NCC EFM CERTIFICATION TEST
EXAM 2 VERSIONS (VERSION A AND
B) COMPLETE EXAM QUESTIONS
WITH DETAILED VERIFIED ANSWERS
(100% CORRECT ANSWERS)
/ALREADY GRADED A+
VERSION A
The nurse notes a pattern of decelerations on the
fetal monitor that begins shortly after the
contraction and returns to baseline just before the
contraction is over. The correct nursing response is
to:
a. Give the woman oxygen by facemask at 8-10 L/min
b. Position the woman on her opposite side
c. Increase the rate of the woman's intravenous fluid
d. Continue to observe and record the normal
pattern - ....ANSWER...d. Continue to observe and
record the normal pattern
,Determining the FHR baseline requires the nurse to
approximate the mean FHR rounded to increments
of 5 bpm during a ___-minute window (excluding
accelerations and decelerations).
A. 2
B. 5
C. 10
D. 20 - ....ANSWER...C. 10
Uterine tachysystole is observed when there are
A. 5 or more contractions in 10 min
B. 6 or more contractions in 10 min
C. 10 or more contractions in 10 min
D. 7 or more contractions in 10 min - ....ANSWER...B.
6 or more contractions in 10 min
Which of the following interventions would best
stimulate an acceleration in the FHR?
A. Provide juice to patient
B. Perform vaginal exam
C. Turn patient on left side
,D. Vibroacoustic stimulation - ....ANSWER...B.
Perform vaginal exam
Scalp stimulation
Assessment of the _____ is an indirect measurement
of fetal oxygenation.
A. Fetal heart rate
B. Fetal scalp sampling
C. Uterine activity
D. Direct Coombs - ....ANSWER...A. Fetal heart rate
T/F: Intrauterine pressure catheters (IUPCs) do not
increase risk for infection when placed on patients
with intact membranes. - ....ANSWER...False
Membranes must be ruptured for use; infection is a
risk
What are abnormal fetal heart rate tracings
predictive of?
A. Likelihood of spontaneous vaginal delivery
B. Newborn condition at time of delivery
, C. Fetal acid-base abnormalities
D. Fetal intrauterine growth - ....ANSWER...C. Fetal
acid-base abnormalities
Which of the following is not an intervention that
should be implemented in a patient with uterine
tachysystole?
A. Administer terbutaline
B. Increase IV fluid rate
C. Decrease or discontinue IV oxytocin
D. Prepare patient for cesarean section -
....ANSWER...D. Prepare patient for cesarean section
Which of the following is most effective in
determining the strength of a patient's contractions?
A. Patient report
B. Tocodynanamometer tracing
C. RN palpation
D. Sterile vaginal exam during a contraction -
....ANSWER...C. RN palpation
The FHR is controlled by the
A. Sympathetic nervous system
EXAM 2 VERSIONS (VERSION A AND
B) COMPLETE EXAM QUESTIONS
WITH DETAILED VERIFIED ANSWERS
(100% CORRECT ANSWERS)
/ALREADY GRADED A+
VERSION A
The nurse notes a pattern of decelerations on the
fetal monitor that begins shortly after the
contraction and returns to baseline just before the
contraction is over. The correct nursing response is
to:
a. Give the woman oxygen by facemask at 8-10 L/min
b. Position the woman on her opposite side
c. Increase the rate of the woman's intravenous fluid
d. Continue to observe and record the normal
pattern - ....ANSWER...d. Continue to observe and
record the normal pattern
,Determining the FHR baseline requires the nurse to
approximate the mean FHR rounded to increments
of 5 bpm during a ___-minute window (excluding
accelerations and decelerations).
A. 2
B. 5
C. 10
D. 20 - ....ANSWER...C. 10
Uterine tachysystole is observed when there are
A. 5 or more contractions in 10 min
B. 6 or more contractions in 10 min
C. 10 or more contractions in 10 min
D. 7 or more contractions in 10 min - ....ANSWER...B.
6 or more contractions in 10 min
Which of the following interventions would best
stimulate an acceleration in the FHR?
A. Provide juice to patient
B. Perform vaginal exam
C. Turn patient on left side
,D. Vibroacoustic stimulation - ....ANSWER...B.
Perform vaginal exam
Scalp stimulation
Assessment of the _____ is an indirect measurement
of fetal oxygenation.
A. Fetal heart rate
B. Fetal scalp sampling
C. Uterine activity
D. Direct Coombs - ....ANSWER...A. Fetal heart rate
T/F: Intrauterine pressure catheters (IUPCs) do not
increase risk for infection when placed on patients
with intact membranes. - ....ANSWER...False
Membranes must be ruptured for use; infection is a
risk
What are abnormal fetal heart rate tracings
predictive of?
A. Likelihood of spontaneous vaginal delivery
B. Newborn condition at time of delivery
, C. Fetal acid-base abnormalities
D. Fetal intrauterine growth - ....ANSWER...C. Fetal
acid-base abnormalities
Which of the following is not an intervention that
should be implemented in a patient with uterine
tachysystole?
A. Administer terbutaline
B. Increase IV fluid rate
C. Decrease or discontinue IV oxytocin
D. Prepare patient for cesarean section -
....ANSWER...D. Prepare patient for cesarean section
Which of the following is most effective in
determining the strength of a patient's contractions?
A. Patient report
B. Tocodynanamometer tracing
C. RN palpation
D. Sterile vaginal exam during a contraction -
....ANSWER...C. RN palpation
The FHR is controlled by the
A. Sympathetic nervous system
