NCC ELECTRONIC FETAL MONITORING FULL VERIFIED CERTIFICATION EXAM STUDY
TEST GUIDE – ACCURATE ANSWERS GRADED A+
The following cord blood gasses are consistent with: pH 7.10, pCO2 70, pO2 25, base
excess -10
A. Metabolic acidosis
B. Mixed acidosis
C. Respiratory acidosis
C. Respiratory acidosis
A fetus at 36 weeks receives a biophysical profile (BBP) score of 6. The amniotic fluid was
scored as normal. The expected management is
A. Immediate delivery
B. Repeat the test in 24 hours
C. Schedule the next test in one week
B. Repeat the test in 24 hours
A woman with gestational diabetes is 38 weeks gestation. Her Biophysical Profile score is
4. This indicates need for
A. Follow up in one week
B. Induction of labor
C. Emergent cesarean section
B. Induction of labor
,A 35 week gestation fetus is having an NST. The fetal heart rate baseline is 130 bpm. The
nurse is 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
C. 2 accelerations to at least 145 bpm
A woman desires a natural childbirth. The nurse puts pressure on her to get an epidural.
This is an example of going against which ethical principle?
A. Autonomy
B. Beneficence
C. Justice
A. Autonomy
One characteristic of a high reliability perinatal unit is
A. Alarms can only be called by unit leaders
B. Reliance on memorization of protocols
C. The organization creates a safety-oriented culture
C. The organization creates a safety-oriented culture
One example of evidence-based practice related to fetal monitoring is
A. Diagnosis of uterine rupture with an IUPC
B. Intermittent auscultation for the low-risk patient
,C. Using electronic fetal monitoring to prevent cerebral palsy
B. Intermittent auscultation for the low-risk patient
Supporting the parents decision to choose no extraordinary measures on their baby who is
about to deliver at 24 3/7 weeks gestation despite the nurses personal opinion is an
example of
A. Autonomy
B. Beneficence
C. Non-maleficence
A. Autonomy
_______ primarily 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
B. Chemoreceptors
_______ are protective stretch receptors located in the aortic arch and the carotid sinuses
at the bifurcation of the external and internal carotid arteries.
A. Baroreceptors
B. Chemoreceptors
C. Arteries
A. Baroreceptors
, _______ respond to increases in fetal arterial blood pressure by detecting the amount of
stretch and sending impulses via the vagus nerve to the midbrain, decreasing FHR, CO, and
BP.
A. Baroreceptors
B. Chemoreceptors
C. Veins
A. Baroreceptors
As a contraction beings, partial umbilical cord compression causes occlusion of the low-
pressure vein and decreased return of blood to the fetal heart, resulting in decreased CO,
hypotension, and a compensatory FHR _____.
A. Acceleration
B. Early deceleration
C. Late deceleration
D. Variable deceleration
A. Acceleration
With complete umbilical cord occlusion, the two umbilical arteries also become occluded,
resulting in sudden fetal hypertension, stimulation of the baroreceptors, and a sudden
_______ in FHR.
A. Increase
B. Decrease
B. Decrease
TEST GUIDE – ACCURATE ANSWERS GRADED A+
The following cord blood gasses are consistent with: pH 7.10, pCO2 70, pO2 25, base
excess -10
A. Metabolic acidosis
B. Mixed acidosis
C. Respiratory acidosis
C. Respiratory acidosis
A fetus at 36 weeks receives a biophysical profile (BBP) score of 6. The amniotic fluid was
scored as normal. The expected management is
A. Immediate delivery
B. Repeat the test in 24 hours
C. Schedule the next test in one week
B. Repeat the test in 24 hours
A woman with gestational diabetes is 38 weeks gestation. Her Biophysical Profile score is
4. This indicates need for
A. Follow up in one week
B. Induction of labor
C. Emergent cesarean section
B. Induction of labor
,A 35 week gestation fetus is having an NST. The fetal heart rate baseline is 130 bpm. The
nurse is 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
C. 2 accelerations to at least 145 bpm
A woman desires a natural childbirth. The nurse puts pressure on her to get an epidural.
This is an example of going against which ethical principle?
A. Autonomy
B. Beneficence
C. Justice
A. Autonomy
One characteristic of a high reliability perinatal unit is
A. Alarms can only be called by unit leaders
B. Reliance on memorization of protocols
C. The organization creates a safety-oriented culture
C. The organization creates a safety-oriented culture
One example of evidence-based practice related to fetal monitoring is
A. Diagnosis of uterine rupture with an IUPC
B. Intermittent auscultation for the low-risk patient
,C. Using electronic fetal monitoring to prevent cerebral palsy
B. Intermittent auscultation for the low-risk patient
Supporting the parents decision to choose no extraordinary measures on their baby who is
about to deliver at 24 3/7 weeks gestation despite the nurses personal opinion is an
example of
A. Autonomy
B. Beneficence
C. Non-maleficence
A. Autonomy
_______ primarily 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
B. Chemoreceptors
_______ are protective stretch receptors located in the aortic arch and the carotid sinuses
at the bifurcation of the external and internal carotid arteries.
A. Baroreceptors
B. Chemoreceptors
C. Arteries
A. Baroreceptors
, _______ respond to increases in fetal arterial blood pressure by detecting the amount of
stretch and sending impulses via the vagus nerve to the midbrain, decreasing FHR, CO, and
BP.
A. Baroreceptors
B. Chemoreceptors
C. Veins
A. Baroreceptors
As a contraction beings, partial umbilical cord compression causes occlusion of the low-
pressure vein and decreased return of blood to the fetal heart, resulting in decreased CO,
hypotension, and a compensatory FHR _____.
A. Acceleration
B. Early deceleration
C. Late deceleration
D. Variable deceleration
A. Acceleration
With complete umbilical cord occlusion, the two umbilical arteries also become occluded,
resulting in sudden fetal hypertension, stimulation of the baroreceptors, and a sudden
_______ in FHR.
A. Increase
B. Decrease
B. Decrease
