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2024 NCC EFM EXAM WITH CORRECT ANSWERS
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2024 NCC EFM EXAM WITH CORRECT ANSWERS
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2024 NCC EFM EXAM WITHCORRECT ANSWERS
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 - CORRECT-ANSWERSa. A decrease in the 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 - CORRECT-ANSWERSb. Decreases 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 - CORRECT-ANSWERSB. Decreased FHR late
decelerations
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 - CORRECT-ANSWERSe. All of the above
Which of the following is not commonly caused by nifedipine administration?
A. Maternal hypotension
B. Decreased uterine blood flow
C. Increased FHR accelerations - CORRECT-ANSWERSC. 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) - CORRECT-ANSWERSB. 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 - CORRECT-ANSWERSC. 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 - CORRECT-ANSWERSB. 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 - CORRECT-ANSWERSA. 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 - CORRECT-ANSWERSA. 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 - CORRECT-ANSWERSA. 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 - CORRECT-ANSWERSA. 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 - CORRECT-ANSWERSC. Suspicious
A contraction stress test (CST) is performed. Two variable decelerations were
seen on the FHR tracing and there were four contractions in 10 minutes. This
is interpreted as
A. Positive
B. Negative
C. Suspicious - CORRECT-ANSWERSB. Negative
A contraction stress test (CST) is performed. No decelerations were noted
with the two contractions that occurred over 10 minutes. This is interpreted
as
A. Positive
B. Negative
C. Unsatisfactory - CORRECT-ANSWERSC. Unsatisfactory
T/F: The most common artifact with the ultrasound transducer system for
fetal heart rate is increased variability. - CORRECT-ANSWERSTrue
T/F: All fetal monitors contain a logic system designed to reject artifact. -
CORRECT-ANSWERSTrue
T/F: Fetal arrhythmias can be seen on both internal and external monitor
tracings. - CORRECT-ANSWERSTrue
T/F: Variability and periodic changes can be detected with both internal and
external monitoring. - CORRECT-ANSWERSTrue
T/F: Variable decelerations are a vagal response. - CORRECT-ANSWERSTrue
T/F: Variable decelerations are the most frequently seen fetal heart rate
deceleration pattern in labor. - CORRECT-ANSWERSTrue
Etiology of a baseline FHR of 165bpm occurring for the last hour can be:
1. Maternal supine hypotension
2. Maternal fever
3. Maternal dehydration
4. Unknown
a. 1 and 2
b. 1, 2 and 3
c. 2, 3 and 4 - CORRECT-ANSWERSc. 2, 3 and 4
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