NCC EFM Exam Practice Questions and gd gd gd gd gd
Answers (Real Exam) gd gd gd
Which of the following factors can have a negative effect on uterine blood flow?
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a. Hypertension
b. Epidural
c. Hemorrhage
d. Diabetes
e. All of the above - e. All of the above
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How does the fetus compensate for decreased maternal circulating volume?
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a. Increases cardiac output by increasing stroke volume.
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b. Increases cardiac output by increasing it's heart rate.
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c. Increases cardiac output by increasing fetal movement. - b. Increases cardiac output
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by increasing it's heart rate.
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Stimulating the vagus nerve typically produces: gd gd gd gd gd
a. A decrease in the heart rate
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b. An increase in the heart rate
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c. An increase in stroke volume
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d. No change - a. A decrease in the heart rate
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What initially causes a chemoreceptor response?
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a. Epidurals
b. Supine maternal position gd gd
c. Increased CO2 levels gd gd
d. Decreased O2 levels gd gd
e. A & C gd gd
f. A & B gd gd
g. C & D - g. C & D
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The vagus nerve begins maturation 26 to 28 weeks. Its dominance results in what effect to the
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FHR baseline?
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a. Increases baseline gd
b. Decreases baseline - b. Decreases baseline gd gd gd gd gd
T/F: Oxygen exchange in the placenta takes place in the intervillous space. - True
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T/F: The parasympathetic nervous system is a cardioaccelerator. - False
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T/F: Baroreceptors are stretch receptors which respond to increases or decreases in blood
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pressure. - True
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T/F: There are two electronic fetal monitoring methods of obtaining the fetal heart rate: the
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ultrasound transducer and the fetal spiral electrode. - True
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,T/F: Variability can be determined with the fetoscope. - False
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T/F: Because the ultrasound transducer and toco transducer are sealed units, they can be
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dipped in warm water to make cleaning easier. - False
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T/F: The most common artifact with the ultrasound transducer system for fetal heart rate is
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increased variability. - True
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T/F: All fetal monitors contain a logic system designed to reject artifact. - True
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T/F: The monitor should always be tested before starting a tracing, either external or internal
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mode and labeled a test. - True
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T/F: The paper speed on the fetal monitor should always be set at 1cm/min. - False
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T/F: Both internal and external monitoring methods are equally accurate means of obtaining the
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fetal heart rate and contraction patterns. - False
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T/F: The external toco is usually placed over the uterine fundus to pick up contractions. - True
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T/F: The external toco gives measurable uterine pressure. - False
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T/F: The fetal spiral electrode can be placed when vaginal bleeding of unknown origin is
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present.
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- False
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T/F: The ultrasound transducer is usually placed on the side of the uterus over the baby's back,
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as the fetal heart is heard best there. - True
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T/F: The spiral electrode is used to more accurately determine the frequency, duration, and
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intensity of uterine contractions. - False
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T/F: The heart rate from a well-applied fetal spiral electrode can only be fetal, not maternal. -
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False
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T/F: The intrauterine catheter is used to pick up the fetal heart rate. - False
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T/F: The internal spiral electrode may pick up the maternal heart rate if the baby has died. -
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True
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T/F: Fetal arrhythmias can be seen on both internal and external monitor tracings. - True
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T/F: Variability and periodic changes can be detected with both internal and external
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monitoring.
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- True
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T/F: Variable decelerations are a result of cord compression. - True
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,T/F: The presence of FHR accelerations in the intrapartum and antepartum periods is a sign of
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adequate fetal oxygenation. - True
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T/F: Variable decelerations are a vagal response. - True
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T/F: Late decelerations have a gradual decrease in FHR (onset to nadir 30 seconds) and are
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delayed in timing with the nadir of the deceleration occurring after the peak of the contraction. -
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True
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T/F: The fetal heart rate baseline can be determined during periods of marked variability. -
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False
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T/F: Anything that affects maternal blood flow (cardiac output) can affect the blood flow
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through the placenta. - True
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T/F: Variable decelerations are the most frequently seen fetal heart rate deceleration pattern in
gd gd gd gd gd gd gd gd gd gd gd gd gd
labor. - True
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T/F: Minimal variability is always an indicator of hypoxia and a Cesarean section is indicated. -
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False
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What is your first intervention in management of a patient experiencing variable decelerations?
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a. Immediate delivery gd
b. Change maternal position gd gd
c. No treatment indicated
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d. Oxygen
e. Stop oxytocin infusion - b. Change maternal position
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Etiology of a baseline FHR of 165bpm occurring for the last hour can be:
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1. Maternal supine hypotension gd gd
2. Maternal fever gd
3. Maternal dehydration gd
4. Unknown
a. 1 and 2
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b. 1, 2 and 3
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c. 2, 3 and 4 - c. 2, 3 and 4
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What is the most probable cause of recurrent late decelerations?
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a. Utero-placental insufficiency gd
b. Head compression gd
c. Cord compression gd
d. Maternal position change - a. Utero-placental insufficiency
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The most prevalent risk factor associated with fetal death before the onset of labor is:
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a. Low socioeconomic status
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b. Fetal malpresentation gd
c. Uteroplacental insufficiency gd
d. Uterine anomalies - c. Uteroplacental insufficiency
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, Which of the following is NOT used for antepartum fetal surveillance?
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a. Fetal movement counting gd gd
b. Antepartum fetal heart rate testing gd gd gd gd
c. Biophysical profile testing gd gd
d. Maternal HCG levels - d. Maternal HCG levels gd gd gd gd gd gd gd
Which of the following conditions is not an indication for antepartum fetal surveillance?
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a. Gestational hypertension gd
b. Diabetes in pregnancy gd gd
c. Fetus in breech presentation gd gd gd
d. Decreased fetal movement - c. Fetus in breech presentation gd gd gd gd gd gd gd gd
Which of the following does not affect the degree of fetal activity?
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a. Vibroacoustic stimulation gd
b. Smoking
c. Fetal position gd
d. Gestational age - a. Vibroacoustic stimulation gd gd gd gd gd
To be considered reactive, a nonstress test must have:
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a. 4 fetal heart rate accelerations in a 20 minute window
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b. 2 fetal heart rate accelerations in a 10 minute window
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c. 4 fetal heart rate accelerations in a 40 minute window
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d. 2 fetal heart rate accelerations in a 20 minute window - d. 2 fetal heart rate accelerations in
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a 20 minute window
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If a nonstress test is nonreactive after 40 minutes, the next step should be:
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a. Have the client go home and do fetal movement counts
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b. Do a biophysical profile or contraction stress test
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c. Repeat the nonstress test within a week gd gd gd gd gd gd
d. Admit the client for delivery - b. Do a biophysical profile or contraction stress test
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All of the following are components of a biophysical profile except:
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a. Contraction stress test gd gd
b. Assessment of fetal breathing gd gd gd
c. Amniotic fluid volume measurement gd gd gd
d. Fetal movement assessment - a. Contraction stress test
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A modified biophysical profile includes a nonstress test and:
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a. Contraction stress test gd gd
b. Ultrasound assessment of fetal movement gd gd gd gd
c. Ultrasound assessment of amniotic fluid volume gd gd gd gd gd
d. Fetal movement counts - c. Ultrasound assessment of amniotic fluid volume
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For a contraction stress test to be interpretable, you must have a minimum of:
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a. 5 contractions in a 10-minute window
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b. 3 contractions in a 10-minute window
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Answers (Real Exam) gd gd gd
Which of the following factors can have a negative effect on uterine blood flow?
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a. Hypertension
b. Epidural
c. Hemorrhage
d. Diabetes
e. All of the above - e. All of the above
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How does the fetus compensate for decreased maternal circulating volume?
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a. Increases cardiac output by increasing stroke volume.
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b. Increases cardiac output by increasing it's heart rate.
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c. Increases cardiac output by increasing fetal movement. - b. Increases cardiac output
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by increasing it's heart rate.
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Stimulating the vagus nerve typically produces: gd gd gd gd gd
a. A decrease in the heart rate
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b. An increase in the heart rate
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c. An increase in stroke volume
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d. No change - a. A decrease in the heart rate
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What initially causes a chemoreceptor response?
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a. Epidurals
b. Supine maternal position gd gd
c. Increased CO2 levels gd gd
d. Decreased O2 levels gd gd
e. A & C gd gd
f. A & B gd gd
g. C & D - g. C & D
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The vagus nerve begins maturation 26 to 28 weeks. Its dominance results in what effect to the
gd gd gd gd gd gd gd gd gd gd gd gd gd gd gd gd
FHR baseline?
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a. Increases baseline gd
b. Decreases baseline - b. Decreases baseline gd gd gd gd gd
T/F: Oxygen exchange in the placenta takes place in the intervillous space. - True
gd gd gd gd gd gd gd gd gd gd gd gd gd
T/F: The parasympathetic nervous system is a cardioaccelerator. - False
gd gd gd gd gd gd gd gd gd
T/F: Baroreceptors are stretch receptors which respond to increases or decreases in blood
gd gd gd gd gd gd gd gd gd gd gd gd
pressure. - True
gd gd gd
T/F: There are two electronic fetal monitoring methods of obtaining the fetal heart rate: the
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ultrasound transducer and the fetal spiral electrode. - True
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,T/F: Variability can be determined with the fetoscope. - False
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T/F: Because the ultrasound transducer and toco transducer are sealed units, they can be
gd gd gd gd gd gd gd gd gd gd gd gd gd
dipped in warm water to make cleaning easier. - False
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T/F: The most common artifact with the ultrasound transducer system for fetal heart rate is
gd gd gd gd gd gd gd gd gd gd gd gd gd gd
increased variability. - True
gd gd gd gd
T/F: All fetal monitors contain a logic system designed to reject artifact. - True
gd gd gd gd gd gd gd gd gd gd gd gd gd
T/F: The monitor should always be tested before starting a tracing, either external or internal
gd gd gd gd gd gd gd gd gd gd gd gd gd gd
mode and labeled a test. - True
gd gd gd gd gd gd gd
T/F: The paper speed on the fetal monitor should always be set at 1cm/min. - False
gd gd gd gd gd gd gd gd gd gd gd gd gd gd gd
T/F: Both internal and external monitoring methods are equally accurate means of obtaining the
gd gd gd gd gd gd gd gd gd gd gd gd gd
fetal heart rate and contraction patterns. - False
gd gd gd gd gd gd gd gd
T/F: The external toco is usually placed over the uterine fundus to pick up contractions. - True
gd gd gd gd gd gd gd gd gd gd gd gd gd gd gd gd
T/F: The external toco gives measurable uterine pressure. - False
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T/F: The fetal spiral electrode can be placed when vaginal bleeding of unknown origin is
gd gd gd gd gd gd gd gd gd gd gd gd gd gd
present.
gd
- False
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T/F: The ultrasound transducer is usually placed on the side of the uterus over the baby's back,
gd gd gd gd gd gd gd gd gd gd gd gd gd gd gd gd
as the fetal heart is heard best there. - True
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T/F: The spiral electrode is used to more accurately determine the frequency, duration, and
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intensity of uterine contractions. - False
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T/F: The heart rate from a well-applied fetal spiral electrode can only be fetal, not maternal. -
gd gd gd gd gd gd gd gd gd gd gd gd gd gd gd gd
False
gd
T/F: The intrauterine catheter is used to pick up the fetal heart rate. - False
gd gd gd gd gd gd gd gd gd gd gd gd gd gd
T/F: The internal spiral electrode may pick up the maternal heart rate if the baby has died. -
gd gd gd gd gd gd gd gd gd gd gd gd gd gd gd gd gd
True
gd
T/F: Fetal arrhythmias can be seen on both internal and external monitor tracings. - True
gd gd gd gd gd gd gd gd gd gd gd gd gd gd
T/F: Variability and periodic changes can be detected with both internal and external
gd gd gd gd gd gd gd gd gd gd gd gd
monitoring.
gd
- True
gd
T/F: Variable decelerations are a result of cord compression. - True
gd gd gd gd gd gd gd gd gd gd
,T/F: The presence of FHR accelerations in the intrapartum and antepartum periods is a sign of
gd gd gd gd gd gd gd gd gd gd gd gd gd gd gd
adequate fetal oxygenation. - True
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T/F: Variable decelerations are a vagal response. - True
gd gd gd gd gd gd gd gd
T/F: Late decelerations have a gradual decrease in FHR (onset to nadir 30 seconds) and are
gd gd gd gd gd gd gd gd gd gd gd gd gd gd gd
delayed in timing with the nadir of the deceleration occurring after the peak of the contraction. -
gd gd gd gd gd gd gd gd gd gd gd gd gd gd gd gd gd
True
gd
T/F: The fetal heart rate baseline can be determined during periods of marked variability. -
gd gd gd gd gd gd gd gd gd gd gd gd gd gd
False
gd
T/F: Anything that affects maternal blood flow (cardiac output) can affect the blood flow
gd gd gd gd gd gd gd gd gd gd gd gd gd
through the placenta. - True
gd gd gd gd gd
T/F: Variable decelerations are the most frequently seen fetal heart rate deceleration pattern in
gd gd gd gd gd gd gd gd gd gd gd gd gd
labor. - True
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T/F: Minimal variability is always an indicator of hypoxia and a Cesarean section is indicated. -
gd gd gd gd gd gd gd gd gd gd gd gd gd gd gd
False
gd
What is your first intervention in management of a patient experiencing variable decelerations?
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a. Immediate delivery gd
b. Change maternal position gd gd
c. No treatment indicated
gd gd
d. Oxygen
e. Stop oxytocin infusion - b. Change maternal position
gd gd gd gd gd gd gd
Etiology of a baseline FHR of 165bpm occurring for the last hour can be:
gd gd gd gd gd gd gd gd gd gd gd gd gd
1. Maternal supine hypotension gd gd
2. Maternal fever gd
3. Maternal dehydration gd
4. Unknown
a. 1 and 2
gd gd
b. 1, 2 and 3
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c. 2, 3 and 4 - c. 2, 3 and 4
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What is the most probable cause of recurrent late decelerations?
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a. Utero-placental insufficiency gd
b. Head compression gd
c. Cord compression gd
d. Maternal position change - a. Utero-placental insufficiency
gd gd gd gd gd gd
The most prevalent risk factor associated with fetal death before the onset of labor is:
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a. Low socioeconomic status
gd gd
b. Fetal malpresentation gd
c. Uteroplacental insufficiency gd
d. Uterine anomalies - c. Uteroplacental insufficiency
gd gd gd gd gd
, Which of the following is NOT used for antepartum fetal surveillance?
gd gd gd gd gd gd gd gd gd gd
a. Fetal movement counting gd gd
b. Antepartum fetal heart rate testing gd gd gd gd
c. Biophysical profile testing gd gd
d. Maternal HCG levels - d. Maternal HCG levels gd gd gd gd gd gd gd
Which of the following conditions is not an indication for antepartum fetal surveillance?
gd gd gd gd gd gd gd gd gd gd gd gd
a. Gestational hypertension gd
b. Diabetes in pregnancy gd gd
c. Fetus in breech presentation gd gd gd
d. Decreased fetal movement - c. Fetus in breech presentation gd gd gd gd gd gd gd gd
Which of the following does not affect the degree of fetal activity?
gd gd gd gd gd gd gd gd gd gd gd
a. Vibroacoustic stimulation gd
b. Smoking
c. Fetal position gd
d. Gestational age - a. Vibroacoustic stimulation gd gd gd gd gd
To be considered reactive, a nonstress test must have:
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a. 4 fetal heart rate accelerations in a 20 minute window
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b. 2 fetal heart rate accelerations in a 10 minute window
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c. 4 fetal heart rate accelerations in a 40 minute window
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d. 2 fetal heart rate accelerations in a 20 minute window - d. 2 fetal heart rate accelerations in
gd gd gd gd gd gd gd gd gd gd gd gd gd gd gd gd gd
a 20 minute window
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If a nonstress test is nonreactive after 40 minutes, the next step should be:
gd gd gd gd gd gd gd gd gd gd gd gd gd
a. Have the client go home and do fetal movement counts
gd gd gd gd gd gd gd gd gd
b. Do a biophysical profile or contraction stress test
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c. Repeat the nonstress test within a week gd gd gd gd gd gd
d. Admit the client for delivery - b. Do a biophysical profile or contraction stress test
gd gd gd gd gd gd gd gd gd gd gd gd gd gd
All of the following are components of a biophysical profile except:
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a. Contraction stress test gd gd
b. Assessment of fetal breathing gd gd gd
c. Amniotic fluid volume measurement gd gd gd
d. Fetal movement assessment - a. Contraction stress test
gd gd gd gd gd gd gd
A modified biophysical profile includes a nonstress test and:
gd gd gd gd gd gd gd gd
a. Contraction stress test gd gd
b. Ultrasound assessment of fetal movement gd gd gd gd
c. Ultrasound assessment of amniotic fluid volume gd gd gd gd gd
d. Fetal movement counts - c. Ultrasound assessment of amniotic fluid volume
gd gd gd gd gd gd gd gd gd gd
For a contraction stress test to be interpretable, you must have a minimum of:
gd gd gd gd gd gd gd gd gd gd gd gd gd
a. 5 contractions in a 10-minute window
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b. 3 contractions in a 10-minute window
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