Exam (elaborations) NCC EFM CERTIFICATION

NCC EFM CERTIFICATION TEST BANK EXAM ||COMPREHENSIVE EXAM NEWEST VERSION WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS ACTUAL EXAM WITH VERIFIED ANSWERS ASSURED PASS GRADED A+ BRAND NEW!!!2025 What are the two most important characteristics of the FHR? 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) A. Acceleration B. Deceleration C. Fetal movement D. Sleep pattern A. Acceleration 6/29/25, 12:42 PM NCC EFM Certification 2/118 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 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. 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 a. A decrease in the heart rate 6/29/25, 12:42 PM NCC EFM Certification 3/118 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 g. C & D The vagus nerve begins maturation 26 to 28 weeks. Its dominance results in what effect to the FHR baseline? a. Increases baseline b. Decreases baseline b. Decreases baseline T/F: Oxygen exchange in the placenta takes place in the intervillous space. True T/F: The parasympathetic nervous system is a cardioaccelerator. False T/F: Baroreceptors are stretch receptors which respond to increases or decreases in blood pressure. True T/F: There are two electronic fetal monitoring methods of obtaining the fetal heart rate: the ultrasound transducer and the fetal spiral electrode. True T/F: Variability can be determined with the fetoscope. False 6/29/25, 12:42 PM NCC EFM Certification 4/118 When an IUPC has been placed, Montevideo units must be ___ or greater for adequate cervical change to occur. A. 100 B. 200 C. 300 D. 400 B. 200 The __ increases the heart rate and strengthens myocardial contractions through the release of epinephrine and nonepinephrine. A. Sympathetic nervous system B. Parasympathetic nervous system A. Sympathetic nervous system The __ , through stimulation of the vagus nerve, reduces FHR and maintains variability. A. Sympathetic nervous system B. Parasympathetic nervous system B. Parasympathetic nervous system What would be a suspected pH in a fetus whose FHTs included recurrent late decelerations during labor? A. 7.10 B. 7.26 C. 7.32 D. 7.41 A. 7.10 What is the most common cause of sinusoidal patterns? A. Prolapsed cord B. Rh incompatibility C. Recurrent late decelerations D. Oligohydramnios B. Rh incompatibility 6/29/25, 12:42 PM NCC EFM Certification 5/118 Before ___ weeks of gestation, an increase in FHR that peaks at least 10 bpm above the baseline and lasts at least 10 seconds is considered an acceleration. A. 28 B. 30 C. 32 D. 36 C. 32 The expected response of the fetal heart rate to active fetal movement of a 31-week gestational age fetus is: a. Suppression of normal short term variability for 15 seconds b. Acceleration of at least 15 beats per minute for 15 seconds c. Acceleration followed by a 15-second deceleration of the heart rate d. Acceleration of at least 10 beats per minute for 10 seconds d. Acceleration of at least 10 beats per minute for 10 seconds The nurse notes a pattern of variable decelerations to 75 bpm on the fetal monitor. The initial nursing action is to: a. Reposition the woman b. Administer oxygen c. Increase the intravenous fluid infusion d. Stimulate the fetal scalp a. Reposition the woman 6/29/25, 12:42 PM NCC EFM Certification The tocotransducer should be placed: a. In the suprapubic area b. In the fundal area c. Over the xiphoid process d. Within the uterus b. In the fundal area 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 d. Continue to observe and record the nor