NCC ELECTRONIC FETAL MONITORING CERTIFICATION EXAM
ACTUAL CURRENTLY TESTING QUESTIONS CORRECTLY SOLVED
| GRADE A
Which of the following factors can have a negative effect on uterine blood flow?
a. Hypertension
b. Epidural
c. Hemorrhage
d. Diabetes
e. All of the abovecorrect answere. All of the above
How does the fetus compensate for decreased maternal circulating volume?
a. Increases cardiac output by increasing stroke volume.
b. Increases cardiac output by increasing it's heart rate.
c. Increases cardiac output by increasing fetal movement.correct answerb. Increases cardiac output by increasing
it's heart rate.
Stimulating the vagus nerve typically produces:
a. A decrease in the heart rate
b. An increase in the heart rate
c. An increase in stroke volume
d. No changecorrect answera. A decrease in the heart rate
What initially causes a chemoreceptor response?
a. Epidurals
b. Supine maternal position
c. Increased CO2 levels
d. Decreased O2 levels
e. A & C
f. A & B
,g. C & Dcorrect answerg. C & D
The vagus nerve begins maturation 26 to 28 weeks. Its dominance results in what effect to the FHR baseline?
a. Increases baseline
b. Decreases baselinecorrect answerb. Decreases baseline
T/F: Oxygen exchange in the placenta takes place in the intervillous space.correct answerTrue
T/F: The parasympathetic nervous system is a cardioaccelerator.correct answerFalse
T/F: Baroreceptors are stretch receptors which respond to increases or decreases in blood pressure.correct
answerTrue
T/F: There are two electronic fetal monitoring methods of obtaining the fetal heart rate: the ultrasound transducer
and the fetal spiral electrode.correct answerTrue
T/F: Variability can be determined with the fetoscope.correct answerFalse
T/F: Because the ultrasound transducer and toco transducer are sealed units, they can be dipped in warm water to
make cleaning easier.correct answerFalse
T/F: The most common artifact with the ultrasound transducer system for fetal heart rate is increased
variability.correct answerTrue
T/F: All fetal monitors contain a logic system designed to reject artifact.correct answerTrue
T/F: The monitor should always be tested before starting a tracing, either external or internal mode and labeled a
test.correct answerTrue
T/F: The paper speed on the fetal monitor should always be set at 1cm/min.correct answerFalse
T/F: Both internal and external monitoring methods are equally accurate means of obtaining the fetal heart rate
and contraction patterns.correct answerFalse
,T/F: The external toco is usually placed over the uterine fundus to pick up contractions.correct answerTrue
T/F: The external toco gives measurable uterine pressure.correct answerFalse
T/F: The fetal spiral electrode can be placed when vaginal bleeding of unknown origin is present.correct
answerFalse
T/F: The ultrasound transducer is usually placed on the side of the uterus over the baby's back, as the fetal heart is
heard best there.correct answerTrue
T/F: The spiral electrode is used to more accurately determine the frequency, duration, and intensity of uterine
contractions.correct answerFalse
T/F: The heart rate from a well-applied fetal spiral electrode can only be fetal, not maternal.correct answerFalse
T/F: The intrauterine catheter is used to pick up the fetal heart rate.correct answerFalse
T/F: The internal spiral electrode may pick up the maternal heart rate if the baby has died.correct answerTrue
T/F: Fetal arrhythmias can be seen on both internal and external monitor tracings.correct answerTrue
T/F: Variability and periodic changes can be detected with both internal and external monitoring.correct
answerTrue
T/F: Variable decelerations are a result of cord compression.correct answerTrue
T/F: The presence of FHR accelerations in the intrapartum and antepartum periods is a sign of adequate fetal
oxygenation.correct answerTrue
T/F: Variable decelerations are a vagal response.correct answerTrue
, T/F: Late decelerations have a gradual decrease in FHR (onset to nadir 30 seconds) and are delayed in timing with
the nadir of the deceleration occurring after the peak of the contraction.correct answerTrue
T/F: The fetal heart rate baseline can be determined during periods of marked variability.correct answerFalse
T/F: Anything that affects maternal blood flow (cardiac output) can affect the blood flow through the
placenta.correct answerTrue
T/F: Variable decelerations are the most frequently seen fetal heart rate deceleration pattern in labor.correct
answerTrue
T/F: Minimal variability is always an indicator of hypoxia and a Cesarean section is indicated.correct answerFalse
What is your first intervention in management of a patient experiencing variable decelerations?
a. Immediate delivery
b. Change maternal position
c. No treatment indicated
d. Oxygen
e. Stop oxytocin infusioncorrect answerb. Change maternal position
Etiology of a baseline FHR of 165bpm occurring for the last hour can be:
1. Maternal supine hypotension
2. Maternal fever
3. Maternal dehydration
4. Unknown
a. 1 and 2
b. 1, 2 and 3
c. 2, 3 and 4correct answerc. 2, 3 and 4
What is the most probable cause of recurrent late decelerations?
a. Utero-placental insufficiency
b. Head compression
ACTUAL CURRENTLY TESTING QUESTIONS CORRECTLY SOLVED
| GRADE A
Which of the following factors can have a negative effect on uterine blood flow?
a. Hypertension
b. Epidural
c. Hemorrhage
d. Diabetes
e. All of the abovecorrect answere. All of the above
How does the fetus compensate for decreased maternal circulating volume?
a. Increases cardiac output by increasing stroke volume.
b. Increases cardiac output by increasing it's heart rate.
c. Increases cardiac output by increasing fetal movement.correct answerb. Increases cardiac output by increasing
it's heart rate.
Stimulating the vagus nerve typically produces:
a. A decrease in the heart rate
b. An increase in the heart rate
c. An increase in stroke volume
d. No changecorrect answera. A decrease in the heart rate
What initially causes a chemoreceptor response?
a. Epidurals
b. Supine maternal position
c. Increased CO2 levels
d. Decreased O2 levels
e. A & C
f. A & B
,g. C & Dcorrect answerg. C & D
The vagus nerve begins maturation 26 to 28 weeks. Its dominance results in what effect to the FHR baseline?
a. Increases baseline
b. Decreases baselinecorrect answerb. Decreases baseline
T/F: Oxygen exchange in the placenta takes place in the intervillous space.correct answerTrue
T/F: The parasympathetic nervous system is a cardioaccelerator.correct answerFalse
T/F: Baroreceptors are stretch receptors which respond to increases or decreases in blood pressure.correct
answerTrue
T/F: There are two electronic fetal monitoring methods of obtaining the fetal heart rate: the ultrasound transducer
and the fetal spiral electrode.correct answerTrue
T/F: Variability can be determined with the fetoscope.correct answerFalse
T/F: Because the ultrasound transducer and toco transducer are sealed units, they can be dipped in warm water to
make cleaning easier.correct answerFalse
T/F: The most common artifact with the ultrasound transducer system for fetal heart rate is increased
variability.correct answerTrue
T/F: All fetal monitors contain a logic system designed to reject artifact.correct answerTrue
T/F: The monitor should always be tested before starting a tracing, either external or internal mode and labeled a
test.correct answerTrue
T/F: The paper speed on the fetal monitor should always be set at 1cm/min.correct answerFalse
T/F: Both internal and external monitoring methods are equally accurate means of obtaining the fetal heart rate
and contraction patterns.correct answerFalse
,T/F: The external toco is usually placed over the uterine fundus to pick up contractions.correct answerTrue
T/F: The external toco gives measurable uterine pressure.correct answerFalse
T/F: The fetal spiral electrode can be placed when vaginal bleeding of unknown origin is present.correct
answerFalse
T/F: The ultrasound transducer is usually placed on the side of the uterus over the baby's back, as the fetal heart is
heard best there.correct answerTrue
T/F: The spiral electrode is used to more accurately determine the frequency, duration, and intensity of uterine
contractions.correct answerFalse
T/F: The heart rate from a well-applied fetal spiral electrode can only be fetal, not maternal.correct answerFalse
T/F: The intrauterine catheter is used to pick up the fetal heart rate.correct answerFalse
T/F: The internal spiral electrode may pick up the maternal heart rate if the baby has died.correct answerTrue
T/F: Fetal arrhythmias can be seen on both internal and external monitor tracings.correct answerTrue
T/F: Variability and periodic changes can be detected with both internal and external monitoring.correct
answerTrue
T/F: Variable decelerations are a result of cord compression.correct answerTrue
T/F: The presence of FHR accelerations in the intrapartum and antepartum periods is a sign of adequate fetal
oxygenation.correct answerTrue
T/F: Variable decelerations are a vagal response.correct answerTrue
, T/F: Late decelerations have a gradual decrease in FHR (onset to nadir 30 seconds) and are delayed in timing with
the nadir of the deceleration occurring after the peak of the contraction.correct answerTrue
T/F: The fetal heart rate baseline can be determined during periods of marked variability.correct answerFalse
T/F: Anything that affects maternal blood flow (cardiac output) can affect the blood flow through the
placenta.correct answerTrue
T/F: Variable decelerations are the most frequently seen fetal heart rate deceleration pattern in labor.correct
answerTrue
T/F: Minimal variability is always an indicator of hypoxia and a Cesarean section is indicated.correct answerFalse
What is your first intervention in management of a patient experiencing variable decelerations?
a. Immediate delivery
b. Change maternal position
c. No treatment indicated
d. Oxygen
e. Stop oxytocin infusioncorrect answerb. Change maternal position
Etiology of a baseline FHR of 165bpm occurring for the last hour can be:
1. Maternal supine hypotension
2. Maternal fever
3. Maternal dehydration
4. Unknown
a. 1 and 2
b. 1, 2 and 3
c. 2, 3 and 4correct answerc. 2, 3 and 4
What is the most probable cause of recurrent late decelerations?
a. Utero-placental insufficiency
b. Head compression
