NCC EFM practice exam questions with answers
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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 ANSWERS ✔✔e. All of the above
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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 ANSWERS ✔✔a. A decrease in the heart
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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 ANSWERS ✔✔b. Decreases
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baseline
,T/F: The most common artifact with the ultrasound transducer
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system for fetal heart rate is increased variability. - CORRECT
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ANSWERS ✔✔True |\
T/F: All fetal monitors contain a logic system designed to reject
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
artifact. - CORRECT ANSWERS ✔✔True
|\ |\ |\ |\
T/F: Fetal arrhythmias can be seen on both internal and external
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
monitor tracings. - CORRECT ANSWERS ✔✔True
|\ |\ |\ |\ |\
T/F: Variability and periodic changes can be detected with both
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
internal and external monitoring. - CORRECT ANSWERS ✔✔True
|\ |\ |\ |\ |\ |\ |\
T/F: Variable decelerations are a vagal response. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔True |\
T/F: Variable decelerations are the most frequently seen fetal heart
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rate deceleration pattern in labor. - CORRECT ANSWERS ✔✔True
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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
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c. 2, 3 and 4 - CORRECT ANSWERS ✔✔c. 2, 3 and 4
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The most prevalent risk factor associated with fetal death before the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
onset of labor is: |\ |\ |\
a. Low socioeconomic status
|\ |\ |\
b. Fetal malpresentation
|\ |\
c. Uteroplacental insufficiency
|\ |\
d. Uterine anomalies - CORRECT ANSWERS ✔✔c. Uteroplacental
|\ |\ |\ |\ |\ |\ |\ |\
insufficiency
Which of the following conditions is not an indication for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
antepartum fetal surveillance? |\ |\
a. Gestational hypertension
|\ |\
b. Diabetes in pregnancy
|\ |\ |\
c. Fetus in breech presentation
|\ |\ |\ |\
d. Decreased fetal movement - CORRECT ANSWERS ✔✔c. Fetus in
|\ |\ |\ |\ |\ |\ |\ |\ |\
breech presentation
|\ |\
, Which of the following does not affect the degree of fetal activity?
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a. Vibroacoustic stimulation
|\ |\
b. Smoking
|\
c. Fetal position
|\ |\
d. Gestational age - CORRECT ANSWERS ✔✔a. Vibroacoustic
|\ |\ |\ |\ |\ |\ |\ |\
stimulation
T/F: Umbilical cord influences that can alter blood flow include
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
true knots, hematomas, and number of umbilical vessels. -
|\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔True |\ |\
T/F: Low amplitude contractions are not an early sign of preterm
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
labor. - CORRECT ANSWERS ✔✔False
|\ |\ |\ |\
T/F: Corticosteroid administration may cause an increase in FHR
|\ |\ |\ |\ |\ |\ |\ |\ |\
accelerations. - CORRECT ANSWERS ✔✔False
|\ |\ |\ |\
T/F: Corticosteroid administration may cause an increase in FHR. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔True |\ |\
|\ |\ |\ |\ |\ |\
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 ANSWERS ✔✔e. All of the above
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
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 ANSWERS ✔✔a. 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 ANSWERS ✔✔b. Decreases
|\ |\ |\ |\ |\ |\ |\ |\
baseline
,T/F: The most common artifact with the ultrasound transducer
|\ |\ |\ |\ |\ |\ |\ |\ |\
system for fetal heart rate is increased variability. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔True |\
T/F: All fetal monitors contain a logic system designed to reject
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
artifact. - CORRECT ANSWERS ✔✔True
|\ |\ |\ |\
T/F: Fetal arrhythmias can be seen on both internal and external
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
monitor tracings. - CORRECT ANSWERS ✔✔True
|\ |\ |\ |\ |\
T/F: Variability and periodic changes can be detected with both
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
internal and external monitoring. - CORRECT ANSWERS ✔✔True
|\ |\ |\ |\ |\ |\ |\
T/F: Variable decelerations are a vagal response. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔True |\
T/F: Variable decelerations are the most frequently seen fetal heart
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
rate deceleration pattern in labor. - CORRECT ANSWERS ✔✔True
|\ |\ |\ |\ |\ |\ |\ |\
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 ANSWERS ✔✔c. 2, 3 and 4
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
The most prevalent risk factor associated with fetal death before the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
onset of labor is: |\ |\ |\
a. Low socioeconomic status
|\ |\ |\
b. Fetal malpresentation
|\ |\
c. Uteroplacental insufficiency
|\ |\
d. Uterine anomalies - CORRECT ANSWERS ✔✔c. Uteroplacental
|\ |\ |\ |\ |\ |\ |\ |\
insufficiency
Which of the following conditions is not an indication for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
antepartum fetal surveillance? |\ |\
a. Gestational hypertension
|\ |\
b. Diabetes in pregnancy
|\ |\ |\
c. Fetus in breech presentation
|\ |\ |\ |\
d. Decreased fetal movement - CORRECT ANSWERS ✔✔c. Fetus in
|\ |\ |\ |\ |\ |\ |\ |\ |\
breech presentation
|\ |\
, Which of the following does not affect the degree of fetal activity?
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a. Vibroacoustic stimulation
|\ |\
b. Smoking
|\
c. Fetal position
|\ |\
d. Gestational age - CORRECT ANSWERS ✔✔a. Vibroacoustic
|\ |\ |\ |\ |\ |\ |\ |\
stimulation
T/F: Umbilical cord influences that can alter blood flow include
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
true knots, hematomas, and number of umbilical vessels. -
|\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔True |\ |\
T/F: Low amplitude contractions are not an early sign of preterm
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
labor. - CORRECT ANSWERS ✔✔False
|\ |\ |\ |\
T/F: Corticosteroid administration may cause an increase in FHR
|\ |\ |\ |\ |\ |\ |\ |\ |\
accelerations. - CORRECT ANSWERS ✔✔False
|\ |\ |\ |\
T/F: Corticosteroid administration may cause an increase in FHR. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔True |\ |\
