NCC EFM Test
The fetal spiral electrode measures the
A. Peaks of the Doppler waveforms
B. R to R intervals of the fetal heart
C. ST segments of the fetal ECG - ANS-B. R to R intervals of the fetal heart
The optimal location for the ultrasound transducer for the fetus - ANS-the fetal back
First step when contraction pattern is weird with IUPC in place - ANS-re zero the IUPC
Membranes ruptured 60 minutes ago and now you see prolonged deceleration, first
step: - ANS-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 - ANS-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 - ANS-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 - ANS-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 - ANS-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 - ANS-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 - ANS-b. ductus venosus
Stimulation of the sympathetic nervous system causes the fetal heart rate to
a. decrease
b. increase
c. remain the same - ANS-b. increase
baroreceptors respond mainly to changes in
a. blood pressure
b. hormonal changes
c. oxygen and carbon dioxide levels - ANS-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 - ANS-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 - ANS-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 - ANS-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 - ANS-b. continue to observe
"this is considered a sleep cycle - sleep cycles can last 15-25 minutes"
How to calculate mVU - ANS-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 - ANS-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 - ANS-c. supine hypotension
One compensatory mechanism that helps maintain oxygen availability to the fetus
during maternal exercise is
A. A decrease in maternal hematocrit
B. Transient increase in uterine blood flow
C. An increase in uterine oxygen uptake - ANS-c. an increase in uterine oxygen uptake
Tracing showing prolonged deceleration after recent epidural and intial bolus just
delivered. Underlying cause of this tracing is:
a. maternal vasodilation
b. parasympathetic blockage
c. prolapsed umbilical cord - ANS-a. maternal vasodilation
G3 at 39 weeks undergoing eIOL. SVE 6/90/+1. Toco showing tachysystole. Tracing
with prolonged deceleration. Priority action by the nurse would be:
a. apply O2 via NRB
The fetal spiral electrode measures the
A. Peaks of the Doppler waveforms
B. R to R intervals of the fetal heart
C. ST segments of the fetal ECG - ANS-B. R to R intervals of the fetal heart
The optimal location for the ultrasound transducer for the fetus - ANS-the fetal back
First step when contraction pattern is weird with IUPC in place - ANS-re zero the IUPC
Membranes ruptured 60 minutes ago and now you see prolonged deceleration, first
step: - ANS-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 - ANS-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 - ANS-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 - ANS-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 - ANS-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 - ANS-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 - ANS-b. ductus venosus
Stimulation of the sympathetic nervous system causes the fetal heart rate to
a. decrease
b. increase
c. remain the same - ANS-b. increase
baroreceptors respond mainly to changes in
a. blood pressure
b. hormonal changes
c. oxygen and carbon dioxide levels - ANS-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 - ANS-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 - ANS-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 - ANS-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 - ANS-b. continue to observe
"this is considered a sleep cycle - sleep cycles can last 15-25 minutes"
How to calculate mVU - ANS-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 - ANS-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 - ANS-c. supine hypotension
One compensatory mechanism that helps maintain oxygen availability to the fetus
during maternal exercise is
A. A decrease in maternal hematocrit
B. Transient increase in uterine blood flow
C. An increase in uterine oxygen uptake - ANS-c. an increase in uterine oxygen uptake
Tracing showing prolonged deceleration after recent epidural and intial bolus just
delivered. Underlying cause of this tracing is:
a. maternal vasodilation
b. parasympathetic blockage
c. prolapsed umbilical cord - ANS-a. maternal vasodilation
G3 at 39 weeks undergoing eIOL. SVE 6/90/+1. Toco showing tachysystole. Tracing
with prolonged deceleration. Priority action by the nurse would be:
a. apply O2 via NRB
