NCC ELECTRONIC FETAL MONITORING
CERTIFICATION 3 NEWEST VERSIONS
2024 VERSION A, B AND C COMPLETE 400
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |
ALREADY GRADED A+
NCC ELECTRONIC FETAL MONITORING CERTIFICATION
VERSION A
Which of the following does not affect the degree of fetal
activity?
a. Vibroacoustic stimulation
b. Smoking
c. Fetal position
d. Gestational age - ...ANSWER...a. Vibroacoustic stimulation
To be considered reactive, a nonstress test must have:
a. 4 fetal heart rate accelerations in a 20 minute window
b. 2 fetal heart rate accelerations in a 10 minute window
c. 4 fetal heart rate accelerations in a 40 minute window
d. 2 fetal heart rate accelerations in a 20 minute window -
...ANSWER...d. 2 fetal heart rate accelerations in a 20 minute
window
If a nonstress test is nonreactive after 40 minutes, the next
step should be:
a. Have the client go home and do fetal movement counts
b. Do a biophysical profile or contraction stress test
c. Repeat the nonstress test within a week
, d. Admit the client for delivery - ...ANSWER...b. Do a
biophysical profile or contraction stress test
All of the following are components of a biophysical profile
except:
a. Contraction stress test
b. Assessment of fetal breathing
c. Amniotic fluid volume measurement
d. Fetal movement assessment - ...ANSWER...a. Contraction
stress test
A modified biophysical profile includes a nonstress test and:
a. Contraction stress test
b. Ultrasound assessment of fetal movement
c. Ultrasound assessment of amniotic fluid volume
d. Fetal movement counts - ...ANSWER...c.
Ultrasound assessment of amniotic fluid volume
For a contraction stress test to be interpretable, you must have a
minimum of:
a. 5 contractions in a 10-minute window
b. 3 contractions in a 10-minute window
c. 4 contractions in a 10-minute window
d. 2 contractions in a 10-minute window - ...ANSWER...b. 3
contractions in a 10 minute window
A negative contraction stress test is one in which:
a. No contractions are seen
b. There are late decelerations with > 50% of the
contractions seen
c. There are no fetal heart rate late decelerations with
the contractions
, d. There is one fetal heart rate deceleration seen -
...ANSWER...c. There are no fetal heart rate late decelerations
with the contractions
According to AWHONN, the normal baseline Fetal Heart Rate
(FHR) is
A. 90-150 bpm
B. 100-170 bpm
C. 110-160 bpm
D. 120-140 bpm - ...ANSWER...C. 110-160 bpm
What are the two most important characteristics of the FHR?
A. Rate and decelerations
B. Variability and accelerations
C. Variability and decelerations
D. Rate and variability - ...ANSWER...B. Variability and
accelerations
You recognize that an FHR tracing has been showing a
decrease in variability for the last 45 minutes. Your first
intervention should be to
A. Encourage ambulation
B. Administer oxygen
C. Discontinue IV fluids
D. Increase Pitocin rate - ...ANSWER...B. Administer oxygen
Resuscitation measures improves the baby's variability, but the
FHR is still not reactive. You attempt fetal scalp stimulation
(FSE) because you know that a well-oxygenated fetus will
respond to FSE with a(n)
A. Acceleration
B. Deceleration
C. Fetal movement
, D. Sleep pattern - ...ANSWER...A. Acceleration
You are evaluating a patient in the Prenatal Testing
Department who has just completed a biophysical profile
(BPP). You suspect that there could be chronic fetal asphyxia
because the score is below
A. 10
B. 6
C. 8 - ...ANSWER...B. 6
When using a fetal scalp electrode (FSE), you notice an
abnormally low FHR on the monitor. You should first
A. Compare maternal pulse simultaneously with FHR
B. Remove FSE
C. Call the doctor immediately
D. Turn off the monitor - ...ANSWER...A. Compare maternal
pulse simultaneously with FHR
As a result of the intrinsic fetal response to oxygen deprivation,
increased catecholamine levels cause the 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 - ...ANSWER...B. Increase
BP and decrease HR
All of the following might indicate a pseudosinusoidal pattern as
opposed to a sinusoidal pattern, except:
A. Recent administration of narcotics to mother
CERTIFICATION 3 NEWEST VERSIONS
2024 VERSION A, B AND C COMPLETE 400
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |
ALREADY GRADED A+
NCC ELECTRONIC FETAL MONITORING CERTIFICATION
VERSION A
Which of the following does not affect the degree of fetal
activity?
a. Vibroacoustic stimulation
b. Smoking
c. Fetal position
d. Gestational age - ...ANSWER...a. Vibroacoustic stimulation
To be considered reactive, a nonstress test must have:
a. 4 fetal heart rate accelerations in a 20 minute window
b. 2 fetal heart rate accelerations in a 10 minute window
c. 4 fetal heart rate accelerations in a 40 minute window
d. 2 fetal heart rate accelerations in a 20 minute window -
...ANSWER...d. 2 fetal heart rate accelerations in a 20 minute
window
If a nonstress test is nonreactive after 40 minutes, the next
step should be:
a. Have the client go home and do fetal movement counts
b. Do a biophysical profile or contraction stress test
c. Repeat the nonstress test within a week
, d. Admit the client for delivery - ...ANSWER...b. Do a
biophysical profile or contraction stress test
All of the following are components of a biophysical profile
except:
a. Contraction stress test
b. Assessment of fetal breathing
c. Amniotic fluid volume measurement
d. Fetal movement assessment - ...ANSWER...a. Contraction
stress test
A modified biophysical profile includes a nonstress test and:
a. Contraction stress test
b. Ultrasound assessment of fetal movement
c. Ultrasound assessment of amniotic fluid volume
d. Fetal movement counts - ...ANSWER...c.
Ultrasound assessment of amniotic fluid volume
For a contraction stress test to be interpretable, you must have a
minimum of:
a. 5 contractions in a 10-minute window
b. 3 contractions in a 10-minute window
c. 4 contractions in a 10-minute window
d. 2 contractions in a 10-minute window - ...ANSWER...b. 3
contractions in a 10 minute window
A negative contraction stress test is one in which:
a. No contractions are seen
b. There are late decelerations with > 50% of the
contractions seen
c. There are no fetal heart rate late decelerations with
the contractions
, d. There is one fetal heart rate deceleration seen -
...ANSWER...c. There are no fetal heart rate late decelerations
with the contractions
According to AWHONN, the normal baseline Fetal Heart Rate
(FHR) is
A. 90-150 bpm
B. 100-170 bpm
C. 110-160 bpm
D. 120-140 bpm - ...ANSWER...C. 110-160 bpm
What are the two most important characteristics of the FHR?
A. Rate and decelerations
B. Variability and accelerations
C. Variability and decelerations
D. Rate and variability - ...ANSWER...B. Variability and
accelerations
You recognize that an FHR tracing has been showing a
decrease in variability for the last 45 minutes. Your first
intervention should be to
A. Encourage ambulation
B. Administer oxygen
C. Discontinue IV fluids
D. Increase Pitocin rate - ...ANSWER...B. Administer oxygen
Resuscitation measures improves the baby's variability, but the
FHR is still not reactive. You attempt fetal scalp stimulation
(FSE) because you know that a well-oxygenated fetus will
respond to FSE with a(n)
A. Acceleration
B. Deceleration
C. Fetal movement
, D. Sleep pattern - ...ANSWER...A. Acceleration
You are evaluating a patient in the Prenatal Testing
Department who has just completed a biophysical profile
(BPP). You suspect that there could be chronic fetal asphyxia
because the score is below
A. 10
B. 6
C. 8 - ...ANSWER...B. 6
When using a fetal scalp electrode (FSE), you notice an
abnormally low FHR on the monitor. You should first
A. Compare maternal pulse simultaneously with FHR
B. Remove FSE
C. Call the doctor immediately
D. Turn off the monitor - ...ANSWER...A. Compare maternal
pulse simultaneously with FHR
As a result of the intrinsic fetal response to oxygen deprivation,
increased catecholamine levels cause the 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 - ...ANSWER...B. Increase
BP and decrease HR
All of the following might indicate a pseudosinusoidal pattern as
opposed to a sinusoidal pattern, except:
A. Recent administration of narcotics to mother
