NCC ELECTRONIC FETAL MONITORING
CERTIFICATION QUESTIONS WITH ACTUAL
ANSWERS.
Which,of,the,following,factors,can,have,a,negative,effect,on,uterine,blood,flow?
a.,Hypertension
b.,Epidural
c.,Hemorrhage
d.,Diabetes
e.,All,of,the,above,,ANS,-,e.,All,of,the,above
How,does,the,fetus,compensate,for,decreased,maternal,circulating,volume?
a.,Increases,cardiac,output,by,increasing,stroke,volume.
b.,Increases,cardiac,output,by,increasing,it's,heart,rate.
c.,Increases,cardiac,output,by,increasing,fetal,movement.,,ANS,-
,b.,Increases,cardiac,output,by,increasing,it's,heart,rate.
Stimulating,the,vagus,nerve,typically,produces:
a.,A,decrease,in,the,heart,rate
b.,An,increase,in,the,heart,rate
c.,An,increase,in,stroke,volume
d.,No,change,,ANS,-,a.,A,decrease,in,the,heart,rate
What,initially,causes,a,chemoreceptor,response?
a.,Epidurals
b.,Supine,maternal,position
c.,Increased,CO2,levels
d.,Decreased,O2,levels
e.,A,&,C
,f.,A,&,B
g.,C,&,D,,ANS,-,g.,C,&,D
The,vagus,nerve,begins,maturation,26,to,28,weeks.,Its,dominance,results,in,what,effect,to,the,FHR,baselin
e?
a.,Increases,baseline
b.,Decreases,baseline,,ANS,-,b.,Decreases,baseline
T/F:,Oxygen,exchange,in,the,placenta,takes,place,in,the,intervillous,space.,,ANS,-,True
T/F:,The,parasympathetic,nervous,system,is,a,cardioaccelerator.,,ANS,-,False
T/F:,Baroreceptors,are,stretch,receptors,which,respond,to,increases,or,decreases,in,blood,pressure.,,ANS,
-,True
T/F:,There,are,two,electronic,fetal,monitoring,methods,of,obtaining,the,fetal,heart,rate:,the,ultrasound,tr
ansducer,and,the,fetal,spiral,electrode.,,ANS,-,True
T/F:,Variability,can,be,determined,with,the,fetoscope.,,ANS,-,False
T/F:,Because,the,ultrasound,transducer,and,toco,transducer,are,sealed,units,,they,can,be,dipped,in,warm,
water,to,make,cleaning,easier.,,ANS,-,False
T/F:,The,most,common,artifact,with,the,ultrasound,transducer,system,for,fetal,heart,rate,is,increased,vari
ability.,,ANS,-,True
T/F:,All,fetal,monitors,contain,a,logic,system,designed,to,reject,artifact.,,ANS,-,True
T/F:,The,monitor,should,always,be,tested,before,starting,a,tracing,,either,external,or,internal,mode,and,la
beled,a,test.,,ANS,-,True
,T/F:,The,paper,speed,on,the,fetal,monitor,should,always,be,set,at,1cm/min.,,ANS,-,False
T/F:,Both,internal,and,external,monitoring,methods,are,equally,accurate,means,of,obtaining,the,fetal,hea
rt,rate,and,contraction,patterns.,,ANS,-,False
T/F:,The,external,toco,is,usually,placed,over,the,uterine,fundus,to,pick,up,contractions.,,ANS,-,True
T/F:,The,external,toco,gives,measurable,uterine,pressure.,,ANS,-,False
T/F:,The,fetal,spiral,electrode,can,be,placed,when,vaginal,bleeding,of,unknown,origin,is,present.,,ANS,-
,False
T/F:,The,ultrasound,transducer,is,usually,placed,on,the,side,of,the,uterus,over,the,baby's,back,,as,the,fetal,
heart,is,heard,best,there.,,ANS,-,True
T/F:,The,spiral,electrode,is,used,to,more,accurately,determine,the,frequency,,duration,,and,intensity,of,ut
erine,contractions.,,ANS,-,False
T/F:,The,heart,rate,from,a,well-applied,fetal,spiral,electrode,can,only,be,fetal,,not,maternal.,,ANS,-,False
T/F:,The,intrauterine,catheter,is,used,to,pick,up,the,fetal,heart,rate.,,ANS,-,False
T/F:,The,internal,spiral,electrode,may,pick,up,the,maternal,heart,rate,if,the,baby,has,died.,,ANS,-,True
T/F:,Fetal,arrhythmias,can,be,seen,on,both,internal,and,external,monitor,tracings.,,ANS,-,True
T/F:,Variability,and,periodic,changes,can,be,detected,with,both,internal,and,external,monitoring.,,ANS,-
,True
T/F:,Variable,decelerations,are,a,result,of,cord,compression.,,ANS,-,True
, T/F:,The,presence,of,FHR,accelerations,in,the,intrapartum,and,antepartum,periods,is,a,sign,of,adequate,fe
tal,oxygenation.,,ANS,-,True
T/F:,Variable,decelerations,are,a,vagal,response.,,ANS,-,True
T/F:,Late,decelerations,have,a,gradual,decrease,in,FHR,(onset,to,nadir,30,seconds),and,are,delayed,in,timi
ng,with,the,nadir,of,the,deceleration,occurring,after,the,peak,of,the,contraction.,,ANS,-,True
T/F:,The,fetal,heart,rate,baseline,can,be,determined,during,periods,of,marked,variability.,,ANS,-,False
T/F:,Anything,that,affects,maternal,blood,flow,(cardiac,output),can,affect,the,blood,flow,through,the,plac
enta.,,ANS,-,True
T/F:,Variable,decelerations,are,the,most,frequently,seen,fetal,heart,rate,deceleration,pattern,in,labor.,,AN
S,-,True
T/F:,Minimal,variability,is,always,an,indicator,of,hypoxia,and,a,Cesarean,section,is,indicated.,,ANS,-,False
What,is,your,first,intervention,in,management,of,a,patient,experiencing,variable,decelerations?
a.,Immediate,delivery
b.,Change,maternal,position
c.,No,treatment,indicated
d.,Oxygen
e.,Stop,oxytocin,infusion,,ANS,-,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
CERTIFICATION QUESTIONS WITH ACTUAL
ANSWERS.
Which,of,the,following,factors,can,have,a,negative,effect,on,uterine,blood,flow?
a.,Hypertension
b.,Epidural
c.,Hemorrhage
d.,Diabetes
e.,All,of,the,above,,ANS,-,e.,All,of,the,above
How,does,the,fetus,compensate,for,decreased,maternal,circulating,volume?
a.,Increases,cardiac,output,by,increasing,stroke,volume.
b.,Increases,cardiac,output,by,increasing,it's,heart,rate.
c.,Increases,cardiac,output,by,increasing,fetal,movement.,,ANS,-
,b.,Increases,cardiac,output,by,increasing,it's,heart,rate.
Stimulating,the,vagus,nerve,typically,produces:
a.,A,decrease,in,the,heart,rate
b.,An,increase,in,the,heart,rate
c.,An,increase,in,stroke,volume
d.,No,change,,ANS,-,a.,A,decrease,in,the,heart,rate
What,initially,causes,a,chemoreceptor,response?
a.,Epidurals
b.,Supine,maternal,position
c.,Increased,CO2,levels
d.,Decreased,O2,levels
e.,A,&,C
,f.,A,&,B
g.,C,&,D,,ANS,-,g.,C,&,D
The,vagus,nerve,begins,maturation,26,to,28,weeks.,Its,dominance,results,in,what,effect,to,the,FHR,baselin
e?
a.,Increases,baseline
b.,Decreases,baseline,,ANS,-,b.,Decreases,baseline
T/F:,Oxygen,exchange,in,the,placenta,takes,place,in,the,intervillous,space.,,ANS,-,True
T/F:,The,parasympathetic,nervous,system,is,a,cardioaccelerator.,,ANS,-,False
T/F:,Baroreceptors,are,stretch,receptors,which,respond,to,increases,or,decreases,in,blood,pressure.,,ANS,
-,True
T/F:,There,are,two,electronic,fetal,monitoring,methods,of,obtaining,the,fetal,heart,rate:,the,ultrasound,tr
ansducer,and,the,fetal,spiral,electrode.,,ANS,-,True
T/F:,Variability,can,be,determined,with,the,fetoscope.,,ANS,-,False
T/F:,Because,the,ultrasound,transducer,and,toco,transducer,are,sealed,units,,they,can,be,dipped,in,warm,
water,to,make,cleaning,easier.,,ANS,-,False
T/F:,The,most,common,artifact,with,the,ultrasound,transducer,system,for,fetal,heart,rate,is,increased,vari
ability.,,ANS,-,True
T/F:,All,fetal,monitors,contain,a,logic,system,designed,to,reject,artifact.,,ANS,-,True
T/F:,The,monitor,should,always,be,tested,before,starting,a,tracing,,either,external,or,internal,mode,and,la
beled,a,test.,,ANS,-,True
,T/F:,The,paper,speed,on,the,fetal,monitor,should,always,be,set,at,1cm/min.,,ANS,-,False
T/F:,Both,internal,and,external,monitoring,methods,are,equally,accurate,means,of,obtaining,the,fetal,hea
rt,rate,and,contraction,patterns.,,ANS,-,False
T/F:,The,external,toco,is,usually,placed,over,the,uterine,fundus,to,pick,up,contractions.,,ANS,-,True
T/F:,The,external,toco,gives,measurable,uterine,pressure.,,ANS,-,False
T/F:,The,fetal,spiral,electrode,can,be,placed,when,vaginal,bleeding,of,unknown,origin,is,present.,,ANS,-
,False
T/F:,The,ultrasound,transducer,is,usually,placed,on,the,side,of,the,uterus,over,the,baby's,back,,as,the,fetal,
heart,is,heard,best,there.,,ANS,-,True
T/F:,The,spiral,electrode,is,used,to,more,accurately,determine,the,frequency,,duration,,and,intensity,of,ut
erine,contractions.,,ANS,-,False
T/F:,The,heart,rate,from,a,well-applied,fetal,spiral,electrode,can,only,be,fetal,,not,maternal.,,ANS,-,False
T/F:,The,intrauterine,catheter,is,used,to,pick,up,the,fetal,heart,rate.,,ANS,-,False
T/F:,The,internal,spiral,electrode,may,pick,up,the,maternal,heart,rate,if,the,baby,has,died.,,ANS,-,True
T/F:,Fetal,arrhythmias,can,be,seen,on,both,internal,and,external,monitor,tracings.,,ANS,-,True
T/F:,Variability,and,periodic,changes,can,be,detected,with,both,internal,and,external,monitoring.,,ANS,-
,True
T/F:,Variable,decelerations,are,a,result,of,cord,compression.,,ANS,-,True
, T/F:,The,presence,of,FHR,accelerations,in,the,intrapartum,and,antepartum,periods,is,a,sign,of,adequate,fe
tal,oxygenation.,,ANS,-,True
T/F:,Variable,decelerations,are,a,vagal,response.,,ANS,-,True
T/F:,Late,decelerations,have,a,gradual,decrease,in,FHR,(onset,to,nadir,30,seconds),and,are,delayed,in,timi
ng,with,the,nadir,of,the,deceleration,occurring,after,the,peak,of,the,contraction.,,ANS,-,True
T/F:,The,fetal,heart,rate,baseline,can,be,determined,during,periods,of,marked,variability.,,ANS,-,False
T/F:,Anything,that,affects,maternal,blood,flow,(cardiac,output),can,affect,the,blood,flow,through,the,plac
enta.,,ANS,-,True
T/F:,Variable,decelerations,are,the,most,frequently,seen,fetal,heart,rate,deceleration,pattern,in,labor.,,AN
S,-,True
T/F:,Minimal,variability,is,always,an,indicator,of,hypoxia,and,a,Cesarean,section,is,indicated.,,ANS,-,False
What,is,your,first,intervention,in,management,of,a,patient,experiencing,variable,decelerations?
a.,Immediate,delivery
b.,Change,maternal,position
c.,No,treatment,indicated
d.,Oxygen
e.,Stop,oxytocin,infusion,,ANS,-,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
