NCC EFM EXAM QUESTIONS AND VERIFIED ANSWERS
During labor, the recommended fetal heart rate assessment interval for
auscultation is every
A. 15-30 minutes in the active phase of the first stage and every 5-15 minutes in
second stage
B. 15 minutes no matter what stage of labor
C. 60 minutes in the active phase of the first stage and every 30 minutes in
second stage
A. 15-30 minutes in the active phase of the first stage and every 5-15 minutes in second
stage
What fetal heart rate characteristics can be determined with auscultation?
A. Baseline
B. Early decelerations
C. Variability
a. baseline
If the pH is low, what other blood gas parameter is used to determine if the
acidosis is respiratory or metabolic?
A. HCO3
B. PCO2
C. PO2
b.PCO2
Tracing showing moderate variability, the acid base status of the fetus is:
a. academic
b. indeterminate
c. normal
c. normal
The following cord blood gasses are consistent with: pH 7.00, pCO2 70, pO2 25,
base excess -8
A. Metabolic acidosis
B. Mixed acidosis
C. Respiratory acidosis
,c. respiratory acidosis
36 wks, BPP 6/10. AFI is normal. Expected management is:
a. immediate delivery
b. repeat test in 24 hours
c. schedule the test in 1 week
b. repeat test in 24 hours
38 wks, GDM, BPP 4/10. This indicated need for:
a. follow up in 24 hours
b. IOL
c. emergent c/s
b. IOL
35 wks having NST. Baseline 130 bpm. RN uses VAS to reduce the length of time
needed to obtain the NST. Fetal well being requires:
a. 1 accel to 145
b. 2 accels to 140
c. 2 accels to 145
c. 2 accels to 145
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
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
a woman desires a natural childbirth. the nurse puts pressure on her to get an
epidural. This is on example of going against which ethical principal?
, a. autonomy
b. beneficence
c. justice
a. autonomy
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
20 minutes into an NST, the patient still has not felt the baby move. You have 2
accelerations of 15 beats by 15 beats. You would
a. have her ambulate for 20 minutes then reapply the monitor to see if the baby is
more active
b. consider this a reactive NST and discontinue monitoring
c. continue to monitor until the mother perceives fetal movement that correlates
to acceleration
b. consider this a reactive NST and discontinue monitoring
Betamethasone given to the mother can transiently affect the fetal heart rate by
a. decreasing the variability
b. increasing the variability
c. lowering the baseline
a. decreasing the variability
tracing showing recurrent late decels, moderate variability. Patient is FD/+2, after
repositioning, increasing the IV and administering O2 the most appropriate action
would be to
a. assess maternal blood pressure
b. employ modified pushing techniques
c. initiate pitocin
b. employ modified pushing techniques
***
pH 6.86
pCO2 28
During labor, the recommended fetal heart rate assessment interval for
auscultation is every
A. 15-30 minutes in the active phase of the first stage and every 5-15 minutes in
second stage
B. 15 minutes no matter what stage of labor
C. 60 minutes in the active phase of the first stage and every 30 minutes in
second stage
A. 15-30 minutes in the active phase of the first stage and every 5-15 minutes in second
stage
What fetal heart rate characteristics can be determined with auscultation?
A. Baseline
B. Early decelerations
C. Variability
a. baseline
If the pH is low, what other blood gas parameter is used to determine if the
acidosis is respiratory or metabolic?
A. HCO3
B. PCO2
C. PO2
b.PCO2
Tracing showing moderate variability, the acid base status of the fetus is:
a. academic
b. indeterminate
c. normal
c. normal
The following cord blood gasses are consistent with: pH 7.00, pCO2 70, pO2 25,
base excess -8
A. Metabolic acidosis
B. Mixed acidosis
C. Respiratory acidosis
,c. respiratory acidosis
36 wks, BPP 6/10. AFI is normal. Expected management is:
a. immediate delivery
b. repeat test in 24 hours
c. schedule the test in 1 week
b. repeat test in 24 hours
38 wks, GDM, BPP 4/10. This indicated need for:
a. follow up in 24 hours
b. IOL
c. emergent c/s
b. IOL
35 wks having NST. Baseline 130 bpm. RN uses VAS to reduce the length of time
needed to obtain the NST. Fetal well being requires:
a. 1 accel to 145
b. 2 accels to 140
c. 2 accels to 145
c. 2 accels to 145
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
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
a woman desires a natural childbirth. the nurse puts pressure on her to get an
epidural. This is on example of going against which ethical principal?
, a. autonomy
b. beneficence
c. justice
a. autonomy
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
20 minutes into an NST, the patient still has not felt the baby move. You have 2
accelerations of 15 beats by 15 beats. You would
a. have her ambulate for 20 minutes then reapply the monitor to see if the baby is
more active
b. consider this a reactive NST and discontinue monitoring
c. continue to monitor until the mother perceives fetal movement that correlates
to acceleration
b. consider this a reactive NST and discontinue monitoring
Betamethasone given to the mother can transiently affect the fetal heart rate by
a. decreasing the variability
b. increasing the variability
c. lowering the baseline
a. decreasing the variability
tracing showing recurrent late decels, moderate variability. Patient is FD/+2, after
repositioning, increasing the IV and administering O2 the most appropriate action
would be to
a. assess maternal blood pressure
b. employ modified pushing techniques
c. initiate pitocin
b. employ modified pushing techniques
***
pH 6.86
pCO2 28
