Examination
180 minutes
Instructions:
1. Read each question carefully.
2. Answer all questions.
3. Use the provided answer sheet to mark your responses.
4. Ensure all answers are final before submitting the exam.
5. Please answer each question below and click Submit when you have completed
the Exam.
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time expires
7. This is Exam which will assess your knowledge on the course Learning
Resources.
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NCC National Certification
Corporation 2024-2025 NCC CEFM EXAM Electronic
Fetal Monitoring Concepts Review Questions and
Answers | 100% Pass Guaranteed | Graded A+ |
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
What are some important factors (risks) to consider
when evaluating a fetal heart rate strip? - Answer>>
--*PNLs* (abnormal?)
--weight gain/loss
--Maternal age
--*Gestational age*
--*MATERNAL vital signs*
--*Membrane status*
--*Cervical exam*
What are the easiest ways for assessment of maternal
oxygenation status? - Answer>> *Pulse Ox* (& other
vital signs, RR)
*Blood gas* (if indicated, asthma exacerbation)
*Lung soungs* (pneumonia, pulmonary edema?)
What effect can *HTN/Preeclampsia* have on the
Placenta? - Answer>> *VASOCONSTRICTION*
which adversely effects placental perfusion and can
lead to:
--*IUGR*
--*Infarcts* (decreases functional area of the placenta &
functional capacity)
Placental Infarcts - Answer>> - Necrosis of placental
villi
- Anechoic or Hypoechoic areas in placenta
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Placental infarcts will do what to
the placental function? -
Answer>> *DECREASE functional area* of placenta
*DECREASE functional capacity*
What effect can *Diabetes* have on Placental
perfusion? - Answer>> Secondary to *Maternal
Vasculopathy* & HYPERglycemia* this can lead to:
*reduced utero-placental perfusion* = *IUGR*
What can change for fetal energy demands when you
have a "DIABETIC mother" uncontrolled and there is
*Fetal HYPERglycemia & HYPERinsulinemia*? -
Answer>> Fetal hyperglycemia & hyperinsulinemia
can cause:
*Increased fetal O2 consumption* which may induce
*fetal hypoxemia & acidosis* if the O2 needs of the
fetus are not met by the placenta.
What are some common conditions which could lead to
a *POOR maternal Oxygenation status*? - Answer>>
Respiratory DEPRESSION (*Meds or Seizure*)
*Pulmonary EMBOLISM*
*Pneumonia*
*Asthma*
*Atelectasis*
ARDS
*Smoking*
*ANEMIA*
What are some examples of *collagen-vascular
diseases*? HOw does these effect pregnancy? -
Answer>> *Rheumatoid arthritis*
*Scleroderma*
*SLE* (lupus)
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= maternal *vasocontriction*
which can lead to interruptions in
placental & uterine blood flow
--'IUGR'
What fetal cardiac condition may you see in a mother
with *SLE* (systemic lupus erythematosis)? -
Answer>> *Secondary Heart BLOCK*
*Renal disease* (CKD, etc.) could cause what? -
Answer>> *Maternal VASOCONSTRICTION*
= maternal *vasocontriction* which can lead to
interruptions in placental & uterine blood flow
--'IUGR'
*Thyroid Disease* could cause what? - Answer>>
*Maternal VASOCONSTRICTION*
= maternal *vasocontriction* which can lead to
interruptions in placental & uterine blood flow
--'IUGR'
What is the concern with *cardiac disease* in expectant
mothers? - Answer>> Cardiac disease ----> impaired
cardiac function or even cardiac failure
---> *Decrease cardiac output* ----> decreased blood
flow/oxygen flow through placenta
IUGR, etc.
What are some common causes of *Maternal
HYPOTENSION*? - Answer>> *Supine hypotension* of
pregnancy
*VASODILATION* 2/2 epidural
This will *DECREASE O2 & blood flow through the
placenta*.
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