NCC EFM PRACTICE EXAM QUESTIONS AND
ANSWERS ACCURATE AND VERIFIED.
Which of the following is one example of a fetal tachyarrhythmia?
A. Second-degree heart block, Type I
B. Atrial fibrillation
C. Premature atrial contraction (PAC)
B. Atrial fibrillation
(T/F) Sinus bradycardias, sinus tachycardias, and sinus arrhythmias are all
associated with normal conduction (normal P-waves followed by narrow QRS
complexes).
True
(T/F) An internal scalp electrode will detect the actual fetal ECG.
True
(T/F) An internal scalp electrode can solely diagnose a fetal dysrhythmia.
False
_____ are patterns of abnormal FHR associated with variability in R-to-R intervals,
but with normal P-waves preceding normal QRS complexes.
A. Arrhythmias
B. Complete heart blocks
C. Dysrhythmias
A. Arrhythmias
_____ are abnormal FHR rhythms associated with disordered impulse formation,
conduction, or both.
A. Arrhythmias
B. Supraventricular tachycardias
C. Dysrhythmias
C. Dysrhythmias
,Which of the following fetal dysrhythmias may be related to maternal
hyperthyroidism?
A. Sinus tachycardia
B. Premature atrial contractions (PACs)
C. Third-degree heart block
B. Premature atrial contractions (PACs)
With _____ premature ventricular contractions (PVCs), the baseline and variability
are obscured.
A. Idioventricular
B. Bigeminal
C. Trigeminal
B. Bigeminal
With _____ premature ventricular contractions (PVCs), the upward spikes will be
slightly longer than the downward spikes.
A. Idioventricular
B. Bigeminal
C. Trigeminal
C. Trigeminal
Which of the following dysrhythmias may progress to atrial fibrillation or atrial
flutter?
A. Premature atrial contractions (PACs)
B. Supraventricular tachycardia (SVT)
C. Sinus tachycardia
B. Supraventricular tachycardia (SVT)
Which of the following is not commonly caused by administration of
indomethacin?
A. Decreased fetal urine (decreased amniotic fluid index [AFI])
B. Decreased FHR baseline
C. Increased variable decelerations
B. Decreased FHR baseline
,Which of the following is not commonly caused by terbutaline administration?
A. Increased FHR baseline
B. Decreased FHR late decelerations
C. Increased maternal HR
B. Decreased FHR late decelerations
Which of the following is not commonly caused by nifedipine administration?
A. Maternal hypotension
B. Decreased uterine blood flow
C. Increased FHR accelerations
C. Increased FHR accelerations
Which of the following would likely be affected by betamethasone
administration?
A. Fetal echocardiogram
B. Biophysical profile (BPP) score
C. Contraction stress test (CST)
B. Biophysical profile (BPP) score
Fetal breathing decreased with betamethasone administration
Which of the following is not typically associated with a postterm pregnancy?
A. Meconium-stained amniotic fluid
B. Presence of late decelerations in the fetal heart rate
C. Polyhydramnios
C. Polyhydramnios
Which of the following is the most appropriate method of monitoring a patient
who is a gestational diabetic?
A. Daily NSTs
B. Twice-weekly BPPs
C. Weekly contraction stress tests
B. Twice-weekly BPPs
, Which of the following is not commonly caused by magnesium sulfate?
A. Increased FHR baseline
B. Decreased FHR variability
C. Decreased FHR accelerations
A. Increased FHR baseline
pH 6.9, PO2 15, PCO2 55, HCO3 18, BE -22
The nurse reviews the arterial gas results and concludes that the fetus had _____
acidosis. With results such as these, you would expect a _____ resuscitation.
A. Metabolic; lengthy
B. Metabolic; short
C. Respiratory; lengthy
A. Metabolic; lengthy
Which of the following umbilical artery cord gases would most likely result in a
fetus who had a Category I strip, then had a cord prolapse and was delivered
within 3 minutes?
A. pH 7.17, PO2 22, PCO2 70, HCO3 24, BE -5
B. pH 7.25, PO2 23, PCO2 46, HCO3 22, BE -8
C. pH 7.02, PO2 18, PCO2 56, HCO3 15, BE -18
A. pH 7.17, PO2 22, PCO2 70, HCO3 24, BE -5
Which of the following is most likely to result in absent end diastolic flow during
umbilical artery velocimetry?
A. Preeclampsia
B. Preterm labor
C. Previous cesarean delivery
A. Preeclampsia
A contraction stress test (CST) is performed. Late decelerations were noted in two
out of the five contractions in 10 minutes. This is interpreted as
A. Positive
B. Negative
C. Suspicious
C. Suspicious
ANSWERS ACCURATE AND VERIFIED.
Which of the following is one example of a fetal tachyarrhythmia?
A. Second-degree heart block, Type I
B. Atrial fibrillation
C. Premature atrial contraction (PAC)
B. Atrial fibrillation
(T/F) Sinus bradycardias, sinus tachycardias, and sinus arrhythmias are all
associated with normal conduction (normal P-waves followed by narrow QRS
complexes).
True
(T/F) An internal scalp electrode will detect the actual fetal ECG.
True
(T/F) An internal scalp electrode can solely diagnose a fetal dysrhythmia.
False
_____ are patterns of abnormal FHR associated with variability in R-to-R intervals,
but with normal P-waves preceding normal QRS complexes.
A. Arrhythmias
B. Complete heart blocks
C. Dysrhythmias
A. Arrhythmias
_____ are abnormal FHR rhythms associated with disordered impulse formation,
conduction, or both.
A. Arrhythmias
B. Supraventricular tachycardias
C. Dysrhythmias
C. Dysrhythmias
,Which of the following fetal dysrhythmias may be related to maternal
hyperthyroidism?
A. Sinus tachycardia
B. Premature atrial contractions (PACs)
C. Third-degree heart block
B. Premature atrial contractions (PACs)
With _____ premature ventricular contractions (PVCs), the baseline and variability
are obscured.
A. Idioventricular
B. Bigeminal
C. Trigeminal
B. Bigeminal
With _____ premature ventricular contractions (PVCs), the upward spikes will be
slightly longer than the downward spikes.
A. Idioventricular
B. Bigeminal
C. Trigeminal
C. Trigeminal
Which of the following dysrhythmias may progress to atrial fibrillation or atrial
flutter?
A. Premature atrial contractions (PACs)
B. Supraventricular tachycardia (SVT)
C. Sinus tachycardia
B. Supraventricular tachycardia (SVT)
Which of the following is not commonly caused by administration of
indomethacin?
A. Decreased fetal urine (decreased amniotic fluid index [AFI])
B. Decreased FHR baseline
C. Increased variable decelerations
B. Decreased FHR baseline
,Which of the following is not commonly caused by terbutaline administration?
A. Increased FHR baseline
B. Decreased FHR late decelerations
C. Increased maternal HR
B. Decreased FHR late decelerations
Which of the following is not commonly caused by nifedipine administration?
A. Maternal hypotension
B. Decreased uterine blood flow
C. Increased FHR accelerations
C. Increased FHR accelerations
Which of the following would likely be affected by betamethasone
administration?
A. Fetal echocardiogram
B. Biophysical profile (BPP) score
C. Contraction stress test (CST)
B. Biophysical profile (BPP) score
Fetal breathing decreased with betamethasone administration
Which of the following is not typically associated with a postterm pregnancy?
A. Meconium-stained amniotic fluid
B. Presence of late decelerations in the fetal heart rate
C. Polyhydramnios
C. Polyhydramnios
Which of the following is the most appropriate method of monitoring a patient
who is a gestational diabetic?
A. Daily NSTs
B. Twice-weekly BPPs
C. Weekly contraction stress tests
B. Twice-weekly BPPs
, Which of the following is not commonly caused by magnesium sulfate?
A. Increased FHR baseline
B. Decreased FHR variability
C. Decreased FHR accelerations
A. Increased FHR baseline
pH 6.9, PO2 15, PCO2 55, HCO3 18, BE -22
The nurse reviews the arterial gas results and concludes that the fetus had _____
acidosis. With results such as these, you would expect a _____ resuscitation.
A. Metabolic; lengthy
B. Metabolic; short
C. Respiratory; lengthy
A. Metabolic; lengthy
Which of the following umbilical artery cord gases would most likely result in a
fetus who had a Category I strip, then had a cord prolapse and was delivered
within 3 minutes?
A. pH 7.17, PO2 22, PCO2 70, HCO3 24, BE -5
B. pH 7.25, PO2 23, PCO2 46, HCO3 22, BE -8
C. pH 7.02, PO2 18, PCO2 56, HCO3 15, BE -18
A. pH 7.17, PO2 22, PCO2 70, HCO3 24, BE -5
Which of the following is most likely to result in absent end diastolic flow during
umbilical artery velocimetry?
A. Preeclampsia
B. Preterm labor
C. Previous cesarean delivery
A. Preeclampsia
A contraction stress test (CST) is performed. Late decelerations were noted in two
out of the five contractions in 10 minutes. This is interpreted as
A. Positive
B. Negative
C. Suspicious
C. Suspicious
