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What is your first intervention in management of a client experiencing variable decelerations?
CORRECT ANSWER>>
a. Immediate delivery
b. Change maternal position
c. No treatment indicated
d. Oxygen
e. Stop oxytocin infusion
b. Change maternal position
Etiology of a baseline FHR of 165bpm occurring for the 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
c. 2, 3 and 4
What is the most probable cause of recurrent late decelerations? CORRECT ANSWER>>
a. Utero-placental insufficiency
b. Head compression
c. Cord compression
d. Maternal position change
a. Utero-placental insufficiency
The most prevalent risk factor associated with fetal death before the onset of labor is:
a. Low socioeconomic status
b. Fetal malpresentation
c. Uteroplacental insufficiency
d. Uterine anomalies
c. Uteroplacental insufficiency
Which of the following is NOT used for antepartum fetal surveillance? CORRECT ANSWER>>
a. Fetal movement counting
b. Antepartum fetal heart rate testing
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c. Biophysical profile testing
d. Maternal HCG levels
d. Maternal HCG levels
Which of the following conditions is not an indication for antepartum fetal surveillance?
CORRECT ANSWER>>
a. Gestational hypertension
b. Diabetes in pregnancy
c. Fetus in breech presentation
d. Decreased fetal movement
c. Fetus in breech presentation
Which of the following does not affect the degree of fetal activity? CORRECT ANSWER>>
a. Vibroacoustic stimulation
b. Smoking
c. Fetal position
d. Gestational age
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
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
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
a. Contraction stress test
A modified biophysical profile includes a nonstress test and:
a. Contraction stress test
b. Ultrasound assessment of fetal movement
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c. Ultrasound assessment of amniotic fluid volume
d. Fetal movement counts
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
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
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
C. 110-160 bpm
What are the two most important characteristics of the FHR? CORRECT ANSWER>>
A. Rate and decelerations
B. Variability and accelerations
C. Variability and decelerations
D. Rate and variability
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
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)
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A. Acceleration
B. Deceleration
C. Fetal movement
D. Sleep pattern
A. Acceleration
You are evaluating a client 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
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
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? CORRECT ANSWER>>
A. Increase BP and increase HR
B. Increase BP and decrease HR
C. Decrease BP and increase HR
D. Decrease BP and decrease HR
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
B. Accelerations in FHR
C. Moderate variability
D. Frequency of oscillations of two to five cycles/min
D. Frequency of oscillations of two to five cycles/min
All of the following are appropriate interventions for fetal tachycardia except:
A. Increase maternal IV fluid rate
B. Assess maternal vital signs
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What is your first intervention in management of a client experiencing variable decelerations?
CORRECT ANSWER>>
a. Immediate delivery
b. Change maternal position
c. No treatment indicated
d. Oxygen
e. Stop oxytocin infusion
b. Change maternal position
Etiology of a baseline FHR of 165bpm occurring for the 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
c. 2, 3 and 4
What is the most probable cause of recurrent late decelerations? CORRECT ANSWER>>
a. Utero-placental insufficiency
b. Head compression
c. Cord compression
d. Maternal position change
a. Utero-placental insufficiency
The most prevalent risk factor associated with fetal death before the onset of labor is:
a. Low socioeconomic status
b. Fetal malpresentation
c. Uteroplacental insufficiency
d. Uterine anomalies
c. Uteroplacental insufficiency
Which of the following is NOT used for antepartum fetal surveillance? CORRECT ANSWER>>
a. Fetal movement counting
b. Antepartum fetal heart rate testing
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c. Biophysical profile testing
d. Maternal HCG levels
d. Maternal HCG levels
Which of the following conditions is not an indication for antepartum fetal surveillance?
CORRECT ANSWER>>
a. Gestational hypertension
b. Diabetes in pregnancy
c. Fetus in breech presentation
d. Decreased fetal movement
c. Fetus in breech presentation
Which of the following does not affect the degree of fetal activity? CORRECT ANSWER>>
a. Vibroacoustic stimulation
b. Smoking
c. Fetal position
d. Gestational age
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
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
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
a. Contraction stress test
A modified biophysical profile includes a nonstress test and:
a. Contraction stress test
b. Ultrasound assessment of fetal movement
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c. Ultrasound assessment of amniotic fluid volume
d. Fetal movement counts
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
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
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
C. 110-160 bpm
What are the two most important characteristics of the FHR? CORRECT ANSWER>>
A. Rate and decelerations
B. Variability and accelerations
C. Variability and decelerations
D. Rate and variability
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
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)
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A. Acceleration
B. Deceleration
C. Fetal movement
D. Sleep pattern
A. Acceleration
You are evaluating a client 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
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
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? CORRECT ANSWER>>
A. Increase BP and increase HR
B. Increase BP and decrease HR
C. Decrease BP and increase HR
D. Decrease BP and decrease HR
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
B. Accelerations in FHR
C. Moderate variability
D. Frequency of oscillations of two to five cycles/min
D. Frequency of oscillations of two to five cycles/min
All of the following are appropriate interventions for fetal tachycardia except:
A. Increase maternal IV fluid rate
B. Assess maternal vital signs
NCC ELECTRONIC FETAL MONITORING CERTIFICATION (EFM) ACTUAL
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