NCC EFM Exam UPDATED ACTUAL
Exam Questions and CORRECT Answers
during 1st stage of labor for women w/ no risk factors, efm should be reviewed every? -
CORRECT ANSWER - 30 min.
during 1st stage of labor for women w/complications, EFM should be reviewed every? -
CORRECT ANSWER - 15 min.
during 2nd stage labor for women requiring oxytocin, EFM should be reviewed every? -
CORRECT ANSWER - 5 min.
in any 10 minute sequence of FHR tracing, minimum baseline duration must be at least? -
CORRECT ANSWER - 2 min.
if baseline FHR is indeterminate, refer to prior? - CORRECT ANSWER - 10 min. window
Baseline FHR variability is classified as? - CORRECT ANSWER - absent, minimal,
moderate, marked
primary goal in treatment of late decels? - CORRECT ANSWER - maximize
uteroplacentel blood flow
Rationale for low dose oxytocin protocol? - CORRECT ANSWER - half-life of oxytocin
Initiate treatment for recurrent late decels w/ moderate variability during 1st stage? - CORRECT
ANSWER - maternal repositioning
FHR pattern likely to develop w/ severe fetal anemia? - CORRECT ANSWER - sinusoidal
, most consistent clinical sign of uterine rupture during tolac? - CORRECT ANSWER -
recurrent decels of bradycardia
loss of FHR variability can result from? - CORRECT ANSWER - medication
administration
IV stadol may result in? - CORRECT ANSWER - transient sinusoidal (pseudosinusoidal)
When using a doppler to determine FHR, autocorrelation: - CORRECT ANSWER -
compares successive reflective US waveforms at many points
Sustained SVT increases fetal risk for: - CORRECT ANSWER - CHF (hydrops)
toco detects changes in? - CORRECT ANSWER - the shape of the uterine wall
fetoscope works by detecting? - CORRECT ANSWER - sound of opening/closing of heart
valves
short r-to-r intervals in fetal egg is indicative of? - CORRECT ANSWER - tachycardia
most common fetal arrhythmia? - CORRECT ANSWER - PAC
Fetal hydrops may develop w? - CORRECT ANSWER - paroxysmal atrial tachy
complete heart block increases fetal risk for? - CORRECT ANSWER - neonatal
pacemaker
reactive NST in term fetus requires? - CORRECT ANSWER - 2 access 15x15 w/I 20 min.
Exam Questions and CORRECT Answers
during 1st stage of labor for women w/ no risk factors, efm should be reviewed every? -
CORRECT ANSWER - 30 min.
during 1st stage of labor for women w/complications, EFM should be reviewed every? -
CORRECT ANSWER - 15 min.
during 2nd stage labor for women requiring oxytocin, EFM should be reviewed every? -
CORRECT ANSWER - 5 min.
in any 10 minute sequence of FHR tracing, minimum baseline duration must be at least? -
CORRECT ANSWER - 2 min.
if baseline FHR is indeterminate, refer to prior? - CORRECT ANSWER - 10 min. window
Baseline FHR variability is classified as? - CORRECT ANSWER - absent, minimal,
moderate, marked
primary goal in treatment of late decels? - CORRECT ANSWER - maximize
uteroplacentel blood flow
Rationale for low dose oxytocin protocol? - CORRECT ANSWER - half-life of oxytocin
Initiate treatment for recurrent late decels w/ moderate variability during 1st stage? - CORRECT
ANSWER - maternal repositioning
FHR pattern likely to develop w/ severe fetal anemia? - CORRECT ANSWER - sinusoidal
, most consistent clinical sign of uterine rupture during tolac? - CORRECT ANSWER -
recurrent decels of bradycardia
loss of FHR variability can result from? - CORRECT ANSWER - medication
administration
IV stadol may result in? - CORRECT ANSWER - transient sinusoidal (pseudosinusoidal)
When using a doppler to determine FHR, autocorrelation: - CORRECT ANSWER -
compares successive reflective US waveforms at many points
Sustained SVT increases fetal risk for: - CORRECT ANSWER - CHF (hydrops)
toco detects changes in? - CORRECT ANSWER - the shape of the uterine wall
fetoscope works by detecting? - CORRECT ANSWER - sound of opening/closing of heart
valves
short r-to-r intervals in fetal egg is indicative of? - CORRECT ANSWER - tachycardia
most common fetal arrhythmia? - CORRECT ANSWER - PAC
Fetal hydrops may develop w? - CORRECT ANSWER - paroxysmal atrial tachy
complete heart block increases fetal risk for? - CORRECT ANSWER - neonatal
pacemaker
reactive NST in term fetus requires? - CORRECT ANSWER - 2 access 15x15 w/I 20 min.
