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Exam (elaborations)

NCC EFM Test exam with correct answers

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NCC EFM Test exam with correct answers

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NCC EFM Test exam with correct |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




answers

The fetal spiral electrode measures the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\




A. Peaks of the Doppler waveforms
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B. R to R intervals of the fetal heart
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




C. ST segments of the fetal ECG - correct answer✔✔B. R to R intervals of the fetal heart
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




The optimal location for the ultrasound transducer for the fetus - correct answer✔✔the fetal
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




back



First step when contraction pattern is weird with IUPC in place - correct answer✔✔re zero the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




IUPC



Membranes ruptured 60 minutes ago and now you see prolonged deceleration, first step: - |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




correct answer✔✔perform a vaginal exam |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




A woman who is admitted for an induction of labor with oxytocin is questioning the need for
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




continuous EFM. The appropriate response to the woman is. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




A. hospital policy requires all patients have continuous EFM
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




B. I would like to answer your questions about continuous monitoring and give you some
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




information about why it is recommended |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




C. Nurses have more training with continuous monitoring than with intermittent auscultation
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




so it is safer for you and baby - correct answer✔✔B. I would like to answer your questions
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




about continuous monitoring and give you some information about why it is recommended
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\

,The process by which oxygen and carbon dioxide pass from a region of higher concentration to
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




one of lower concentration is called:
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\




a. active transport
|||\\\ |||\\\




b. simple diffusion
|||\\\ |||\\\




c. facilitated diffusion - correct answer✔✔B. simple diffusion
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




The greater affinity that fetal hemoglobin has for oxygen allows for:
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




a. easier release of oxygen to the tissues
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




b. greater binding of oxygen
|||\\\ |||\\\ |||\\\ |||\\\




c. stimulation of erythropoietin release - correct answer✔✔b. greater binding of oxygen
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




which statement best describes the relationship between maternal and fetal hemoglobin
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




levels?

a. fetal hemoglobin is higher than maternal hemoglobin
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




b. maternal hemoglobin is higher than fetal hemoglobin
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




c. maternal and fetal hemoglobin is the same - correct answer✔✔a. fetal hemoglobin is higher
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




than maternal hemoglobin
|||\\\ |||\\\ |||\\\




In the healthy fetus, blood flows from the right atrium to the left atrium through the:
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




a. ductus arteriosis
|||\\\ |||\\\




b. ductus venosus
|||\\\ |||\\\




c. Forman ovale - correct answer✔✔c. foramen ovale
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




In the healthy fetus, the umbilical cord enters the fetal abdomen and bypasses the liver
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




through the |||\\\




a. ductus arteriosis
|||\\\ |||\\\




b. ductus venosus
|||\\\ |||\\\

,c. Forman ovale - correct answer✔✔b. ductus venosus
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




Stimulation of the sympathetic nervous system causes the fetal heart rate to
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




a. decrease
|||\\\




b. increase
|||\\\




c. remain the same - correct answer✔✔b. increase
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




baroreceptors respond mainly to changes in |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




a. blood pressure
|||\\\ |||\\\




b. hormonal changes
|||\\\ |||\\\




c. oxygen and carbon dioxide levels - correct answer✔✔a. blood pressure
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




Which statement describes normal uterine activity
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\




a. frequency of 1.5 - 2 minutes
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




b. intensity of 90mmhg early in labor
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




c. resting tone less than 20-25 mmHg - correct answer✔✔c. resting tone less than 20-25mmhg
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




Greater than 5 contractions in 10 minutes averaged over 30 minutes indicates
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




A. Excessive uterine activity
|||\\\ |||\\\ |||\\\




B. Hyperstimulation
|||\\\




C. Tachysystole - correct answer✔✔c. tachysystole
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




tracing showing early phase of labor. External toco being used and contractions have "spiky
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




appearance" this is due to: |||\\\ |||\\\ |||\\\ |||\\\




a. artificat
|||\\\




b. fetal kicks
|||\\\ |||\\\

, c. maternal respirations - correct answer✔✔c. maternal respirations
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




Tracing showing minimal variability. 10 minutes prior to this was cat 1. The appropriate action
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




at this time is to:
|||\\\ |||\\\ |||\\\ |||\\\




a. apply oxygen
|||\\\ |||\\\




b. continue to observe
|||\\\ |||\\\ |||\\\




c. perform scalp stimulation - correct answer✔✔b. continue to observe
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




"this is considered a sleep cycle - sleep cycles can last 15-25 minutes"
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




How to calculate mVU - correct answer✔✔add all the mmHg for contractions during a 10
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




minute period **subtract the baseline pressure |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




in the above EXTERNAL tracing the intensity of the contraction is:
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




a. 55mmhg
|||\\\




b. 70mmhg
|||\\\




c. indeterminate - correct answer✔✔c. indeterminate
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




Cannot determine strength with external monitors * |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




A 36 week gestation patient is brought to triage by squad after an MVA on her back. She is not
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




bleeding and denies pain. She is not short of breath, but c/o dizziness and nausea since they
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




put her on the gurney. The most likely cause is
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\




A. Abruptio placenta
|||\\\ |||\\\




B. Preterm labor
|||\\\ |||\\\




C. Supine hypotension - correct answer✔✔c. supine hypotension
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\

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