NCC Electronic Fetal Monitoring
Certification
_____ are abnormal FHR rhythms associated with disordered impulse formation,
conduction, or both.
A. Arrhythmias
B. Supraventricular tachycardias
C. Dysrhythmias - correct answer-C. Dysrhythmias
_____ 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 - correct answer-A. Arrhythmias
_____ cord blood sampling is predictive of uteroplacental function.
A. Arterial
B. Venous
C. Maternal - correct answer-B. Venous
_____ denotes the ability of cardiac cells to conduct electrical impulses from one cell to
another.
A. Automaticity
B. Excitability
C. Conductivity - correct answer-C. Conductivity
_____ denotes the readiness of cardiac cells to receive and respond to electrical stimuli.
A. Automaticity
B. Excitability
C. Conductivity - correct answer-B. Excitability
_____ denotes the spontaneous, rhythmic depolarization of cardiac cells.
A. Automaticity
B. Excitability
C. Conductivity - correct answer-A. Automaticity
_______ _______ occurs when the HCO3 concentration is higher than normal.
A. Base deficit
B. Base excess
C. Metabolic acidosis - correct answer-B. Base excess
_______ _______ occurs when the HCO3 concentration is lower than normal.
A. Base deficit
B. Base excess
C. Metabolic acidosis - correct answer-A. Base deficit
,_______ _______ occurs when there is high PCO2 with normal bicarbonate levels.
A. Metabolic acidosis
B. Respiratory acidosis
C. Metabolic alkalosis - correct answer-B. Respiratory acidosis
_______ _______ occurs when there is low bicarbonate (base excess) in the presence of
normal pressure of carbon dioxide (PCO2) values.
A. Metabolic acidosis
B. Respiratory acidosis
C. Metabolic alkalosis - correct answer-A. Metabolic acidosis
_______ are protective stretch receptors located in the aortic arch and the carotid sinuses at
the bifurcation of the external and internal carotid arteries.
A. Baroreceptors
B. Chemoreceptors
C. Arteries - correct answer-A. Baroreceptors
_______ decelerations occur with greater than or equal to 50% of contractions.
A. Recurrent
B. Intermittent
C. Repetitive - correct answer-A. Recurrent
_______ decelerations occur with less than 50% of contractions.
A. Recurrent
B. Intermittent
C. Repetitive - correct answer-B. Intermittent
_______ denotes a decrease in oxygen content of the fetal blood.
A. Hypercapnia
B. Hypoxia
C. Hypoxemia - correct answer-C. Hypoxemia
_______ denotes a decrease in oxygenation of the fetal tissues.
A. Hypercapnia
B. Hypoxia
C. Hypoxemia - correct answer-B. Hypoxia
_______ denotes an increase in carbon dioxide in the fetal blood.
A. Hypercapnia
B. Hypoxia
C. Hypoxemia - correct answer-A. Hypercapnia
_______ denotes an increase in hydrogen ions in the fetal blood.
A. Acidosis
B. Acidemia
C. Hypercapnia - correct answer-B. Acidemia
,_______ denotes an increase in hydrogen ions in the fetal tissues.
A. Acidosis
B. Acidemia
C. Hypercapnia - correct answer-A. Acidosis
_______ FHR patterns are those associated with uterine contractions.
A. Periodic
B. Episodic
C. Recurrent
D. Irregular - correct answer-A. Periodic
_______ FHR patterns are those that are not associated with uterine contractions.
A. Periodic
B. Episodic
C. Recurrent
D. Irregular - correct answer-B. Episodic
_______ is defined as the energy-consuming process of metabolism. - correct
answer-Anabolism
_______ is defined as the energy-releasing process of metabolism. - correct
answer-Catabolism
_______ primarily function(s) to regulate respiratory activity and control circulation by
responding to changes in arterial PO2, PCO2, and acid-base balance.
A. Baroreceptors
B. Chemoreceptors
C. Cardioregulatory center - correct answer-B. Chemoreceptors
_______ represents increased sympathetic or decreased parasympathetic autonomic tone.
A. Bradycardia
B. Tachycardia - correct answer-B. Tachycardia
_______ respond to increases in fetal arterial blood pressure by detecting the amount of
stretch and sending impulses via the vagus nerve to the midbrain, decreasing FHR, CO, and
BP.
A. Baroreceptors
B. Chemoreceptors
C. Veins - correct answer-A. Baroreceptors
_______ variability warrants cesarean section delivery.
A. Minimal
B. Moderate
C. Marked
D. Absent - correct answer-D. Absent
(T/F) An internal scalp electrode can solely diagnose a fetal dysrhythmia. - correct
answer-False
, (T/F) An internal scalp electrode will detect the actual fetal ECG. - correct answer-True
(T/F) Contractions during a contraction stress test (CST) may be spontaneous or induced
with oxytocin or nipple stimulation. - correct answer-True
(T/F) Metabolic acidosis is more easily reversible and potentially less detrimental to the fetus
when compared to respiratory acidosis. - correct answer-False
(T/F) Sinus bradycardias, sinus tachycardias, and sinus arrhythmias are all associated with
normal conduction (normal P-waves followed by narrow QRS complexes). - correct
answer-True
(T/F) The baseline can be established in a fetal heart rate tracing in which there is marked
variability. - correct answer-False
(T/F) There is a strong correlation between arterial cord blood gas results and Apgar scores.
- correct answer-False
(T/F) Vibroacoustic stimulation may be less effective for preterm fetuses or when
membranes have been ruptured. - correct answer-True
A 35 week gestation fetus is having an NST. The fetal heart rate baseline is 130 bpm. The
nurse is using vibroacoustic stimulation to reduce the length of time needed to obtain the
NST. Fetal well-being requires
A. 1 acceleration to 145 bpm
B. 2 accelerations to 140 bpm
C. 2 accelerations to at least 145 bpm - correct answer-C. 2 accelerations to at least 145
bpm
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 - correct answer-C. Supine hypotension
A 42 week gestation woman has been diagnosed with oligohydramnios. Based on this, a
FHR change that can be expected is
A. Late deceleration
B. Minimal variability
C. Variable deceleration - correct answer-C. Variable deceleration
A BPP score of 6 is considered
A. Abnormal
B. Normal
C. Equivocal - correct answer-C. Equivocal
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