Exam (elaborations)
NCC ELECTRONIC FETAL MONITORING CERTIFICATION EXAM
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NCC ELECTRONIC FETAL MONITORING CERTIFICATION EXAM
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Late decelerations of the FHR are associated most specifically withA. Transient fetal tissue metabolic acidosis during a contraction
B. Transient fetal hypoxemia during a contraction
C. Transient fetal asphyxia during a contraction
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B. Transient fetal hypoxemia during a contraction
,A modified biophysical profile (mBPP) is considered normal if
A. NST is reactive and mother reports at least 10 fetal movements in 2 hours
B. NST is reactive and the amniotic fluid index (AFI) is greater than 5 cm
C. There are no decelerations following contractions
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B. NST is reactive and the amniotic fluid index (AFI) is greater than 5 cm
T/F: Amnioinfusion may be an appropriate intervention for patients with
oligohydramnios in the prevention of the development of variable decelerations.
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False
Not for prevention
The objective of intrapartum FHR monitoring is to assess for fetal
A. Acidemia
B. Oxygenation
C. Well-being
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B. Oxygenation
,A negative contraction stress test is one in which:
a. No contractions are seen
b. There are late decelerations with > 50% of the contractions seen
c. There are no fetal heart rate late decelerations with the contractions
d. There is one fetal heart rate deceleration seen
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c. There are no fetal heart rate late decelerations with the contractions
Which of the following is not true when assessing preterm fetuses?
A. FHR baseline may be in upper range of normal (150-160 bpm)
B. They may have fewer accels, and if <35 weeks, may be 10x10
C. Variability may be in lower range for moderate (6-10 bpm)
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B. They may have fewer accels, and if <35 weeks, may be 10x10
pH 7.02
PO2 17
PCO2 72
HCO3 19
Base deficit 16
A. Metabolic acidosis
B. Respiratory acidosis
C. Mixed acidosis
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, C. Mixed acidosis
For a low-risk woman in the second stage of labor, the FHR should be auscultated
every
A. 5-15 min
B. 30 min
C. 60 min
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A. 5-15 min
Which of the following is the primary factor in uteroplacental blood flow?
A.. Fetal heart rate
B. Maternal cardiac output
C. Maternal oxygen consumption
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B. Maternal cardiac output
What characterizes a preterm fetal response to stress?
A. More frequently occurring late decelerations
B. More frequently occurring prolonged decelerations
C. More rapid deterioration from Category I to Category II or III
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