NCC EFM ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST 2024 – 2025 ALREADY GRADED A+
Greater than 5 contractions in 10 minutes averaged over 30 minutes indicates
A. Excessive uterine activity
B. Hyperstimulation
C. Tachysystole - ANSWERS-C. Tachysystole
A 36 week gestation patient is brought to triage by squad after an MVA on her
back. She is not bleeding and denies pain. She is not short of breath, but c/o
dizziness and nausea since they put her on the gurney. The most likely cause is
A. Abruptio placenta
B. Preterm labor
C. Supine hypotension - ANSWERS-C. Supine hypotension
,One compensatory mechanism that helps maintain oxygen availability to the fetus
during maternal exercise is
A. A decrease in maternal hematocrit
B. Transient increase in uterine blood flow
C. An increase in uterine oxygen uptake - ANSWERS-C. An increase in uterine
oxygen uptake
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 - ANSWERS-a. A decrease in the heart rate
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 - ANSWERS-g. C & D
,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 - ANSWERS-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. - ANSWERS-b. Increases
cardiac output by increasing it's heart rate.
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 - ANSWERS-b. Decreases baseline
T/F: Oxygen exchange in the placenta takes place in the intervillous space. -
ANSWERS-True
T/F: The parasympathetic nervous system is a cardioaccelerator. - ANSWERS-False
, T/F: Baroreceptors are stretch receptors which respond to increases or decreases
in blood pressure. - ANSWERS-True
T/F: There are two electronic fetal monitoring methods of obtaining the fetal
heart rate: the ultrasound transducer and the fetal spiral electrode. - ANSWERS-
True
T/F: Variability can be determined with the fetoscope. - ANSWERS-False
T/F: Because the ultrasound transducer and toco transducer are sealed units, they
can be dipped in warm water to make cleaning easier. - ANSWERS-False
T/F: The most common artifact with the ultrasound transducer system for fetal
heart rate is increased variability. - ANSWERS-True
T/F: All fetal monitors contain a logic system designed to reject artifact. -
ANSWERS-True
T/F: The monitor should always be tested before starting a tracing, either external
or internal mode and labeled a test. - ANSWERS-True
T/F: The paper speed on the fetal monitor should always be set at 1cm/min. -
ANSWERS-False
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