. wmaternal wrespirations w- wcorrect wanswers w-c. wmaternal wrespirations
Tracing wshowing wminimal wvariability. w10 wminutes wprior wto wthis wwas wcat w1. wThe
wappropriate waction wat wthis wtime wis wto:
a. wapply woxygen
b. wcontinue wto wobserve
c. wperform wscalp wstimulation w- wcorrect wanswers w-b. wcontinue wto wobserve
"this wis wconsidered wa wsleep wcycle w- wsleep wcycles wcan wlast w15-25 wminutes"
How wto wcalculate wmVU w- wcorrect wanswers w-add wall wthe wmmHg wfor
wcontractions wduring wa w10 wminute wperiod w**subtract wthe wbaseline wpressure
in wthe wabove wEXTERNAL wtracing wthe wintensity wof wthe wcontraction wis:
a. w55mmhg
b. w70mmhg
c. windeterminate w- wcorrect wanswers w-c. windeterminate
Cannot wdetermine wstrength wwith wexternal wmonitors w*
A w36 wweek wgestation wpatient wis wbrought wto wtriage wby wsquad wafter wan wMVA
won wher wback. wShe wis wnot wbleeding wand wdenies wpain. wShe wis wnot wshort wof
wbreath, wbut wc/o wdizziness wand wnausea wsince wthey wput wher won wthe wgurney.
wThe wmost wlikely wcause wis
SOLUTIONS
The wfetal wspiral welectrode wmeasures wthe
A. wPeaks wof wthe wDoppler wwaveforms
B. wR wto wR wintervals wof wthe wfetal wheart
C. wST wsegments wof wthe wfetal wECG w- wcorrect wanswers w-B. wR wto wR wintervals
wof wthe wfetal wheart
The woptimal wlocation wfor wthe wultrasound wtransducer wfor wthe wfetus w- wcorrect
wanswers w-the wfetal wback
First wstep wwhen wcontraction wpattern wis wweird wwith wIUPC win wplace w- wcorrect
wanswers w-re wzero wthe wIUPC
Membranes wruptured w60 wminutes wago wand wnow wyou wsee wprolonged
wdeceleration, wfirst wstep: w- wcorrect wanswers w-perform wa wvaginal wexam
,A wwoman wwho wis wadmitted wfor wan winduction wof wlabor wwith woxytocin wis
wquestioning wthe wneed wfor wcontinuous wEFM. wThe wappropriate wresponse wto wthe
wwoman wis.
A. whospital wpolicy wrequires wall wpatients whave wcontinuous wEFM
B. wI wwould wlike wto wanswer wyour wquestions wabout wcontinuous wmonitoring wand
wgive wyou wsome winformation wabout wwhy wit wis wrecommended
C. wNurses whave wmore wtraining wwith wcontinuous wmonitoring wthan wwith
wintermittent wauscultation wso wit wis wsafer wfor wyou wand wbaby w- wcorrect wanswers
w-B. wI wwould wlike wto wanswer wyour wquestions wabout wcontinuous wmonitoring wand
wgive wyou wsome winformation wabout wwhy wit wis wrecommended
The wprocess wby wwhich woxygen wand wcarbon wdioxide wpass wfrom wa wregion wof
whigher wconcentration wto wone wof wlower wconcentration wis wcalled:
a. wactive wtransport
b. wsimple wdiffusion
c. wfacilitated wdiffusion w- wcorrect wanswers w-B. wsimple wdiffusion
The wgreater waffinity wthat wfetal whemoglobin whas wfor woxygen wallows wfor:
a. weasier wrelease wof woxygen wto wthe wtissues
b. wgreater wbinding wof woxygen
c. wstimulation wof werythropoietin wrelease w- wcorrect wanswers w-b. wgreater wbinding
wof woxygen
which wstatement wbest wdescribes wthe wrelationship wbetween wmaternal wand wfetal
whemoglobin wlevels?
a. wfetal whemoglobin wis whigher wthan wmaternal whemoglobin
b. wmaternal whemoglobin wis whigher wthan wfetal whemoglobin
c. wmaternal wand wfetal whemoglobin wis wthe wsame w- wcorrect wanswers w-a. wfetal
whemoglobin wis whigher wthan wmaternal whemoglobin
In wthe whealthy wfetus, wblood wflows wfrom wthe wright watrium wto wthe wleft watrium
wthrough wthe:
a. wductus warteriosis
b. wductus wvenosus
c. wForman wovale w- wcorrect wanswers w-c. wforamen wovale
In wthe whealthy wfetus, wthe wumbilical wcord wenters wthe wfetal wabdomen wand
wbypasses wthe wliver wthrough wthe
a. wductus warteriosis
b. wductus wvenosus
c. wForman wovale w- wcorrect wanswers w-b. wductus wvenosus
Stimulation wof wthe wsympathetic wnervous wsystem wcauses wthe wfetal wheart wrate wto
w
a. wdecrease
b. wincrease
c. wremain wthe wsame w- wcorrect wanswers w-b. wincrease
, baroreceptors wrespond wmainly wto wchanges win
a. wblood wpressure
b. whormonal wchanges
c. woxygen wand wcarbon wdioxide wlevels w- wcorrect wanswers w-a. wblood wpressure
Which wstatement wdescribes wnormal wuterine wactivity
a. wfrequency wof w1.5 w- w2 wminutes
b. wintensity wof w90mmhg wearly win wlabor
c. wresting wtone wless wthan w20-25 wmmHg w- wcorrect wanswers w-c. wresting wtone
wless wthan w20-25mmhg
Greater wthan w5 wcontractions win w10 wminutes waveraged wover w30 wminutes
windicates
A. wExcessive wuterine wactivity
B. wHyperstimulation
C. wTachysystole w- wcorrect wanswers w-c. wtachysystole
tracing wshowing wearly wphase wof wlabor. wExternal wtoco wbeing wused wand
wcontractions whave w"spiky wappearance" wthis wis wdue wto:
a. wartificat
b. wfetal wkicks
c. wmaternal wrespirations w- wcorrect wanswers w-c. wmaternal wrespirations
Tracing wshowing wminimal wvariability. w10 wminutes wprior wto wthis wwas wcat w1. wThe
wappropriate waction wat wthis wtime wis wto:
a. wapply woxygen
b. wcontinue wto wobserve
c. wperform wscalp wstimulation w- wcorrect wanswers w-b. wcontinue wto wobserve
"this wis wconsidered wa wsleep wcycle w- wsleep wcycles wcan wlast w15-25 wminutes"
How wto wcalculate wmVU w- wcorrect wanswers w-add wall wthe wmmHg wfor
wcontractions wduring wa w10 wminute wperiod w**subtract wthe wbaseline wpressure
in wthe wabove wEXTERNAL wtracing wthe wintensity wof wthe wcontraction wis:
a. w55mmhg
b. w70mmhg
c. windeterminate w- wcorrect wanswers w-c. windeterminate
Cannot wdetermine wstrength wwith wexternal wmonitors w*
A w36 wweek wgestation wpatient wis wbrought wto wtriage wby wsquad wafter wan wMVA
won wher wback. wShe wis wnot wbleeding wand wdenies wpain. wShe wis wnot wshort wof
wbreath, wbut wc/o wdizziness wand wnausea wsince wthey wput wher won wthe wgurney.
wThe wmost wlikely wcause wis
