NCCT INTERACTIVE REVIEW MEDICAL INSURANCE EXAM QUESTIONS AND ANSWERS

NCC ELECTRONIC FETAL MONITORING CERTIFICATION
EXAM QUESTIONS AND ANSWERS
A risk of amnioinfusion is
A. Prolonged labor
B. Uterine overdistension
C. Water intoxication
B. Uterine overdistension
A fetal heart rate pattern that the NICHD has identified as predictive of current or
impending fetal asphyxia so severe that the fetus is at risk of neurologic damage
or death is
A. Baseline tachycardia with absent variability
B. Minimal baseline variability with recurrent late decelerations
C. Recurrent late or variable decelerations with absent variability
C. Recurrent late or variable decelerations with absent variability
A fetal heart rate pattern that can occur when there is a prolapsed cord is
A. Marked variability
B. Prolonged decelerations
C. Tachycardia
B. Prolonged decelerations
The patient is in early labor with pitocin at 8 mu/min, and FHR is Category I. In the
next 15 minutes, there are 18 uterine contractions. Recommended management is
to
A. Address contraction frequency by reducing pitocin dose
B. Continue to increase pitocin as long as FHR is Category I
C. Turn the patient on her side and initiate an IV fluid bolus
C. Turn the patient on her side and initiate an IV fluid bolus
A woman at 38 weeks gestation is in labor. The labor has been uneventful, and
the fetal heart tracings have been normal. Spontaneous rupture of membranes
occurs; fetal heart rate drops to 90 beats per minute for four minutes and then
resumes a normal pattern. The most likely etiology for this fetal heart rate change
is

, A. Abnormal fetal presentation
B. Impaired placental circulation
C. Possible cord compression
C. Possible cord compression
A 42 week gestation woman has been diagnosed with oligohydramnios. Based on
this, a FHR change that can be expected is
A. Late deceleration
B. Minimal variability
C. Variable deceleration
C. Variable deceleration
Mono-mono zygotic twins are prone to what type of deceleration during labor?
A. Early
B. Late
C. Variable
C. Variable
During labor, the recommended fetal heart rate assessment interval for
auscultation is every
A. 15-30 minutes in the active phase of the first stage and every 5-15 minutes in
second stage
B. 15 minutes no matter what stage of labor
C. 60 minutes in the active phase of the first stage and every 30 minutes in
second stage
A. 15-30 minutes in the active phase of the first stage and every 5-15 minutes in second
stage
What fetal heart rate characteristics can be determined with auscultation?
A. Baseline
B. Early decelerations
C. Variability
A. Baseline
When auscultating the fetal heart rate, the provider/nurse should simultaneously
assess the maternal