NCC ELECTRONIC FETAL MONITORING
CERTIFICATION QUESTIONS WITH
CORRECT ANSWERS
Which sof sthe sfollowing sfactors scan shave sa snegative seffect son suterine sblood sflow?
a. sHypertension
b. sEpidural
c. sHemorrhage
d. sDiabetes
e. sAll sof sthe sabove s- sans--e. sAll sof sthe sabove
How sdoes sthe sfetus scompensate sfor sdecreased smaternal scirculating svolume?
a. sIncreases scardiac soutput sby sincreasing sstroke svolume.
b. sIncreases scardiac soutput sby sincreasing sit's sheart srate.
c. sIncreases scardiac soutput sby sincreasing sfetal smovement. s- sans--b. sIncreases scardiac
soutput sby sincreasing sit's sheart srate.
Stimulating sthe svagus snerve stypically sproduces:
a. sA sdecrease sin sthe sheart srate
b. sAn sincrease sin sthe sheart srate
c. sAn sincrease sin sstroke svolume
d. sNo schange s- sans--a. sA sdecrease sin sthe sheart srate
What sinitially scauses sa schemoreceptor sresponse?
a. sEpidurals
b. sSupine smaternal sposition
c. sIncreased sCO2 slevels
d. sDecreased sO2 slevels
e. sA s& sC
f. sA s& sB
g. sC s& sD s- sans--g. sC s& sD
The svagus snerve sbegins smaturation s26 sto s28 sweeks. sIts sdominance sresults sin swhat
seffect sto sthe sFHR sbaseline?
a. sIncreases sbaseline
b. sDecreases sbaseline s- sans--b. sDecreases sbaseline
T/F: sOxygen sexchange sin sthe splacenta stakes splace sin sthe sintervillous sspace. s- sans--
True
T/F: sThe sparasympathetic snervous ssystem sis sa scardioaccelerator. s- sans--False
,T/F: sBaroreceptors sare sstretch sreceptors swhich srespond sto sincreases sor sdecreases sin
sblood spressure. s- sans--True
T/F: sThere sare stwo selectronic sfetal smonitoring smethods sof sobtaining sthe sfetal sheart
srate: sthe sultrasound stransducer sand sthe sfetal sspiral selectrode. s- sans--True
T/F: sVariability scan sbe sdetermined swith sthe sfetoscope. s- sans--False
T/F: sBecause sthe sultrasound stransducer sand stoco stransducer sare ssealed sunits, sthey
scan sbe sdipped sin swarm swater sto smake scleaning seasier. s- sans--False
T/F: sThe smost scommon sartifact swith sthe sultrasound stransducer ssystem sfor sfetal sheart
srate sis sincreased svariability. s- sans--True
T/F: sAll sfetal smonitors scontain sa slogic ssystem sdesigned sto sreject sartifact. s- sans--True
T/F: sThe smonitor sshould salways sbe stested sbefore sstarting sa stracing, seither sexternal sor
sinternal smode sand slabeled sa stest. s- sans--True
T/F: sThe spaper sspeed son sthe sfetal smonitor sshould salways sbe sset sat s1cm/min. s- sans--
False
T/F: sBoth sinternal sand sexternal smonitoring smethods sare sequally saccurate smeans sof
sobtaining sthe sfetal sheart srate sand scontraction spatterns. s- sans--False
T/F: sThe sexternal stoco sis susually splaced sover sthe suterine sfundus sto spick sup
scontractions. s- sans--True
T/F: sThe sexternal stoco sgives smeasurable suterine spressure. s- sans--False
T/F: sThe sfetal sspiral selectrode scan sbe splaced swhen svaginal sbleeding sof sunknown
sorigin sis spresent. s- sans--False
T/F: sThe sultrasound stransducer sis susually splaced son sthe sside sof sthe suterus sover sthe
sbaby's sback, sas sthe sfetal sheart sis sheard sbest sthere. s- sans--True
T/F: sThe sspiral selectrode sis sused sto smore saccurately sdetermine sthe sfrequency,
sduration, sand sintensity sof suterine scontractions. s- sans--False
T/F: sThe sheart srate sfrom sa swell-applied sfetal sspiral selectrode scan sonly sbe sfetal, snot
smaternal. s- sans--False
T/F: sThe sintrauterine scatheter sis sused sto spick sup sthe sfetal sheart srate. s- sans--False
T/F: sThe sinternal sspiral selectrode smay spick sup sthe smaternal sheart srate sif sthe sbaby shas
sdied. s- sans--True
,T/F: sFetal sarrhythmias scan sbe sseen son sboth sinternal sand sexternal smonitor stracings. s-
sans--True
T/F: sVariability sand speriodic schanges scan sbe sdetected swith sboth sinternal sand sexternal
smonitoring. s- sans--True
T/F: sVariable sdecelerations sare sa sresult sof scord scompression. s- sans--True
T/F: sThe spresence sof sFHR saccelerations sin sthe sintrapartum sand santepartum speriods
sis sa ssign sof sadequate sfetal soxygenation. s- sans--True
T/F: sVariable sdecelerations sare sa svagal sresponse. s- sans--True
T/F: sLate sdecelerations shave sa sgradual sdecrease sin sFHR s(onset sto snadir s30 sseconds)
sand sare sdelayed sin stiming swith sthe snadir sof sthe sdeceleration soccurring safter sthe speak
sof sthe scontraction. s- sans--True
T/F: sThe sfetal sheart srate sbaseline scan sbe sdetermined sduring speriods sof smarked
svariability. s- sans--False
T/F: sAnything sthat saffects smaternal sblood sflow s(cardiac soutput) scan saffect sthe sblood
sflow sthrough sthe splacenta. s- sans--True
T/F: sVariable sdecelerations sare sthe smost sfrequently sseen sfetal sheart srate sdeceleration
spattern sin slabor. s- sans--True
T/F: sMinimal svariability sis salways san sindicator sof shypoxia sand sa sCesarean ssection sis
sindicated. s- sans--False
What sis syour sfirst sintervention sin smanagement sof sa spatient sexperiencing svariable
sdecelerations?
a. sImmediate sdelivery
b. sChange smaternal sposition
c. sNo streatment sindicated
d. sOxygen
e. sStop soxytocin sinfusion s- sans--b. sChange smaternal sposition
Etiology sof sa sbaseline sFHR sof s165bpm soccurring sfor sthe slast shour scan sbe:
1. sMaternal ssupine shypotension
2. sMaternal sfever
3. sMaternal sdehydration
4. sUnknown
a. s1 sand s2
b. s1, s2 sand s3
c. s2, s3 sand s4 s- sans--c. s2, s3 sand s4
, What sis sthe smost sprobable scause sof srecurrent slate sdecelerations?
a. sUtero-placental sinsufficiency
b. sHead scompression
c. sCord scompression
d. sMaternal sposition schange s- sans--a. sUtero-placental sinsufficiency
The smost sprevalent srisk sfactor sassociated swith sfetal sdeath sbefore sthe sonset sof slabor
sis:
a. sLow ssocioeconomic sstatus
b. sFetal smalpresentation
c. sUteroplacental sinsufficiency
d. sUterine sanomalies s- sans--c. sUteroplacental sinsufficiency
Which sof sthe sfollowing sis sNOT sused sfor santepartum sfetal ssurveillance?
a. sFetal smovement scounting
b. sAntepartum sfetal sheart srate stesting
c. sBiophysical sprofile stesting
d. sMaternal sHCG slevels s- sans--d. sMaternal sHCG slevels
Which sof sthe sfollowing sconditions sis snot san sindication sfor santepartum sfetal
ssurveillance?
a. sGestational shypertension
b. sDiabetes sin spregnancy
c. sFetus sin sbreech spresentation
d. sDecreased sfetal smovement s- sans--c. sFetus sin sbreech spresentation
Which sof sthe sfollowing sdoes snot saffect sthe sdegree sof sfetal sactivity?
a. sVibroacoustic sstimulation
b. sSmoking
c. sFetal sposition
d. sGestational sage s- sans--a. sVibroacoustic sstimulation
To sbe sconsidered sreactive, sa snonstress stest smust shave:
a. s4 sfetal sheart srate saccelerations sin sa s20 sminute swindow
b. s2 sfetal sheart srate saccelerations sin sa s10 sminute swindow
c. s4 sfetal sheart srate saccelerations sin sa s40 sminute swindow
d. s2 sfetal sheart srate saccelerations sin sa s20 sminute swindow s- sans--d. s2 sfetal sheart srate
saccelerations sin sa s20 sminute swindow
If sa snonstress stest sis snonreactive safter s40 sminutes, sthe snext sstep sshould sbe:
a. sHave sthe sclient sgo shome sand sdo sfetal smovement scounts
b. sDo sa sbiophysical sprofile sor scontraction sstress stest
c. sRepeat sthe snonstress stest swithin sa sweek
d. sAdmit sthe sclient sfor sdelivery s- sans--b. sDo sa sbiophysical sprofile sor scontraction sstress
stest
CERTIFICATION QUESTIONS WITH
CORRECT ANSWERS
Which sof sthe sfollowing sfactors scan shave sa snegative seffect son suterine sblood sflow?
a. sHypertension
b. sEpidural
c. sHemorrhage
d. sDiabetes
e. sAll sof sthe sabove s- sans--e. sAll sof sthe sabove
How sdoes sthe sfetus scompensate sfor sdecreased smaternal scirculating svolume?
a. sIncreases scardiac soutput sby sincreasing sstroke svolume.
b. sIncreases scardiac soutput sby sincreasing sit's sheart srate.
c. sIncreases scardiac soutput sby sincreasing sfetal smovement. s- sans--b. sIncreases scardiac
soutput sby sincreasing sit's sheart srate.
Stimulating sthe svagus snerve stypically sproduces:
a. sA sdecrease sin sthe sheart srate
b. sAn sincrease sin sthe sheart srate
c. sAn sincrease sin sstroke svolume
d. sNo schange s- sans--a. sA sdecrease sin sthe sheart srate
What sinitially scauses sa schemoreceptor sresponse?
a. sEpidurals
b. sSupine smaternal sposition
c. sIncreased sCO2 slevels
d. sDecreased sO2 slevels
e. sA s& sC
f. sA s& sB
g. sC s& sD s- sans--g. sC s& sD
The svagus snerve sbegins smaturation s26 sto s28 sweeks. sIts sdominance sresults sin swhat
seffect sto sthe sFHR sbaseline?
a. sIncreases sbaseline
b. sDecreases sbaseline s- sans--b. sDecreases sbaseline
T/F: sOxygen sexchange sin sthe splacenta stakes splace sin sthe sintervillous sspace. s- sans--
True
T/F: sThe sparasympathetic snervous ssystem sis sa scardioaccelerator. s- sans--False
,T/F: sBaroreceptors sare sstretch sreceptors swhich srespond sto sincreases sor sdecreases sin
sblood spressure. s- sans--True
T/F: sThere sare stwo selectronic sfetal smonitoring smethods sof sobtaining sthe sfetal sheart
srate: sthe sultrasound stransducer sand sthe sfetal sspiral selectrode. s- sans--True
T/F: sVariability scan sbe sdetermined swith sthe sfetoscope. s- sans--False
T/F: sBecause sthe sultrasound stransducer sand stoco stransducer sare ssealed sunits, sthey
scan sbe sdipped sin swarm swater sto smake scleaning seasier. s- sans--False
T/F: sThe smost scommon sartifact swith sthe sultrasound stransducer ssystem sfor sfetal sheart
srate sis sincreased svariability. s- sans--True
T/F: sAll sfetal smonitors scontain sa slogic ssystem sdesigned sto sreject sartifact. s- sans--True
T/F: sThe smonitor sshould salways sbe stested sbefore sstarting sa stracing, seither sexternal sor
sinternal smode sand slabeled sa stest. s- sans--True
T/F: sThe spaper sspeed son sthe sfetal smonitor sshould salways sbe sset sat s1cm/min. s- sans--
False
T/F: sBoth sinternal sand sexternal smonitoring smethods sare sequally saccurate smeans sof
sobtaining sthe sfetal sheart srate sand scontraction spatterns. s- sans--False
T/F: sThe sexternal stoco sis susually splaced sover sthe suterine sfundus sto spick sup
scontractions. s- sans--True
T/F: sThe sexternal stoco sgives smeasurable suterine spressure. s- sans--False
T/F: sThe sfetal sspiral selectrode scan sbe splaced swhen svaginal sbleeding sof sunknown
sorigin sis spresent. s- sans--False
T/F: sThe sultrasound stransducer sis susually splaced son sthe sside sof sthe suterus sover sthe
sbaby's sback, sas sthe sfetal sheart sis sheard sbest sthere. s- sans--True
T/F: sThe sspiral selectrode sis sused sto smore saccurately sdetermine sthe sfrequency,
sduration, sand sintensity sof suterine scontractions. s- sans--False
T/F: sThe sheart srate sfrom sa swell-applied sfetal sspiral selectrode scan sonly sbe sfetal, snot
smaternal. s- sans--False
T/F: sThe sintrauterine scatheter sis sused sto spick sup sthe sfetal sheart srate. s- sans--False
T/F: sThe sinternal sspiral selectrode smay spick sup sthe smaternal sheart srate sif sthe sbaby shas
sdied. s- sans--True
,T/F: sFetal sarrhythmias scan sbe sseen son sboth sinternal sand sexternal smonitor stracings. s-
sans--True
T/F: sVariability sand speriodic schanges scan sbe sdetected swith sboth sinternal sand sexternal
smonitoring. s- sans--True
T/F: sVariable sdecelerations sare sa sresult sof scord scompression. s- sans--True
T/F: sThe spresence sof sFHR saccelerations sin sthe sintrapartum sand santepartum speriods
sis sa ssign sof sadequate sfetal soxygenation. s- sans--True
T/F: sVariable sdecelerations sare sa svagal sresponse. s- sans--True
T/F: sLate sdecelerations shave sa sgradual sdecrease sin sFHR s(onset sto snadir s30 sseconds)
sand sare sdelayed sin stiming swith sthe snadir sof sthe sdeceleration soccurring safter sthe speak
sof sthe scontraction. s- sans--True
T/F: sThe sfetal sheart srate sbaseline scan sbe sdetermined sduring speriods sof smarked
svariability. s- sans--False
T/F: sAnything sthat saffects smaternal sblood sflow s(cardiac soutput) scan saffect sthe sblood
sflow sthrough sthe splacenta. s- sans--True
T/F: sVariable sdecelerations sare sthe smost sfrequently sseen sfetal sheart srate sdeceleration
spattern sin slabor. s- sans--True
T/F: sMinimal svariability sis salways san sindicator sof shypoxia sand sa sCesarean ssection sis
sindicated. s- sans--False
What sis syour sfirst sintervention sin smanagement sof sa spatient sexperiencing svariable
sdecelerations?
a. sImmediate sdelivery
b. sChange smaternal sposition
c. sNo streatment sindicated
d. sOxygen
e. sStop soxytocin sinfusion s- sans--b. sChange smaternal sposition
Etiology sof sa sbaseline sFHR sof s165bpm soccurring sfor sthe slast shour scan sbe:
1. sMaternal ssupine shypotension
2. sMaternal sfever
3. sMaternal sdehydration
4. sUnknown
a. s1 sand s2
b. s1, s2 sand s3
c. s2, s3 sand s4 s- sans--c. s2, s3 sand s4
, What sis sthe smost sprobable scause sof srecurrent slate sdecelerations?
a. sUtero-placental sinsufficiency
b. sHead scompression
c. sCord scompression
d. sMaternal sposition schange s- sans--a. sUtero-placental sinsufficiency
The smost sprevalent srisk sfactor sassociated swith sfetal sdeath sbefore sthe sonset sof slabor
sis:
a. sLow ssocioeconomic sstatus
b. sFetal smalpresentation
c. sUteroplacental sinsufficiency
d. sUterine sanomalies s- sans--c. sUteroplacental sinsufficiency
Which sof sthe sfollowing sis sNOT sused sfor santepartum sfetal ssurveillance?
a. sFetal smovement scounting
b. sAntepartum sfetal sheart srate stesting
c. sBiophysical sprofile stesting
d. sMaternal sHCG slevels s- sans--d. sMaternal sHCG slevels
Which sof sthe sfollowing sconditions sis snot san sindication sfor santepartum sfetal
ssurveillance?
a. sGestational shypertension
b. sDiabetes sin spregnancy
c. sFetus sin sbreech spresentation
d. sDecreased sfetal smovement s- sans--c. sFetus sin sbreech spresentation
Which sof sthe sfollowing sdoes snot saffect sthe sdegree sof sfetal sactivity?
a. sVibroacoustic sstimulation
b. sSmoking
c. sFetal sposition
d. sGestational sage s- sans--a. sVibroacoustic sstimulation
To sbe sconsidered sreactive, sa snonstress stest smust shave:
a. s4 sfetal sheart srate saccelerations sin sa s20 sminute swindow
b. s2 sfetal sheart srate saccelerations sin sa s10 sminute swindow
c. s4 sfetal sheart srate saccelerations sin sa s40 sminute swindow
d. s2 sfetal sheart srate saccelerations sin sa s20 sminute swindow s- sans--d. s2 sfetal sheart srate
saccelerations sin sa s20 sminute swindow
If sa snonstress stest sis snonreactive safter s40 sminutes, sthe snext sstep sshould sbe:
a. sHave sthe sclient sgo shome sand sdo sfetal smovement scounts
b. sDo sa sbiophysical sprofile sor scontraction sstress stest
c. sRepeat sthe snonstress stest swithin sa sweek
d. sAdmit sthe sclient sfor sdelivery s- sans--b. sDo sa sbiophysical sprofile sor scontraction sstress
stest
