NCC EFM test 1 with correct answers

NCC EFM test 1 Variable decelerations are thought to be caused by: A. Fetal head compression B. Umbilical cord compression c. Uteroplacental insufficiency - correct answer B. Umbilical cord compression An appropriate treatment for recurrent variable decelerations with moderate variability during second stage pushing is: A. Amnioinfusion B. Modification of pushing efforts C. Oxygen at 10 liters per nonrebreather face mask. - correct answer B. Modification of pushing efforts The Primary purpose of the use of electronic fetal monitoring is to: A. Determine if the fetus is well oxygenated B. Document fetal status throughout labor C. Identify the fetus at risk - correct answer C. Identify the fetus at risk An EFM tracing with fetal heart rate of 170 beats per minute and moderate variability would be classified as: A. Abnormal (category III) B. Indeterminate (category II) C. Normal (category I) - correct answer B. Indeterminate (category II) When variability is undetectable, it is identified as: A. Absent B. Decreased C. Indeterminate - correct answer A. Absent When periodic fetal heart rate patterns occur, they: A. Are associated with uterine contractions B. Are classified as indeterminate C. Require a fetal spiral electrode for accurate determination. - correct answer A. Are associated with uterine contractions Interpretation and classification of fetal heart rate patterns are determined: A. Are associated with uterine contractions B. Based on EFM findings observed for a 60 minute period of time. C. Retrospectively according to the fetal outcome. - correct answer A. Are associated with uterine contractions When a narcotic is given to a woman in labor, what EFM change is likely to occur? A. A decrease in variability B. Blunting of the accelerations C. Development of late decelerations - correct answer A. A decrease in variability Recurrent decelerations are those that occur with 50% of more of contractions in a segment of how many minutes? A. 10 B. 20 C. 30 - correct answer B. 20 During first stage of labor for women with complications, the EFM tracing should be reviewed every: A. 15 minutes B. 30 minutes C. 60 minutes - correct answer A. 15 minutes An EFM tracing with moderate variability, accelerations and intermittent variable decelerations would be classified as: A. Abnormal (category III) B. Indeterminate (category II) C. Normal (category I) - correct answer B. Indeterminate (category II) An EFM tracing with minimal variability and recurrent late decelerations would be classified as: A. Abnormal (category III) B. Indeterminate (category II) C. Normal (category I) - correct answer B. Indeterminate (category II) When terbutaline is given to a woman in labor, a possible EFM response would be: A. Baseline tachycardia B. Marked variability C. Sinusoidal pattern - correct answer A. Baseline tachycardia Late decelerations are thought to be caused by: A. Fetal response to intracranial blood flow via compression of the fetal head B. Intermittent disruption of oxygen transfer to the fetus via umbilical cord compression C. Transient disruption of oxygen transfer to the fetus resulting in transient fetal hypoxia - correct answer C. Transient disruption of oxygen transfer to the fetus resulting in transient fetal hypoxia An EFM tracing with absence of induced accelerations after the fetal stimulation would be classified as: A. Abnormal (category III) B. Indeterminate (category II) C. Normal (category I) - correct answer B. Indeterminate (category II) An EFM tracing with minimal variability would be classified as: A. Abnormal (category III) B. Indeterminate (category II) C. Normal (category I) - correct answer B. Indeterminate (category II) Maternal use of drugs suck as cocaine or methamphetamine is known to increase risk of: A. Marked variability B. Recurrent decelerations C. Tachycardia - correct answer C. Tachycardia An EFM tracing with absent variability and no decelerations would be classified as: A. Abnormal (category III) B. Indeterminate (category II) C. Normal (category I) - correct answer B. Indeterminate (category II) Accurate determination of baseline rate requires: A. A duration of at least 2 consecutive minutes of fetal heart rate in a 10 minute window. B. Averaging the fetal heart rate over 30 minutes C. Evaluation of the fetal heart rate over at least a 10 minute window - correct answer C. Evaluation of the fetal heart rate over at least a 10 minute window An EFM tracing with a sinusoidal pattern would be classified as A. Abnormal (category III) B. Indeterminate (category II) C. Normal (category I) - correct answer A. Abnormal (category III) Decelerations with an abrupt decrease in fetal heart rate from the baseline are: A. Early B. Late C. Variable - correct answer C. Variable Early decelerations are thought to be caused by: A. Fetal head compression B. Umbilical cord compression C. Uteroplacental insufficiency - correct answer A. Fetal head compression Tachysystole uterine activity is described as: A. 5 contractions in 10 minutes averaged over 30 minutes A. Fetal head compression C. Sustained hypertonus for a period of more than 2 minutes - correct answer