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NCC EFM fetal monitoring practice quizzes part 1 Questions and and answers.
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- NCC Electronic Fetal Monitoring Certification
NCC EFM fetal monitoring practice quizzes part 1 Questions and and answers.
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NCC EFM fetal monitoring practicequizzes part 1
1. A woman in the first stage of labor is to have a direct fetal scalp electrode placed.
The fetal presenting part is not engaged but membranes have been ruptured. Placement of
the fetal scalp electrode increases the risk of
a. cord prolapse
b. prolonged labor
c neonatal hematoma - correct answer-a
2. When variable decelerations persist despite intrauterine resuscitation, a factor that would
lead to consideration of letting labor continue to delivery is
a. acceleration after vibroacoustion
b. regular fetal breathing motions
c. no tachysystole - correct answer-a
A biophysical profile would be considered abnormal despite adequate scoring if there was
a. an amniotic fluid index equal to or lower than 5
b. less than 3 gross body movements
c. no flexion of limb, trunk or hand - correct answer-a. an amniotic fluid index equal to or
lower than 5
A characteristic of a sinusoidal heart rate pattern is
a. amplitude of 5 to 15 beats/min above and below the baseline
b. a fixed baseline variability range for 10 or more minutes
c. bradycardia with regular oscillation pattern - correct answer-a
A characteristic of an acceleration is that it
a. has a sustained peak of 30 seconds
b. must be at least 15 beats per minute above baseline
c. must occur more than once in a 10 minute period - correct answer-b. must be at least 15
beats per minute above baseline
A characteristic of tachysystole is that it
a. is determined over a 30-minute period of time
b. is never spontaneously induced
c. reflects fetal hypoxia - correct answer-a. is determined over a 30-minute period of time
A characteristic of variable decelerations is: - correct answer-Correct answer: The onset of
the deceleration is abrupt
,Rationale for answer:
Variable decelerations are defined as an abrupt (onset to beginning of nadir 30 seconds)
decrease in the fetal heart rate below the
baseline.
A Cochrane review showed the effectiveness of continuous EFM during labor and resulted in
a reduced risk of
a.cerebral palsy
b. neonatal mortality
c. seizures - correct answer-c. seizures
A contraction pattern that is likely to occur in the presence of placental abruption is
a. high frequency low amplitude uterine contractions
b. intermittent uterine hypotonicity
c. uterine tachysystole - correct answer-a. high frequency low amplitude uterine contractions
A discrepancy between fundal height and gestational age requires further evaluation with
a. nonstress testing
b. repeat fundal measurement one month later
c. ultrasound - correct answer-c. ultrasound
A fetal baseline rate of 100 beats per minute is considered
a. bradycardia
b. indeterminate
c. within normal range - correct answer-a. bradycardia
A fetal heart rate tracing shows
baseline 120bpm
variability minimal
contraction pattern: 4 contractions in 10 minutes at 25 mg/Hg
decelerations: recurrent late decelerations
a. Category II tracing
b. fetal neurological anomaly
c. metabolic acidosis - correct answer-a. Category II tracing
Baseline FHR variability:
Minimal,
Absent not accompanied by recurrent decelerations (if accompanied, it's cat 3)
Marked baseline variability
A fetal heart rate tracing that has been category I for the last two hours develops minimal
variability. Intrauterine resuscitation efforts are initiated and the tracing returns to normal.
, After 30 minutes of a normal pattern, it then reverts to minimal variability. According to the
Clark algorithm, the
a. algorithm no longer applied
b. algorithm should be reapplied
c. should now be treated as a category 3 tracing - correct answer-b. algorithm should be
reapplied
A fetal heart structural defect is diagnosed prenatally. It can be anticipated that the fetal
heart rate tracing will demonstrate
a. arrhythmias
b. bradycardia
c. normal characteristics - correct answer-b. bradycardia
A fetus exposed to oxygenation compromise is capable of several adaptive responses which
can be categorized into those affecting metabolism and oxygen
a. perfusion
b. saturation
c. transport - correct answer-c. transport
A key patient safety goal to reduce adverse neonatal outcomes has been identified as use of
a. a standardized system of FHR interpretation
b. algorithms to manage EFM emergencies
c. interprofessional EFM simulation exercises - correct answer-a. a standardized system of
FHR interpretation
A loss of beat to beat variability with an unstable baseline followed by profound bradycardia
is characteristic of
a. impending fetal demise
b. placental abruption
c. uterine rupture - correct answer-a. impending fetal demise
A maternal factor predisposing the fetus to intrauterine growth restriction is
a. chlamydia exposure in utero
b. gestational diabetes
c. sickle cell anemia - correct answer-c. sickle cell anemia
A physiologic cause of variable decelerations is
a. cord compression
b. disruption in oxygen pathway
c. excessive uterine activity - correct answer-a. cord compression
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