NCC EFM Certification Exam – Electronic Fetal Monitoring with Verified Questions and Answers & Rationales | Graded A+ | 100% Pass Guarantee

NCC EFM Certification Exam – Electronic
Fetal Monitoring with Verified Questions
and Rationales | Graded A+ | 100% Pass
Guarantee
Question 1
All of the following are disadvantages of the ultrasound transducer for monitoring the
FHR except
A. It is noninvasive
B. It may half or double the actual FHR
C. It restricts patient movement
Correct Answer
A. It is noninvasive



Question 2
T/F: Anything that affects maternal blood flow (cardiac output) can affect the blood
flow through the placenta.
Correct Answer
True



Question 3
Bradycardia in the second stage of labor following a previously normal tracing may be
caused by fetal
A. Hypoxemia
B. Rotation
C. Vagal stimulation
Correct Answer
C. Vagal stimulation




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,Question 4
All of the following might indicate a pseudosinusoidal pattern as opposed to a
sinusoidal pattern, except:
A. Recent administration of narcotics to mother
B. Accelerations in FHR
C. Moderate variability
D. Frequency of oscillations of two to five cycles/min
Correct Answer
D. Frequency of oscillations of two to five cycles/min



Question 5
The BPP includes the assessment of FHR along with what other four components?
A. Amniotic fluid, fetal breathing, fetal movement, fetal tone
B. Amniotic fluid, fetal anomalies, fetal breathing, fetal movement
C. Estimated fetal weight, fetal breathing, fetal movement, placental grading
Correct Answer
A. Amniotic fluid, fetal breathing, fetal movement, fetal tone



Question 6
FHR decelerations that are benign and do not require intervention are
A. Early
B. Late
C. Variable
Correct Answer
A. Early



Question 7
Which of the following is considered using the chain of command?
A. Asking the patient to talk with the provider directly
B. Notifying the charge nurse
C. Writing a variance report
Correct Answer
B. Notifying the charge nurse




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,Question 8
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 Answer
True



Question 9
The _____ is the source of all fetal oxygenation.
A. Placenta
B. Umbilical cord
C. Mother
D. Amniotic fluid
Correct Answer
C. Mother



Question 10
Which IV fluid is most appropriate for maternal administration for intrauterine
resuscitation?
A. Lactated Ringer's solution
B. D5L/R
C. Normal saline
Correct Answer
C. Normal saline



Question 11
Amino acids, water-soluble vitamins, calcium, phosphorus, iron, and iodine are
transferred across the placenta via _____ _____.
Correct Answer
Active transport




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, Question 12
Amnioinfusion may be useful in alleviating recurrent decelerations that are
A. Early
B. Late
C. Variable
Correct Answer
C. Variable



Question 13
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
Correct Answer
B. PCO2



Question 14
A fetal heart rate pattern that the NICHD has identified as predictive of current or
impending fetal asphyxia so severe that the fetus is at risk of neurologic damage or
death is
A. Baseline tachycardia with absent variability
B. Minimal baseline variability with recurrent late decelerations
C. Recurrent late or variable decelerations with absent variability
Correct Answer
C. Recurrent late or variable decelerations with absent variability



Question 15
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 Answer
b. Increases cardiac output by increasing it's heart rate.




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