NCC ELECTRONIC FETAL
MONITORING CERTIFICATION EXAM
100% SOLVED
Which pof pthe pfollowing pfactors pcan phave pa pnegative peffect pon puterine pblood
pflow?
a. pHypertension
b. pEpidural
c. pHemorrhage
d. pDiabetes
e. pAll pof pthe pabove p- pcorrect panswers p-e. pAll pof pthe pabove
How pdoes pthe pfetus pcompensate pfor pdecreased pmaternal pcirculating pvolume?
a. pIncreases pcardiac poutput pby pincreasing pstroke pvolume.
b. pIncreases pcardiac poutput pby pincreasing pit's pheart prate.
c. pIncreases pcardiac poutput pby pincreasing pfetal pmovement. p- pcorrect panswers p-b.
pIncreases pcardiac poutput pby pincreasing pit's pheart prate.
Stimulating pthe pvagus pnerve ptypically pproduces:
,a. pA pdecrease pin pthe pheart prate
b. pAn pincrease pin pthe pheart prate
c. pAn pincrease pin pstroke pvolume
d. pNo pchange p- pcorrect panswers p-a. pA pdecrease pin pthe pheart prate
What pinitially pcauses pa pchemoreceptor presponse?
a. pEpidurals
b. pSupine pmaternal pposition
c. pIncreased pCO2 plevels
d. pDecreased pO2 plevels
e. pA p& pC
f. pA p& pB
g. pC p& pD p- pcorrect panswers p-g. pC p& pD
The pvagus pnerve pbegins pmaturation p26 pto p28 pweeks. pIts pdominance presults pin
pwhat peffect pto pthe pFHR pbaseline?
a. pIncreases pbaseline
b. pDecreases pbaseline p- pcorrect panswers p-b. pDecreases pbaseline
T/F: pOxygen pexchange pin pthe pplacenta ptakes pplace pin pthe pintervillous pspace. p-
pcorrect panswers p-True
T/F: pThe pparasympathetic pnervous psystem pis pa pcardioaccelerator. p- pcorrect
panswers p-False
T/F: pBaroreceptors pare pstretch preceptors pwhich prespond pto pincreases por
pdecreases pin pblood ppressure. p- pcorrect panswers p-True
T/F: pThere pare ptwo pelectronic pfetal pmonitoring pmethods pof pobtaining pthe pfetal
pheart prate: pthe pultrasound ptransducer pand pthe pfetal pspiral pelectrode. p- pcorrect
panswers p-True
T/F: pVariability pcan pbe pdetermined pwith pthe pfetoscope. p- pcorrect panswers p-False
T/F: pBecause pthe pultrasound ptransducer pand ptoco ptransducer pare psealed punits,
pthey pcan pbe pdipped pin pwarm pwater pto pmake pcleaning peasier. p- pcorrect panswers
p-False
T/F: pThe pmost pcommon partifact pwith pthe pultrasound ptransducer psystem pfor pfetal
pheart prate pis pincreased pvariability. p- pcorrect panswers p-True
T/F: pAll pfetal pmonitors pcontain pa plogic psystem pdesigned pto preject partifact. p-
pcorrect panswers p-True
T/F: pThe pmonitor pshould palways pbe ptested pbefore pstarting pa ptracing, peither
pexternal por pinternal pmode pand plabeled pa ptest. p- pcorrect panswers p-True
,T/F: pThe ppaper pspeed pon pthe pfetal pmonitor pshould palways pbe pset pat p1cm/min. p-
pcorrect panswers p-False
T/F: pBoth pinternal pand pexternal pmonitoring pmethods pare pequally paccurate pmeans
pof pobtaining pthe pfetal pheart prate pand pcontraction ppatterns. p- pcorrect panswers p-
False
T/F: pThe pexternal ptoco pis pusually pplaced pover pthe puterine pfundus pto ppick pup
pcontractions. p- pcorrect panswers p-True
T/F: pThe pexternal ptoco pgives pmeasurable puterine ppressure. p- pcorrect panswers p-
False
T/F: pThe pfetal pspiral pelectrode pcan pbe pplaced pwhen pvaginal pbleeding pof
punknown porigin pis ppresent. p- pcorrect panswers p-False
T/F: pThe pultrasound ptransducer pis pusually pplaced pon pthe pside pof pthe puterus
pover pthe pbaby's pback, pas pthe pfetal pheart pis pheard pbest pthere. p- pcorrect
panswers p-True
T/F: pThe pspiral pelectrode pis pused pto pmore paccurately pdetermine pthe pfrequency,
pduration, pand pintensity pof puterine pcontractions. p- pcorrect panswers p-False
T/F: pThe pheart prate pfrom pa pwell-applied pfetal pspiral pelectrode pcan ponly pbe pfetal,
pnot pmaternal. p- pcorrect panswers p-False
T/F: pThe pintrauterine pcatheter pis pused pto ppick pup pthe pfetal pheart prate. p- pcorrect
panswers p-False
T/F: pThe pinternal pspiral pelectrode pmay ppick pup pthe pmaternal pheart prate pif pthe
pbaby phas pdied. p- pcorrect panswers p-True
T/F: pFetal parrhythmias pcan pbe pseen pon pboth pinternal pand pexternal pmonitor
ptracings. p- pcorrect panswers p-True
T/F: pVariability pand pperiodic pchanges pcan pbe pdetected pwith pboth pinternal pand
pexternal pmonitoring. p- pcorrect panswers p-True
T/F: pVariable pdecelerations pare pa presult pof pcord pcompression. p- pcorrect panswers
p-True
T/F: pThe ppresence pof pFHR paccelerations pin pthe pintrapartum pand pantepartum
pperiods pis pa psign pof padequate pfetal poxygenation. p- pcorrect panswers p-True
T/F: pVariable pdecelerations pare pa pvagal presponse. p- pcorrect panswers p-True
, T/F: pLate pdecelerations phave pa pgradual pdecrease pin pFHR p(onset pto pnadir p30
pseconds) pand pare pdelayed pin ptiming pwith pthe pnadir pof pthe pdeceleration
poccurring pafter pthe ppeak pof pthe pcontraction. p- pcorrect panswers p-True
T/F: pThe pfetal pheart prate pbaseline pcan pbe pdetermined pduring pperiods pof pmarked
pvariability. p- pcorrect panswers p-False
T/F: pAnything pthat paffects pmaternal pblood pflow p(cardiac poutput) pcan paffect pthe
pblood pflow pthrough pthe pplacenta. p- pcorrect panswers p-True
T/F: pVariable pdecelerations pare pthe pmost pfrequently pseen pfetal pheart prate
pdeceleration ppattern pin plabor. p- pcorrect panswers p-True
T/F: pMinimal pvariability pis palways pan pindicator pof phypoxia pand pa pCesarean
psection pis pindicated. p- pcorrect panswers p-False
What pis pyour pfirst pintervention pin pmanagement pof pa ppatient pexperiencing pvariable
pdecelerations?
a. pImmediate pdelivery
b. pChange pmaternal pposition
c. pNo ptreatment pindicated
d. pOxygen
e. pStop poxytocin pinfusion p- pcorrect panswers p-b. pChange pmaternal pposition
Etiology pof pa pbaseline pFHR pof p165bpm poccurring pfor pthe plast phour pcan pbe:
1. pMaternal psupine phypotension
2. pMaternal pfever
3. pMaternal pdehydration
4. pUnknown
a. p1 pand p2
b. p1, p2 pand p3
c. p2, p3 pand p4 p- pcorrect panswers p-c. p2, p3 pand p4
What pis pthe pmost pprobable pcause pof precurrent plate pdecelerations?
a. pUtero-placental pinsufficiency
b. pHead pcompression
c. pCord pcompression
d. pMaternal pposition pchange p- pcorrect panswers p-a. pUtero-placental pinsufficiency
The pmost pprevalent prisk pfactor passociated pwith pfetal pdeath pbefore pthe ponset pof
plabor pis:
a. pLow psocioeconomic pstatus
b. pFetal pmalpresentation
c. pUteroplacental pinsufficiency
d. pUterine panomalies p- pcorrect panswers p-c. pUteroplacental pinsufficiency
MONITORING CERTIFICATION EXAM
100% SOLVED
Which pof pthe pfollowing pfactors pcan phave pa pnegative peffect pon puterine pblood
pflow?
a. pHypertension
b. pEpidural
c. pHemorrhage
d. pDiabetes
e. pAll pof pthe pabove p- pcorrect panswers p-e. pAll pof pthe pabove
How pdoes pthe pfetus pcompensate pfor pdecreased pmaternal pcirculating pvolume?
a. pIncreases pcardiac poutput pby pincreasing pstroke pvolume.
b. pIncreases pcardiac poutput pby pincreasing pit's pheart prate.
c. pIncreases pcardiac poutput pby pincreasing pfetal pmovement. p- pcorrect panswers p-b.
pIncreases pcardiac poutput pby pincreasing pit's pheart prate.
Stimulating pthe pvagus pnerve ptypically pproduces:
,a. pA pdecrease pin pthe pheart prate
b. pAn pincrease pin pthe pheart prate
c. pAn pincrease pin pstroke pvolume
d. pNo pchange p- pcorrect panswers p-a. pA pdecrease pin pthe pheart prate
What pinitially pcauses pa pchemoreceptor presponse?
a. pEpidurals
b. pSupine pmaternal pposition
c. pIncreased pCO2 plevels
d. pDecreased pO2 plevels
e. pA p& pC
f. pA p& pB
g. pC p& pD p- pcorrect panswers p-g. pC p& pD
The pvagus pnerve pbegins pmaturation p26 pto p28 pweeks. pIts pdominance presults pin
pwhat peffect pto pthe pFHR pbaseline?
a. pIncreases pbaseline
b. pDecreases pbaseline p- pcorrect panswers p-b. pDecreases pbaseline
T/F: pOxygen pexchange pin pthe pplacenta ptakes pplace pin pthe pintervillous pspace. p-
pcorrect panswers p-True
T/F: pThe pparasympathetic pnervous psystem pis pa pcardioaccelerator. p- pcorrect
panswers p-False
T/F: pBaroreceptors pare pstretch preceptors pwhich prespond pto pincreases por
pdecreases pin pblood ppressure. p- pcorrect panswers p-True
T/F: pThere pare ptwo pelectronic pfetal pmonitoring pmethods pof pobtaining pthe pfetal
pheart prate: pthe pultrasound ptransducer pand pthe pfetal pspiral pelectrode. p- pcorrect
panswers p-True
T/F: pVariability pcan pbe pdetermined pwith pthe pfetoscope. p- pcorrect panswers p-False
T/F: pBecause pthe pultrasound ptransducer pand ptoco ptransducer pare psealed punits,
pthey pcan pbe pdipped pin pwarm pwater pto pmake pcleaning peasier. p- pcorrect panswers
p-False
T/F: pThe pmost pcommon partifact pwith pthe pultrasound ptransducer psystem pfor pfetal
pheart prate pis pincreased pvariability. p- pcorrect panswers p-True
T/F: pAll pfetal pmonitors pcontain pa plogic psystem pdesigned pto preject partifact. p-
pcorrect panswers p-True
T/F: pThe pmonitor pshould palways pbe ptested pbefore pstarting pa ptracing, peither
pexternal por pinternal pmode pand plabeled pa ptest. p- pcorrect panswers p-True
,T/F: pThe ppaper pspeed pon pthe pfetal pmonitor pshould palways pbe pset pat p1cm/min. p-
pcorrect panswers p-False
T/F: pBoth pinternal pand pexternal pmonitoring pmethods pare pequally paccurate pmeans
pof pobtaining pthe pfetal pheart prate pand pcontraction ppatterns. p- pcorrect panswers p-
False
T/F: pThe pexternal ptoco pis pusually pplaced pover pthe puterine pfundus pto ppick pup
pcontractions. p- pcorrect panswers p-True
T/F: pThe pexternal ptoco pgives pmeasurable puterine ppressure. p- pcorrect panswers p-
False
T/F: pThe pfetal pspiral pelectrode pcan pbe pplaced pwhen pvaginal pbleeding pof
punknown porigin pis ppresent. p- pcorrect panswers p-False
T/F: pThe pultrasound ptransducer pis pusually pplaced pon pthe pside pof pthe puterus
pover pthe pbaby's pback, pas pthe pfetal pheart pis pheard pbest pthere. p- pcorrect
panswers p-True
T/F: pThe pspiral pelectrode pis pused pto pmore paccurately pdetermine pthe pfrequency,
pduration, pand pintensity pof puterine pcontractions. p- pcorrect panswers p-False
T/F: pThe pheart prate pfrom pa pwell-applied pfetal pspiral pelectrode pcan ponly pbe pfetal,
pnot pmaternal. p- pcorrect panswers p-False
T/F: pThe pintrauterine pcatheter pis pused pto ppick pup pthe pfetal pheart prate. p- pcorrect
panswers p-False
T/F: pThe pinternal pspiral pelectrode pmay ppick pup pthe pmaternal pheart prate pif pthe
pbaby phas pdied. p- pcorrect panswers p-True
T/F: pFetal parrhythmias pcan pbe pseen pon pboth pinternal pand pexternal pmonitor
ptracings. p- pcorrect panswers p-True
T/F: pVariability pand pperiodic pchanges pcan pbe pdetected pwith pboth pinternal pand
pexternal pmonitoring. p- pcorrect panswers p-True
T/F: pVariable pdecelerations pare pa presult pof pcord pcompression. p- pcorrect panswers
p-True
T/F: pThe ppresence pof pFHR paccelerations pin pthe pintrapartum pand pantepartum
pperiods pis pa psign pof padequate pfetal poxygenation. p- pcorrect panswers p-True
T/F: pVariable pdecelerations pare pa pvagal presponse. p- pcorrect panswers p-True
, T/F: pLate pdecelerations phave pa pgradual pdecrease pin pFHR p(onset pto pnadir p30
pseconds) pand pare pdelayed pin ptiming pwith pthe pnadir pof pthe pdeceleration
poccurring pafter pthe ppeak pof pthe pcontraction. p- pcorrect panswers p-True
T/F: pThe pfetal pheart prate pbaseline pcan pbe pdetermined pduring pperiods pof pmarked
pvariability. p- pcorrect panswers p-False
T/F: pAnything pthat paffects pmaternal pblood pflow p(cardiac poutput) pcan paffect pthe
pblood pflow pthrough pthe pplacenta. p- pcorrect panswers p-True
T/F: pVariable pdecelerations pare pthe pmost pfrequently pseen pfetal pheart prate
pdeceleration ppattern pin plabor. p- pcorrect panswers p-True
T/F: pMinimal pvariability pis palways pan pindicator pof phypoxia pand pa pCesarean
psection pis pindicated. p- pcorrect panswers p-False
What pis pyour pfirst pintervention pin pmanagement pof pa ppatient pexperiencing pvariable
pdecelerations?
a. pImmediate pdelivery
b. pChange pmaternal pposition
c. pNo ptreatment pindicated
d. pOxygen
e. pStop poxytocin pinfusion p- pcorrect panswers p-b. pChange pmaternal pposition
Etiology pof pa pbaseline pFHR pof p165bpm poccurring pfor pthe plast phour pcan pbe:
1. pMaternal psupine phypotension
2. pMaternal pfever
3. pMaternal pdehydration
4. pUnknown
a. p1 pand p2
b. p1, p2 pand p3
c. p2, p3 pand p4 p- pcorrect panswers p-c. p2, p3 pand p4
What pis pthe pmost pprobable pcause pof precurrent plate pdecelerations?
a. pUtero-placental pinsufficiency
b. pHead pcompression
c. pCord pcompression
d. pMaternal pposition pchange p- pcorrect panswers p-a. pUtero-placental pinsufficiency
The pmost pprevalent prisk pfactor passociated pwith pfetal pdeath pbefore pthe ponset pof
plabor pis:
a. pLow psocioeconomic pstatus
b. pFetal pmalpresentation
c. pUteroplacental pinsufficiency
d. pUterine panomalies p- pcorrect panswers p-c. pUteroplacental pinsufficiency
