NCC EFM practice () ACTUAL EXAM (TESTING REAL EXAM
NCC EFM practice
QUESTIONS) AND VERIFIED ANSWERS (MULTIPLE CHOICES)
Study online at https://quizlet.com/_52rs8s
|COMPLETE SOLUTIONS |A+ GRADED |100% CORRECT!!
1. Which of the following factors can have a negative e. All of the above
effect on uterine blood flow?
a. Hypertension
b. Epidural
c. Hemorrhage
d. Diabetes
e. All of the above
2. Stimulating the vagus nerve typically produces: a. A decrease in the heart
a. A decrease in the heart rate rate
b. An increase in the heart rate
c. An increase in stroke volume
d. No change
3. The vagus nerve begins maturation 26 to 28 weeks. Its b. Decreases baseline
dominance results in what effect to the FHR baseline?
a. Increases baseline
b. Decreases baseline
4. T/F: The most common artifact with the ultrasound True
transducer system for fetal heart rate is increased
variability.
5. T/F: All fetal monitors contain a logic system designed True
to reject artifact.
6. T/F: Fetal arrhythmias can be seen on both internal True
and external monitor tracings.
7. T/F: Variability and periodic changes can be detected True
with both internal and external monitoring.
8. T/F: Variable decelerations are a vagal response. True
, NCC EFM practice
Study online at https://quizlet.com/_52rs8s
9. T/F: Variable decelerations are the most frequently True
seen fetal heart rate deceleration pattern in labor.
10. Etiology of a baseline FHR of 165bpm occurring for the c. 2, 3 and 4
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 4
11. The most prevalent risk factor associated with fetal c. Uteroplacental insuffi-
death before the onset of labor is: ciency
a. Low socioeconomic status
b. Fetal malpresentation
c. Uteroplacental insufficiency
d. Uterine anomalies
12. Which of the following conditions is not an indication c. Fetus in breech presen-
for antepartum fetal surveillance? tation
a. Gestational hypertension
b. Diabetes in pregnancy
c. Fetus in breech presentation
d. Decreased fetal movement
13. Which of the following does not affect the degree of a. Vibroacoustic stimula-
fetal activity? tion
a. Vibroacoustic stimulation
b. Smoking
, NCC EFM practice
Study online at https://quizlet.com/_52rs8s
c. Fetal position
d. Gestational age
14. T/F: Umbilical cord influences that can alter blood flow True
include true knots, hematomas, and number of umbil-
ical vessels.
15. T/F: Low amplitude contractions are not an early sign False
of preterm labor.
16. T/F: Corticosteroid administration may cause an in- False
crease in FHR accelerations.
17. T/F: Corticosteroid administration may cause an in- True
crease in FHR.
18. T/F: Contractions cause an increase in uterine venous True
pressure and a decrease in uterine artery perfusion.
19. As a result of the intrinsic fetal response to oxygen B. Increase BP and de-
deprivation, increased catecholamine levels cause the crease HR
peripheral blood flow to decrease while the blood flow
to vital organs increases. These flow changes along
with increased catecholamine secretions have what
effect on fetal blood pressure and fetal heart rate?
A. Increase BP and increase HR
B. Increase BP and decrease HR
C. Decrease BP and increase HR
D. Decrease BP and decrease HR
20. During a term antepartum NST (non-stress test), you B. Gestational diabetes
notice several variable decelerations that decrease at
least 15 bpm and last at least 15 sec long. Which of the
, NCC EFM practice
Study online at https://quizlet.com/_52rs8s
following is the least likely explanation?
A. True knot
B. Gestational diabetes
C. Umbilical cord entanglement
D. Oligohydramnios
21. All of the following are likely causes of prolonged de- D. Maternal fever
celerations except:
A. Uterine tachysystole
B. Prolapsed cord
C. Maternal hypotension
D. Maternal fever
22. All of the following could likely cause minimal variabil- D. Ephedrine administra-
ity in FHR except tion
A. Magnesium sulfate administration
B. Fetal sleep cycle
C. Narcotic administration
D. Ephedrine administration
23. When an IUPC has been placed, Montevideo units B. 200
must be ___ or greater for adequate cervical change
to occur.
A. 100
B. 200
C. 300
D. 400
24. What would be a suspected pH in a fetus whose FHTs A. 7.10
included recurrent late decelerations during labor?
A. 7.10
B. 7.26
NCC EFM practice
QUESTIONS) AND VERIFIED ANSWERS (MULTIPLE CHOICES)
Study online at https://quizlet.com/_52rs8s
|COMPLETE SOLUTIONS |A+ GRADED |100% CORRECT!!
1. Which of the following factors can have a negative e. All of the above
effect on uterine blood flow?
a. Hypertension
b. Epidural
c. Hemorrhage
d. Diabetes
e. All of the above
2. Stimulating the vagus nerve typically produces: a. A decrease in the heart
a. A decrease in the heart rate rate
b. An increase in the heart rate
c. An increase in stroke volume
d. No change
3. The vagus nerve begins maturation 26 to 28 weeks. Its b. Decreases baseline
dominance results in what effect to the FHR baseline?
a. Increases baseline
b. Decreases baseline
4. T/F: The most common artifact with the ultrasound True
transducer system for fetal heart rate is increased
variability.
5. T/F: All fetal monitors contain a logic system designed True
to reject artifact.
6. T/F: Fetal arrhythmias can be seen on both internal True
and external monitor tracings.
7. T/F: Variability and periodic changes can be detected True
with both internal and external monitoring.
8. T/F: Variable decelerations are a vagal response. True
, NCC EFM practice
Study online at https://quizlet.com/_52rs8s
9. T/F: Variable decelerations are the most frequently True
seen fetal heart rate deceleration pattern in labor.
10. Etiology of a baseline FHR of 165bpm occurring for the c. 2, 3 and 4
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 4
11. The most prevalent risk factor associated with fetal c. Uteroplacental insuffi-
death before the onset of labor is: ciency
a. Low socioeconomic status
b. Fetal malpresentation
c. Uteroplacental insufficiency
d. Uterine anomalies
12. Which of the following conditions is not an indication c. Fetus in breech presen-
for antepartum fetal surveillance? tation
a. Gestational hypertension
b. Diabetes in pregnancy
c. Fetus in breech presentation
d. Decreased fetal movement
13. Which of the following does not affect the degree of a. Vibroacoustic stimula-
fetal activity? tion
a. Vibroacoustic stimulation
b. Smoking
, NCC EFM practice
Study online at https://quizlet.com/_52rs8s
c. Fetal position
d. Gestational age
14. T/F: Umbilical cord influences that can alter blood flow True
include true knots, hematomas, and number of umbil-
ical vessels.
15. T/F: Low amplitude contractions are not an early sign False
of preterm labor.
16. T/F: Corticosteroid administration may cause an in- False
crease in FHR accelerations.
17. T/F: Corticosteroid administration may cause an in- True
crease in FHR.
18. T/F: Contractions cause an increase in uterine venous True
pressure and a decrease in uterine artery perfusion.
19. As a result of the intrinsic fetal response to oxygen B. Increase BP and de-
deprivation, increased catecholamine levels cause the crease HR
peripheral blood flow to decrease while the blood flow
to vital organs increases. These flow changes along
with increased catecholamine secretions have what
effect on fetal blood pressure and fetal heart rate?
A. Increase BP and increase HR
B. Increase BP and decrease HR
C. Decrease BP and increase HR
D. Decrease BP and decrease HR
20. During a term antepartum NST (non-stress test), you B. Gestational diabetes
notice several variable decelerations that decrease at
least 15 bpm and last at least 15 sec long. Which of the
, NCC EFM practice
Study online at https://quizlet.com/_52rs8s
following is the least likely explanation?
A. True knot
B. Gestational diabetes
C. Umbilical cord entanglement
D. Oligohydramnios
21. All of the following are likely causes of prolonged de- D. Maternal fever
celerations except:
A. Uterine tachysystole
B. Prolapsed cord
C. Maternal hypotension
D. Maternal fever
22. All of the following could likely cause minimal variabil- D. Ephedrine administra-
ity in FHR except tion
A. Magnesium sulfate administration
B. Fetal sleep cycle
C. Narcotic administration
D. Ephedrine administration
23. When an IUPC has been placed, Montevideo units B. 200
must be ___ or greater for adequate cervical change
to occur.
A. 100
B. 200
C. 300
D. 400
24. What would be a suspected pH in a fetus whose FHTs A. 7.10
included recurrent late decelerations during labor?
A. 7.10
B. 7.26
