NCC EFM REVISED Test Quiz Bank MOD 010 Question and Answers 2023 CERTIFIED 100%

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 correct answers B. R to R intervals of the fetal heart The optimal location for the ultrasound transducer for the fetus correct answers the fetal back First step when contraction pattern is weird with IUPC in place correct answers re zero the IUPC Membranes ruptured 60 minutes ago and now you see prolonged deceleration, first step: correct answers 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 correct answers 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 correct answers 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 correct answers 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 correct answers 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 correct answers 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 correct answers b. ductus venosus Stimulation of the sympathetic nervous system causes the fetal heart rate to a. decrease b. increase c. remain the same correct answers b. increase baroreceptors respond mainly to changes in a. blood pressure b. hormonal changes c. oxygen and carbon dioxide levels correct answers a. blood pressure Which statement describes normal uterine activity a. frequency of 1.5 - 2 minutes b. intensity of 90mmhg early in labor c. resting tone less than 20-25 mmHg correct answers 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 correct answers 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 correct answers 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 correct answers b. continue to observe "this is considered a sleep cycle - sleep cycles can last 15-25 minutes" How to calculate mVU correct answers 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 correct answers c. indeterminate Cannot determine strength with external monitors * A 36 week gestation patient is brought to triage by squad after an MVA on her back. She is not bleeding and denies pain. She is not short of breath, but c/o dizziness and nausea since they put her on the gurney. The most likely cause is A. Abruptio placenta B. Preterm labor C. Supine hypotension correct answers c. supine hypotension One compensatory mechanism that helps maintain oxygen availability to the fetus during maternal exercise is A. A decrease in maternal hematocrit B. Transient increase in uterine blood flow C. An increase in uterine oxygen uptake correct answers c. an increase in uterine oxygen uptake Tracing showing prolonged deceleration after recent epidural and intial bolus just delivered. Underlying cause of this tracing is: a. maternal vasodilation b. parasympathetic blockage c. prolapsed umbilical cord correct answers a. maternal vasodilation G3 at 39 weeks undergoing eIOL. SVE 6/90/+1. Toco showing tachysystole. Tracing with prolonged deceleration. Priority action by the nurse would be: a. apply O2 via NRB b. Give 0.25 terbutaline c. turn off pitocin correct answers c. turn off pitocin P0 at 39wks undergoing IOL for PEC. She is 6/100/+1. Patient begins SEIZING, at this time a prolonged decel is noted. After discontinuing the pit the appropriate medication to be administered is: a. mag sulfate b. phenobarbital c. terbutaline correct answers a. mag sulfate P0 at 39wks undergoing IOL for PEC. She begins seizing. The priority response is: a. intitiate magnesium sulfatae b. intrauterine resuscitation c. maternal airway establishment correct answers c. maternal airway establishment ** ABC's always first!! P0 at 39wks undergoing IOL for PEC. She begins seizing. Prolonged decel noted on tracing. Based on the fetal tracing above the initial response is to: a. administer magnesium sulfate b. initiate intrautrerine mesures c. perform emergency cesarean section correct answers b. initiate intrauterine resuscitation measures 28 yo P0 at 35wks IOL cHTN r/o PEC, AFI 2.0. She has ISE and IUPC in place. Pit is at 2mU. Based on above strip (minimal variability, recurrent late decels) what would next intervention be? a. perform a vaginal exam