NCC EFM Test Exam Questions With
Verified Answers
The fetal spiral electrode measures the
A. Peaks of the Doppler waveforms
B. R to R intervals of the fetal heart
C. ST segments of the fetal ECG - answerB. R to R intervals of the fetal heart
The optimal location for the ultrasound transducer ...
The fetal spiral electrode measures the
A. Peaks of the Doppler waveforms
B. R to R intervals of the fetal heart
C. ST segments of the fetal ECG - answer✔B. R to R intervals of the fetal heart
The optimal location for the ultrasound transducer for the fetus - answer✔the fetal back
First step when contraction pattern is weird with IUPC in place - answer✔re zero the IUPC
Membranes ruptured 60 minutes ago and now you see prolonged deceleration, first step: -
answer✔perform a vaginal exam
A woman who is admitted for an induction of labor with oxytocin is questioning the need for
continuous EFM. The appropriate response to the woman is.
A. hospital policy requires all patients have continuous EFM
B. I would like to answer your questions about continuous monitoring and give you some
information about why it is recommended
C. Nurses have more training with continuous monitoring than with intermittent auscultation so
it is safer for you and baby - answer✔B. I would like to answer your questions about continuous
monitoring and give you some information about why it is recommended
The process by which oxygen and carbon dioxide pass from a region of higher concentration to
one of lower concentration is called:
a. active transport
b. simple diffusion
c. facilitated diffusion - answer✔B. simple diffusion
The greater affinity that fetal hemoglobin has for oxygen allows for:
a. easier release of oxygen to the tissues
b. greater binding of oxygen
c. stimulation of erythropoietin release - answer✔b. greater binding of oxygen
which statement best describes the relationship between maternal and fetal hemoglobin levels?
a. fetal hemoglobin is higher than maternal hemoglobin
b. maternal hemoglobin is higher than fetal hemoglobin
c. maternal and fetal hemoglobin is the same - answer✔a. fetal hemoglobin is higher than
maternal hemoglobin
In the healthy fetus, blood flows from the right atrium to the left atrium through the:
a. ductus arteriosis
b. ductus venosus
c. Forman ovale - answer✔c. foramen ovale
In the healthy fetus, the umbilical cord enters the fetal abdomen and bypasses the liver through
the
a. ductus arteriosis
b. ductus venosus
c. Forman ovale - answer✔b. ductus venosus
Stimulation of the sympathetic nervous system causes the fetal heart rate to
a. decrease
b. increase
c. remain the same - answer✔b. increase
baroreceptors respond mainly to changes in
a. blood pressure
b. hormonal changes
c. oxygen and carbon dioxide levels - answer✔a. blood pressure
Which statement describes normal uterine activity
a. frequency of 1.5 - 2 minutes
c. resting tone less than 20-25 mmHg - answer✔c. resting tone less than 20-25mmhg
Greater than 5 contractions in 10 minutes averaged over 30 minutes indicates
A. Excessive uterine activity
B. Hyperstimulation
C. Tachysystole - answer✔c. tachysystole
tracing showing early phase of labor. External toco being used and contractions have "spiky
appearance" this is due to:
a. artificat
b. fetal kicks
c. maternal respirations - answer✔c. maternal respirations
Tracing showing minimal variability. 10 minutes prior to this was cat 1. The appropriate action
at this time is to:
a. apply oxygen
b. continue to observe
c. perform scalp stimulation - answer✔b. continue to observe
"this is considered a sleep cycle - sleep cycles can last 15-25 minutes"
How to calculate mVU - answer✔add all the mmHg for contractions during a 10 minute period
**subtract the baseline pressure
in the above EXTERNAL tracing the intensity of the contraction is:
a. 55mmhg
b. 70mmhg
c. indeterminate - answer✔c. indeterminate
Cannot determine strength with external monitors *
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