NCC ELECTRONIC FETAL MONITORING
b b b
b CERTIFICATION
1. Which bb of the following factors can have a negative effect on uterine blood flow?
bb bb bb bb bb bb bb bb bb bb bb bb
a. Hypertension
b. Epidural
c. Hemorrhage
d. Diabetes
e. All of the above
bb bb bb
…ANSWER>> e. All of the above bb bb bb bb bb
2. How does the fetus compensate for decreased maternal circulating vol- ume?
bb bb bb bb bb bb bb bb bb bb
a. Increases bb cardiac output by increasing stroke volume.
bb bb bb bb bb
b. Increases cardiac output by increasing it's heart rate.
bb bb bb bb bb bb bb
c. Increases cardiac output by increasing fetal movement
bb bb bb bb bb bb
…ANSWER>> b. Increases cardiac output by increasing it's heart rate.
bbb bb bb bb bb bb bb bb bb
3. Stimulating bb the vagus nerve typically produces:
bb bb bb bb
a. A bb decrease in the heart rate bb bb bb bb
b. An bb increase in the heart rate bb bb bb bb
c. An bb increase in stroke volume bb bb bb
d. No bb change
…ANSWER>> a. A decrease in the heart rate bbb bb bb bb bb bb bb
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b b
, 4. What bb initially causes a chemoreceptor response?
bb bb bb bb
a. Epidurals
b. Supine bb maternal position bb
c. Increased bb CO2 levels bb
d. Decreased bb O2 levels bb
e. A bb & C bb
f. A & B
bb bb
g. C bb & d bB
…ANSWER>> g. C & D bbb bb bb bb
5. The bb vagus nerve begins maturation 26 to 28 weeks. Its dominance results in what effect to
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
bb the FHR baseline?
bb bb
a. Increases baseline
bb
b. Decreases baseline
bb
…ANSWER>> b. Decreases baseline bbb bb bb
6. T/F: Oxygen exchange in the placenta takes place in the intervillous space.-
bb bb bb bb bb bb bb bb bb bb bb
…ANSWER>> True bbb
7. T/F:The b parasympathetic nervous system is a cardioaccelerator
bb bb bb bb bb bb
…ANSWER>> False bbb
8. T/F: Baroreceptors
bb are stretch receptors which respond to increases or decreases in blood
bb bb bb bb bb bb bb bb bb bb bb
bb pressure
…ANSWER>> True bb
9. T/F:There are two electronic fetal monitoring methods of obtaining the fetal
b bb bb bb bb bb bb bb bb bb bb heart rate: the
bb bb bb
bb ultrasound transducer and the fetal spiral electrode
bb bb bb bb bb bb
…ANSWER>> True b bb
10. T/F: Variability bb bb can be determined with the fetoscope
bb bb bb bb bb b
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b b
, …ANSWER>> False
bb
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b b
, 11. T/F: Because bb bb the ultrasound transducer and toco transducer are sealed units, they can be
bb bb bb bb bb bb bb bb bb bb bb
bb dipped in warm water to make cleaning easier
bb bb bb bb bb bb bb
b …ANSWER>> False bbb
12. T/F:The b bb most common artifact with the ultrasound transducer system for fetal heart rate is
bb bb bb bb bb bb bb bb bb bb bb bb
bb increased variability
bb
…ANSWER>> True bb
13. T/F: All bb bb fetal monitors contain a logic system designed to reject artifact
bb bb bb bb bb bb bb bb bb
…ANSWER>>True
14. T/F:The b bb monitor should always be tested before starting a tracing, either external or internal
bb bb bb bb bb bb bb bb bb bb bb bb
bb mode and labeled a test
bb bb bb bb
b …ANSWER>> True bb
15. T/F:The paper speed on the fetal monitor should always be set at 1cm/min.-
b bb bb bb bb bb bb bb bb bb bb bb bb
…ANSWER>> False bbb
16. T/F: Both bb internal and external monitoring methods are equally accurate means of
bb bb bb bb bb bb bb bb bb bb
bb obtaining the fetal heart rate and contraction patterns
bb bb bb bb bb bb bb
b …ANSWER>> False bb
17. T/F:The b bb external toco is usually placed over the uterine fundus to pick up contractions
bb bb bb bb bb bb bb bb bb bb bb bb
…ANSWER>> True b bb
18. T/F:The b bbexternal toco gives measurable uterine pressure
bb bb bb bb bb
…ANSWER>> False bbb
19. T/F:The fetal b bb bb spiral electrode can be placed when vaginal bleeding of unknown origin is
bb bb bb bb bb bb bb bb bb bb bb
bb present
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b b b
b CERTIFICATION
1. Which bb of the following factors can have a negative effect on uterine blood flow?
bb bb bb bb bb bb bb bb bb bb bb bb
a. Hypertension
b. Epidural
c. Hemorrhage
d. Diabetes
e. All of the above
bb bb bb
…ANSWER>> e. All of the above bb bb bb bb bb
2. How does the fetus compensate for decreased maternal circulating vol- ume?
bb bb bb bb bb bb bb bb bb bb
a. Increases bb cardiac output by increasing stroke volume.
bb bb bb bb bb
b. Increases cardiac output by increasing it's heart rate.
bb bb bb bb bb bb bb
c. Increases cardiac output by increasing fetal movement
bb bb bb bb bb bb
…ANSWER>> b. Increases cardiac output by increasing it's heart rate.
bbb bb bb bb bb bb bb bb bb
3. Stimulating bb the vagus nerve typically produces:
bb bb bb bb
a. A bb decrease in the heart rate bb bb bb bb
b. An bb increase in the heart rate bb bb bb bb
c. An bb increase in stroke volume bb bb bb
d. No bb change
…ANSWER>> a. A decrease in the heart rate bbb bb bb bb bb bb bb
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b b
, 4. What bb initially causes a chemoreceptor response?
bb bb bb bb
a. Epidurals
b. Supine bb maternal position bb
c. Increased bb CO2 levels bb
d. Decreased bb O2 levels bb
e. A bb & C bb
f. A & B
bb bb
g. C bb & d bB
…ANSWER>> g. C & D bbb bb bb bb
5. The bb vagus nerve begins maturation 26 to 28 weeks. Its dominance results in what effect to
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
bb the FHR baseline?
bb bb
a. Increases baseline
bb
b. Decreases baseline
bb
…ANSWER>> b. Decreases baseline bbb bb bb
6. T/F: Oxygen exchange in the placenta takes place in the intervillous space.-
bb bb bb bb bb bb bb bb bb bb bb
…ANSWER>> True bbb
7. T/F:The b parasympathetic nervous system is a cardioaccelerator
bb bb bb bb bb bb
…ANSWER>> False bbb
8. T/F: Baroreceptors
bb are stretch receptors which respond to increases or decreases in blood
bb bb bb bb bb bb bb bb bb bb bb
bb pressure
…ANSWER>> True bb
9. T/F:There are two electronic fetal monitoring methods of obtaining the fetal
b bb bb bb bb bb bb bb bb bb bb heart rate: the
bb bb bb
bb ultrasound transducer and the fetal spiral electrode
bb bb bb bb bb bb
…ANSWER>> True b bb
10. T/F: Variability bb bb can be determined with the fetoscope
bb bb bb bb bb b
2|Page
b b
, …ANSWER>> False
bb
3|Page
b b
, 11. T/F: Because bb bb the ultrasound transducer and toco transducer are sealed units, they can be
bb bb bb bb bb bb bb bb bb bb bb
bb dipped in warm water to make cleaning easier
bb bb bb bb bb bb bb
b …ANSWER>> False bbb
12. T/F:The b bb most common artifact with the ultrasound transducer system for fetal heart rate is
bb bb bb bb bb bb bb bb bb bb bb bb
bb increased variability
bb
…ANSWER>> True bb
13. T/F: All bb bb fetal monitors contain a logic system designed to reject artifact
bb bb bb bb bb bb bb bb bb
…ANSWER>>True
14. T/F:The b bb monitor should always be tested before starting a tracing, either external or internal
bb bb bb bb bb bb bb bb bb bb bb bb
bb mode and labeled a test
bb bb bb bb
b …ANSWER>> True bb
15. T/F:The paper speed on the fetal monitor should always be set at 1cm/min.-
b bb bb bb bb bb bb bb bb bb bb bb bb
…ANSWER>> False bbb
16. T/F: Both bb internal and external monitoring methods are equally accurate means of
bb bb bb bb bb bb bb bb bb bb
bb obtaining the fetal heart rate and contraction patterns
bb bb bb bb bb bb bb
b …ANSWER>> False bb
17. T/F:The b bb external toco is usually placed over the uterine fundus to pick up contractions
bb bb bb bb bb bb bb bb bb bb bb bb
…ANSWER>> True b bb
18. T/F:The b bbexternal toco gives measurable uterine pressure
bb bb bb bb bb
…ANSWER>> False bbb
19. T/F:The fetal b bb bb spiral electrode can be placed when vaginal bleeding of unknown origin is
bb bb bb bb bb bb bb bb bb bb bb
bb present
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