NCC EFM COMPREHENSIVE CORRECT QUESTIONS
AND ANSWERS SURE A+
✔✔Palpating the uterus is best performed by using the
A. Back of the hand
B. Fingertips
C. Palm - ✔✔B. Fingertips
✔✔What is the most sensitive method of assessing uterine activity?
A. IUPC
B. Manual palpation
C. Maternal perception - ✔✔A. IUPC
✔✔In comparison to maternal blood, the affinity of fetal blood for oxygen is
A. Higher
B. Lower
C. The same - ✔✔A. Higher
✔✔The process that requires energy to accomplish the passage of substances within
the intervillous space is
A. Active transport
B. Diffusion
C. Facilitated diffusion - ✔✔A. Active transport
✔✔The umbilical vein carries
A. Carbon dioxide from the fetus back to the placenta
B. Deoxygenated blood from the fetus to the placenta
C. Oxygenated blood from the placenta to the fetus - ✔✔C. Oxygenated blood from the
placenta to the fetus
✔✔Fetal hypoxia is best described as a condition of
A. Decreased oxygen in the blood
,B. Decreased oxygen in the tissue
C. Increased hydrogen ions in the blood - ✔✔B. Decreased oxygen in the tissue
✔✔Stimulation of the parasympathetic nervous system causes the FHR to
A. Decrease
B. Increase
C. Remain the same - ✔✔A. Decrease
✔✔Chemoreceptors respond mainly to changes in
A. Blood pressure
B. Hormonal levels
C. Oxygen and carbon dioxide levels - ✔✔C. Oxygen and carbon dioxide levels
✔✔The fetus responds to a significant drop of PO2 by
A. Increasing O2 consumption
B. Reducing lactic acid production
C. Shifting blood to vital organs - ✔✔C. Shifting blood to vital organs
✔✔Activation of fetal chemoreceptors results in which FHR change?
A. Decrease
B. Increase
C. No change - ✔✔A. Decrease
✔✔Tachycardia is associated with increased
A. Parasympathetic tone
B. Sympathetic tone
C. Vagal response - ✔✔B. Sympathetic tone
✔✔A patient receiving oxytocin has 17 contractions in 30 minutes. According to the
NICHD guidelines, this is called
A. Hyperstimulation
B. Hypertonus
C. Tachysystole - ✔✔C. Tachysystole
✔✔Maternal supine hypotension is caused mainly by compression of the
A. Inferior vena cava
B. Spiral arteries
C. Uterine vessels - ✔✔A. Inferior vena cava
✔✔Which factor influences blood flow to the uterus?
A. Fetal arterial pressure
B. Intervillous space flow
C. Maternal arterial vasoconstriction - ✔✔C. Maternal arterial vasoconstriction
, ✔✔Betamethasone given to the mother can transiently affect the FHR by
A. Decreasing variability
B. Increasing variability
C. Lowering the baseline - ✔✔A. Decreasing variability
✔✔In a fetal heart rate tracing with marked variability, which of the following is likely the
cause?
A. Recent ephedrine administration
B. Recent epidural placement
C. Fetal acidemia - ✔✔A. Recent ephedrine administration
✔✔(T/F) The baseline can be established in a fetal heart rate tracing in which there is
marked variability. - ✔✔False
✔✔A fetal heart rate change that can be seen after administration of butorphanol
(Stadol) is
A. Bradycardia
B. Marked variability
C. Sinusoidal-appearing - ✔✔C. Sinusoidal-appearing
✔✔One fetal heart rate pattern that is associated with an abnormal acid-base status is
A. Minimal variability with no accelerations or decelerations
B. Recurrent variable decelerations with absent variability
C. Tachycardia with absent variability - ✔✔B. Recurrent variable decelerations with
absent variability
✔✔The NICHD definitions are applicable to
A. Antepartum only
B. Antepartum and intrapartum
C. Intrapartum only - ✔✔B. Antepartum and intrapartum
✔✔A wandering FHR baseline may be indicative of
A. Fetal seizure activity
B. Impending fetal death
C. Maternal medication administration - ✔✔B. Impending fetal death
✔✔The FHR pattern that is likely to be seen with maternal hypothermia is
A. Bradycardia
B. Marked variability
C. Tachycardia - ✔✔A. Bradycardia
✔✔Baseline FHR variability is determined in what amount of time, excluding
accelerations and decelerations?
A. 10 min
AND ANSWERS SURE A+
✔✔Palpating the uterus is best performed by using the
A. Back of the hand
B. Fingertips
C. Palm - ✔✔B. Fingertips
✔✔What is the most sensitive method of assessing uterine activity?
A. IUPC
B. Manual palpation
C. Maternal perception - ✔✔A. IUPC
✔✔In comparison to maternal blood, the affinity of fetal blood for oxygen is
A. Higher
B. Lower
C. The same - ✔✔A. Higher
✔✔The process that requires energy to accomplish the passage of substances within
the intervillous space is
A. Active transport
B. Diffusion
C. Facilitated diffusion - ✔✔A. Active transport
✔✔The umbilical vein carries
A. Carbon dioxide from the fetus back to the placenta
B. Deoxygenated blood from the fetus to the placenta
C. Oxygenated blood from the placenta to the fetus - ✔✔C. Oxygenated blood from the
placenta to the fetus
✔✔Fetal hypoxia is best described as a condition of
A. Decreased oxygen in the blood
,B. Decreased oxygen in the tissue
C. Increased hydrogen ions in the blood - ✔✔B. Decreased oxygen in the tissue
✔✔Stimulation of the parasympathetic nervous system causes the FHR to
A. Decrease
B. Increase
C. Remain the same - ✔✔A. Decrease
✔✔Chemoreceptors respond mainly to changes in
A. Blood pressure
B. Hormonal levels
C. Oxygen and carbon dioxide levels - ✔✔C. Oxygen and carbon dioxide levels
✔✔The fetus responds to a significant drop of PO2 by
A. Increasing O2 consumption
B. Reducing lactic acid production
C. Shifting blood to vital organs - ✔✔C. Shifting blood to vital organs
✔✔Activation of fetal chemoreceptors results in which FHR change?
A. Decrease
B. Increase
C. No change - ✔✔A. Decrease
✔✔Tachycardia is associated with increased
A. Parasympathetic tone
B. Sympathetic tone
C. Vagal response - ✔✔B. Sympathetic tone
✔✔A patient receiving oxytocin has 17 contractions in 30 minutes. According to the
NICHD guidelines, this is called
A. Hyperstimulation
B. Hypertonus
C. Tachysystole - ✔✔C. Tachysystole
✔✔Maternal supine hypotension is caused mainly by compression of the
A. Inferior vena cava
B. Spiral arteries
C. Uterine vessels - ✔✔A. Inferior vena cava
✔✔Which factor influences blood flow to the uterus?
A. Fetal arterial pressure
B. Intervillous space flow
C. Maternal arterial vasoconstriction - ✔✔C. Maternal arterial vasoconstriction
, ✔✔Betamethasone given to the mother can transiently affect the FHR by
A. Decreasing variability
B. Increasing variability
C. Lowering the baseline - ✔✔A. Decreasing variability
✔✔In a fetal heart rate tracing with marked variability, which of the following is likely the
cause?
A. Recent ephedrine administration
B. Recent epidural placement
C. Fetal acidemia - ✔✔A. Recent ephedrine administration
✔✔(T/F) The baseline can be established in a fetal heart rate tracing in which there is
marked variability. - ✔✔False
✔✔A fetal heart rate change that can be seen after administration of butorphanol
(Stadol) is
A. Bradycardia
B. Marked variability
C. Sinusoidal-appearing - ✔✔C. Sinusoidal-appearing
✔✔One fetal heart rate pattern that is associated with an abnormal acid-base status is
A. Minimal variability with no accelerations or decelerations
B. Recurrent variable decelerations with absent variability
C. Tachycardia with absent variability - ✔✔B. Recurrent variable decelerations with
absent variability
✔✔The NICHD definitions are applicable to
A. Antepartum only
B. Antepartum and intrapartum
C. Intrapartum only - ✔✔B. Antepartum and intrapartum
✔✔A wandering FHR baseline may be indicative of
A. Fetal seizure activity
B. Impending fetal death
C. Maternal medication administration - ✔✔B. Impending fetal death
✔✔The FHR pattern that is likely to be seen with maternal hypothermia is
A. Bradycardia
B. Marked variability
C. Tachycardia - ✔✔A. Bradycardia
✔✔Baseline FHR variability is determined in what amount of time, excluding
accelerations and decelerations?
A. 10 min
