NCC ELECTRONIC FETAL MONITORING
CERTIFICATION EXAM VERSION B 2023 BRAND NEW
VERSION100+ QUESTIONS AND CORRECT
ANSWERS|AGRADE
A nurse is explaining to a pregnant patient the purpose of electronic fetal
monitoring. Which of the following statements by the nurse is the most accurate
way to describe the purpose of EFM?
• "EFM is a diagnostic procedure that monitors your baby's heart rate or FHR
and your uterine contractions.
• "EFM is a screening procedure that monitors your baby's heart rate or FHR
and your uterine contractions."
• "EFM is a screening procedure that only monitors your baby's heart rate
orFHR."
• "EFM is a diagnostic procedure that only monitors the frequency, duration,
and intensity of your uterine contractions." - ANSWER- b. "EFM is a screening
procedure that monitors your baby's heart rate or FHR and your uterine
contractions."
The nurse measures fetal well being during labor by paying attention
to:a. the response of the FHR to uterine contractions
b. mom's complaint of pain during the
laborc. the FHR only
d. the frequency, duration, and intensity of the mother's uterine contractions
only -ANSWER- a. the response of the FHR to uterine contractions
A nursing student explains during her presentation that the 5 factors for
adequate fetal oxygenation include:
• adequate exchange of and CO2 in the placenta
• an open path between the placenta and the fetus through vessels
inthe umbillical cord
5. normal fetal circulatory and -carry functions - ANSWER- 1.
,normal maternal blood flow and volume to
placenta2. normal oxygen saturation in the
maternal blood
• adequate exchange of oxygen and CO2 in the palcenta
• an open circulatory path between the placenta and the fetus through vessels
inthe umbillical cord
• normal fetal circulatory and oxygen-carrying functions
While monitoring a baby's fetal well being using EFM, the nurse recognizes that
the baby's baseline fetal heart rate is identified as the:
a. average rate of a 30 minute segment that excludes periodic or episodic changes
b. average rate of a 10 minute segment that excludes periodic or episodic
changes c. average rate of a 20 minute segment that does not include periodic or
episodic changes - ANSWER- b. average rate of a 10 minute segment that
excludes periodicor episodic changes
A nurse determines that term baby's baseline fetal heart rate is 140 beats per
minute. A nurse explains to her patient that this fetal heart rate is:
• abnormal because it is not in the normal range of 90-100 bears perm minute
for aterm or post term fetus
• normal because it is in the range of 110-160 bpm for a term or post term fetus
• abnormal because it is not in the normal range of 160-200 bpm for a term or
postterm fetus - ANSWER- b. normal because it is in the range of 110-160 bpm
for a term or post term fetus
The nurse documents that the baseline heart rate for a fetus is between 120-160
beats per minute. Based on this finding, the nurse can determine that the fetus
is:a. post term
• term
• premature
• both a and b - ANSWER- c. premature
While keeping track of a patient's uterine contractions, the nurse documents that
the measurements of the beginning of one contraction to the beginning of the
next is occurring too frequently at quicker than every 2 minutes. The nurse is
measuringwhich of the following aspects of a uterine contraction?
, a. duration
b.
frequency
c.
intensity
d. resting tone or interval - ANSWER- b. frequency
One of the maternal nurses explains to a nursing student that the duration of a
contraction, which is measured from the beginning to the end of one contraction,
usually lasts:
• about 50 seconds or less
• about 60 seconds, NO longer than 90
secondsc. about 90 seconds or more
d. about 40 to 50 seconds - ANSWER- b. about 60 seconds, NO longer than 90
seconds
A nurse is assessing the relaxation or intrauterine pressures between
contractions on a EFM strip. The nurse is assessing which of the following
components of the uterine contractions?
a. duration
b.
frequency
c.
intensity
d. resting tone or interval - ANSWER- d. resting tone or interval
Which of the following is the priority nursing action of a nurse preparing to
beginEFM on a patient?
• place the tocotransducer on the patient's abdomen where the fundus is
• explain the purpose of the EFM and the procedure of EFM Placement to
thepatient
• begin using the ultrasound transducer to find the fetal heart rate
• none of the above - ANSWER- b. explain the purpose of the EFM and
theprocedure of EFM Placement to the patient
The nurse is observing the peak of a contraction on a EFM strip and watching as
a mother,who has a tocotransducer across her abdomen, scream out that she is in
CERTIFICATION EXAM VERSION B 2023 BRAND NEW
VERSION100+ QUESTIONS AND CORRECT
ANSWERS|AGRADE
A nurse is explaining to a pregnant patient the purpose of electronic fetal
monitoring. Which of the following statements by the nurse is the most accurate
way to describe the purpose of EFM?
• "EFM is a diagnostic procedure that monitors your baby's heart rate or FHR
and your uterine contractions.
• "EFM is a screening procedure that monitors your baby's heart rate or FHR
and your uterine contractions."
• "EFM is a screening procedure that only monitors your baby's heart rate
orFHR."
• "EFM is a diagnostic procedure that only monitors the frequency, duration,
and intensity of your uterine contractions." - ANSWER- b. "EFM is a screening
procedure that monitors your baby's heart rate or FHR and your uterine
contractions."
The nurse measures fetal well being during labor by paying attention
to:a. the response of the FHR to uterine contractions
b. mom's complaint of pain during the
laborc. the FHR only
d. the frequency, duration, and intensity of the mother's uterine contractions
only -ANSWER- a. the response of the FHR to uterine contractions
A nursing student explains during her presentation that the 5 factors for
adequate fetal oxygenation include:
• adequate exchange of and CO2 in the placenta
• an open path between the placenta and the fetus through vessels
inthe umbillical cord
5. normal fetal circulatory and -carry functions - ANSWER- 1.
,normal maternal blood flow and volume to
placenta2. normal oxygen saturation in the
maternal blood
• adequate exchange of oxygen and CO2 in the palcenta
• an open circulatory path between the placenta and the fetus through vessels
inthe umbillical cord
• normal fetal circulatory and oxygen-carrying functions
While monitoring a baby's fetal well being using EFM, the nurse recognizes that
the baby's baseline fetal heart rate is identified as the:
a. average rate of a 30 minute segment that excludes periodic or episodic changes
b. average rate of a 10 minute segment that excludes periodic or episodic
changes c. average rate of a 20 minute segment that does not include periodic or
episodic changes - ANSWER- b. average rate of a 10 minute segment that
excludes periodicor episodic changes
A nurse determines that term baby's baseline fetal heart rate is 140 beats per
minute. A nurse explains to her patient that this fetal heart rate is:
• abnormal because it is not in the normal range of 90-100 bears perm minute
for aterm or post term fetus
• normal because it is in the range of 110-160 bpm for a term or post term fetus
• abnormal because it is not in the normal range of 160-200 bpm for a term or
postterm fetus - ANSWER- b. normal because it is in the range of 110-160 bpm
for a term or post term fetus
The nurse documents that the baseline heart rate for a fetus is between 120-160
beats per minute. Based on this finding, the nurse can determine that the fetus
is:a. post term
• term
• premature
• both a and b - ANSWER- c. premature
While keeping track of a patient's uterine contractions, the nurse documents that
the measurements of the beginning of one contraction to the beginning of the
next is occurring too frequently at quicker than every 2 minutes. The nurse is
measuringwhich of the following aspects of a uterine contraction?
, a. duration
b.
frequency
c.
intensity
d. resting tone or interval - ANSWER- b. frequency
One of the maternal nurses explains to a nursing student that the duration of a
contraction, which is measured from the beginning to the end of one contraction,
usually lasts:
• about 50 seconds or less
• about 60 seconds, NO longer than 90
secondsc. about 90 seconds or more
d. about 40 to 50 seconds - ANSWER- b. about 60 seconds, NO longer than 90
seconds
A nurse is assessing the relaxation or intrauterine pressures between
contractions on a EFM strip. The nurse is assessing which of the following
components of the uterine contractions?
a. duration
b.
frequency
c.
intensity
d. resting tone or interval - ANSWER- d. resting tone or interval
Which of the following is the priority nursing action of a nurse preparing to
beginEFM on a patient?
• place the tocotransducer on the patient's abdomen where the fundus is
• explain the purpose of the EFM and the procedure of EFM Placement to
thepatient
• begin using the ultrasound transducer to find the fetal heart rate
• none of the above - ANSWER- b. explain the purpose of the EFM and
theprocedure of EFM Placement to the patient
The nurse is observing the peak of a contraction on a EFM strip and watching as
a mother,who has a tocotransducer across her abdomen, scream out that she is in
