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NCC EFM fetal monitoring practice quizzes part 1 with answers verified by experts.NCC EFM fetal monitoring practice quizzes part 1 with answers verified by experts.NCC EFM fetal monitoring practice quizzes part 1 with answers verified by experts.NCC EFM fetal monitoring practice quizzes part 1 with...

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  • September 8, 2024
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NCC EFM fetal
monitoring practice quizzes part 1
with answers verified by experts




1. iA iwoman iin ithe ifirst istage iof ilabor iis ito ihave ia idirect ifetal iscalp ielectrode iplaced.

The ifetal ipresenting ipart iis inot iengaged ibut imembranes ihave ibeen iruptured. iPlacement iof ithe ifetal
iscalp ielectrode iincreases ithe irisk iof




a. icord iprolapse

b. iprolonged ilabor i

c ineonatal ihematoma i- icorrect iAnswers i✔✔ i-a

2. iWhen ivariable idecelerations ipersist idespite iintrauterine iresuscitation, ia ifactor ithat iwould ilead ito
iconsideration iof iletting ilabor icontinue ito idelivery iis


a. iacceleration iafter ivibroacoustion

b. iregular ifetal ibreathing imotions

c. ino itachysystole i- icorrect iAnswers i✔✔ i-a

A icharacteristic iof ia isinusoidal iheart irate ipattern iis



a. iamplitude iof i5 ito i15 ibeats/min iabove iand ibelow ithe ibaseline

b. ia ifixed ibaseline ivariability irange ifor i10 ior imore iminutes

c. ibradycardia iwith iregular ioscillation ipattern i- icorrect iAnswers i✔✔ i-a

Since ithe iintroduction iof ielectronic ifetal imonitoring, iwhat ieffects ihave ioccurred?



a. iBetter iearly idetection iof ihypoxic iischemic iencephalopathy

,b. iDecreased iincidence iof icerebral ipalsy

c. iIncreased iincidence iof icesarean idelivery i- icorrect iAnswers i✔✔ i-c. iIncreased iincidence iof icesarean
idelivery


Oligohydramnios iis idefined ion ithe ibiophysical iprofile ias



a. iamniotic ifluid iindex ifalling ibelow ithe ithreshold iof i5 icm

b. ino isingle imeasurable ivertical ipocket iof ifluid igreater ithan i2 icm

c. iall ifour iquadrant ipockets iof ifluid ibeing iless ithan i6 icm i- icorrect iAnswers i✔✔ i-b. ino isingle
imeasurable ivertical ipocket iof ifluid igreater ithan i2 icm


The ioptimal iantepartum ifetal itesting istrategy iwould iidentify ian iat irisk ifetus iprior ito ian iirreversible
ievent iwhile




a. icinfirming ifetal iviability

b. iminimizing iiatrogenic iprematurity

c. ipreventing iprogression iof ifetal icomplications i- icorrect iAnswers i✔✔ i-b. iminimizing iiatrogenic
iprematurity


Accelerations ion ithe ielectronic ifetal imonitoring iin ithe iintrapartum iperiod



a. iare inot irequired ifor ithe itracing ito ibe iconsidered inormal

b. imust ishow i15 ibeats ix i15 iseconds iacceleration ito ibe icategorized ias isuch

c. inormal iEFM itracings iwithout iaccelerations iare iassigned ia icategory iII idesignation i- icorrect iAnswers
i✔✔ i-a. iare inot irequired ifor ithe itracing ito ibe iconsidered inormal


Myometrial icompression iof ithe ispiral iarteries iis ithe iunderlying icause iof i



a. ilate idecelerations

b. isinusoidal ipattern

c. ivariable idecelerations i- icorrect iAnswers i✔✔ i-a. ilate idecelerations

,The iphysiologic ibasis iof ithe ibiophysical iprofile iis ithat ifetal imovement idecreases iwith



a. idepressed icentral inervous isystem

b. iincreasing ihypoxia

c. ireduced icardiac ifunction i- icorrect iAnswers i✔✔ i-b. iincreasing ihypoxia

There iare idifferent icriteria ifor inonstress itest ievaluation ibetween ipreterm iand iterm ifetuses ibecause
iin ithe ipreterm ifetus




a. iheart irate iis ioften iincreased

b. imagnitude iof iaccelerations ican ivary iover itime

c. ifetal iheart irate ivariability iis imore isensitive ito iuterine i- icorrect iAnswers i✔✔ i-b. imagnitude iof
iaccelerations ican ivary iover itime


The iminimal ibaseline iduration ion ian ielectronic ifetal imonitor imust ibe iat ileast i2 iminutes iin iany
igiven iwindow ifor ihow imany iminutes?




a. i5

b. i10

c. i20 i- icorrect iAnswers i✔✔ i-b. i10

To idetermine iif ia ifetal iheart irate itracing ishould ibe iassigned ia icategory iIII idesignation iabsent
ivariability, iwhich iof ithe ifollowing ishould ibe ipresent?




a. ibradycardia

b. itachycardia

c. iprolonged ideceleration i- icorrect iAnswers i✔✔ i-a. ibradycardia



Category iIII iFHR itracings iinclude ieither

- iAbsent ibaseline iFHR ivariability iand iany iof ithe ifollowing:

, > irecurrent ilate idecelerations

> iRecurrent ivariable idecelerations

> iBradycardia

- iSinusoidal ipattern

There iare ioften ismall iincreases iin ifetal iheart irate ithat iprecede iand ifollow ivariable idecelerations
ibecause ithe icompression iof iumbilical ivein ican icause itachycardia isecondary ito idecreased




a. imyocardial iresponse

b. ipreload

c. isystemic ivascular iresistance i- icorrect iAnswers i✔✔ i-b. ipreload

The ifetal iheart irate i(FHR) iis icontrolled iby ithe ifetal icentral inervous isystem iand imediated iby
isympathetic ior iparasympathetic inerve iimpulses ioriginating iin ithe ifetal i




a. ibrain istem

b. icerebral icortex

c. ihypothalamus i- icorrect iAnswers i✔✔ i-a. ibrain istem

A ireactive inonstress itest iis ione iin iwhich iof ithe ifollowing ioccurs?



a. ian iacceleration isustains iits ipeak iacceleration ifor i15 iseconds

b. iAt ileast ione iacceleration iin ifirst i10 iminutes iand i2 ior imore iin ithe ifirst i20 iminutes

c. iThere iare iat ileast itwo iaccelerations ithat ipeak iat i15 ibeats iabove ibaseline iand iare isustained ifor iat
i15 iseconds i- icorrect iAnswers i✔✔ i-c. iThere iare iat ileast itwo iaccelerations ithat ipeak iat i15 ibeats
iabove ibaseline iand iare isustained ifor iat i15 iseconds


A iwoman iat i38 iweeks igestation iis ievaluated ifor idecreased ifetal imovement iwith ia inonstress itest.
iThe itest iis ireactive. iThe inext istep iin imanagement iis ito i




a. iallow ipregnancy ito icontinue ito iterm iwith ino ifurther itesting

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