NCC C-EFM Study Guide questions with
correct answers
Causes |of |fetal |heart |rate |(FHR) |changes |not |related |directly |to |fetal |oxygenation |can |include |fetal |
sleep |cycles, |extreme |prematurity, |and |maternal |conditions |such |as: |
a. |fever |and |infection |
b. |medication |and |positioning |
c. |substance |abuse |and |fever |- |correct |answer-a. |fever |and |infection |
are |maternal |conditions |that |can |affect |the |fetal |heart |rate |without |being |related |to |fetal |
oxygenation. |
Medication |can |trigger |nonhypoxic |changes |in |fetal |heart |rate, |but |maternal |conditions |such |as |
positioning |can |cause |hypoxia |through |umbilical |cord |compression. |
Maternal |substance |abuse |could |lead |to |hypoxia |while |a |maternal |fever |is |associated |with |nonhypoxic
|fetal |heart |rate |changes
The |mechanism |for |placental |transport |of |oxygen |and |carbon |dioxide |is
a. |active |transport |
b. |facilitated |diffusion |
c. |passive |diffusion |- |correct |answer-c. |passive |diffusion
A |fetal |death |occurred |less |than |a |week |after |a |negative |contraction |stress |test. |The |original |finding |
would |be |considered
a. |equivocal |
b. |false |negative |
c. |false |positive |- |correct |answer-b. |false |negative
According |to |Murta |and |colleagues, |elevates |arginine |vasopressin |levels |are |implicated |in |
a. |saltatory |patterns |
b. |sinister |heart |patterns |
c. |sinosoidal |patterns |- |correct |answer-c. |sinosoidal |patterns
, A |saltatory |pattern |which |shows |excessive |fetal |heart |rate |variability |in |brief |intervals |is |indicative |of |
a. |compensation |
b. |deterioration |
c. |mild |hypoxic |stress |- |correct |answer-c. |mild |hypoxic |stress
The |quantification |of |bradycardia |is |based |on |
a. |actual |fetal |heart |rate |in |beats |per |minute |
b. |average |of |the |baseline |rate |in |ten |minute |period |
c. |duration |of |time |the |heart |rate |is |below |90 |- |correct |answer-a. |actual |fetal |heart |rate |in |beats |per |
minute
Studies |have |shows |pulse |oximetry |as |an |adjunct |surveillance |method |has |what |impact |on |the |
incidence |of |cesarean |deliveries? |
a. |decreases |the |rate |
b. |has |no |effect |
c. |requires |more |study |- |correct |answer-b. |has |no |effect
A |tracing |shows |fetal |bradycardia. |The |most |likely |cause |for |this |fetal |heart |rate |tracing |is |
a. |heart |block |
b. |sleep |
c. |traumatic |brain |injury |- |correct |answer-a. |heart |block
Many |severely |anemic. |Rh-affected |fetuses |do |not |have |a |sinusoidal |pattern |but |do |have |a |round |
blunted |pattern |and |
a. |absent |accelerations |
b. |magnified |variability |peaks |
c. |fixed |baseline |rate |- |correct |answer-a. |absent |accelerations
correct answers
Causes |of |fetal |heart |rate |(FHR) |changes |not |related |directly |to |fetal |oxygenation |can |include |fetal |
sleep |cycles, |extreme |prematurity, |and |maternal |conditions |such |as: |
a. |fever |and |infection |
b. |medication |and |positioning |
c. |substance |abuse |and |fever |- |correct |answer-a. |fever |and |infection |
are |maternal |conditions |that |can |affect |the |fetal |heart |rate |without |being |related |to |fetal |
oxygenation. |
Medication |can |trigger |nonhypoxic |changes |in |fetal |heart |rate, |but |maternal |conditions |such |as |
positioning |can |cause |hypoxia |through |umbilical |cord |compression. |
Maternal |substance |abuse |could |lead |to |hypoxia |while |a |maternal |fever |is |associated |with |nonhypoxic
|fetal |heart |rate |changes
The |mechanism |for |placental |transport |of |oxygen |and |carbon |dioxide |is
a. |active |transport |
b. |facilitated |diffusion |
c. |passive |diffusion |- |correct |answer-c. |passive |diffusion
A |fetal |death |occurred |less |than |a |week |after |a |negative |contraction |stress |test. |The |original |finding |
would |be |considered
a. |equivocal |
b. |false |negative |
c. |false |positive |- |correct |answer-b. |false |negative
According |to |Murta |and |colleagues, |elevates |arginine |vasopressin |levels |are |implicated |in |
a. |saltatory |patterns |
b. |sinister |heart |patterns |
c. |sinosoidal |patterns |- |correct |answer-c. |sinosoidal |patterns
, A |saltatory |pattern |which |shows |excessive |fetal |heart |rate |variability |in |brief |intervals |is |indicative |of |
a. |compensation |
b. |deterioration |
c. |mild |hypoxic |stress |- |correct |answer-c. |mild |hypoxic |stress
The |quantification |of |bradycardia |is |based |on |
a. |actual |fetal |heart |rate |in |beats |per |minute |
b. |average |of |the |baseline |rate |in |ten |minute |period |
c. |duration |of |time |the |heart |rate |is |below |90 |- |correct |answer-a. |actual |fetal |heart |rate |in |beats |per |
minute
Studies |have |shows |pulse |oximetry |as |an |adjunct |surveillance |method |has |what |impact |on |the |
incidence |of |cesarean |deliveries? |
a. |decreases |the |rate |
b. |has |no |effect |
c. |requires |more |study |- |correct |answer-b. |has |no |effect
A |tracing |shows |fetal |bradycardia. |The |most |likely |cause |for |this |fetal |heart |rate |tracing |is |
a. |heart |block |
b. |sleep |
c. |traumatic |brain |injury |- |correct |answer-a. |heart |block
Many |severely |anemic. |Rh-affected |fetuses |do |not |have |a |sinusoidal |pattern |but |do |have |a |round |
blunted |pattern |and |
a. |absent |accelerations |
b. |magnified |variability |peaks |
c. |fixed |baseline |rate |- |correct |answer-a. |absent |accelerations
