NCC EFM EXAM NEWEST 2024 REAL
EXAM 2 VERSIONS (VERSION A AND B) 300
QUESTIONS AND DETAIED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY
GRADED A+
VERSION A
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 - ....ANSWER...C. Supine
hypotension
As a contraction beings, partial umbilical cord
compression causes occlusion of the low-pressure vein and
decreased return of blood to the fetal heart, resulting in
decreased CO, hypotension, and a compensatory FHR
_____.
A. Acceleration
B. Early deceleration
C. Late deceleration
,D. Variable deceleration - ....ANSWER...A. Acceleration
A woman who is 34 weeks' gestation is counting fetal
movements each day. Today she counted eight fetal
movements in a two-hour period. Based on her kick
counts, this woman should
A. Continue counting for one more hour
B. Discontinue counting until tomorrow
C. Notify her provider for further evaluation -
....ANSWER...C. Notify her provider for further evaluation
A woman at 38 weeks gestation is in labor. The labor has
been uneventful, and the fetal heart tracings have been
normal. Spontaneous rupture of membranes occurs; fetal
heart rate drops to 90 beats per minute for four minutes
and then resumes a normal pattern. The most likely
etiology for this fetal heart rate change is
A. Abnormal fetal presentation
B. Impaired placental circulation
C. Possible cord compression - ....ANSWER...C. Possible
cord compression
A woman has 10 fetal movements in one hour. This is
considered what kind of movement?
A. Decreased
B. Excessive
C. Normal - ....ANSWER...C. Normal
,*** A preterm fetus with persistent supraventricular
tachycardia that is not hydropic is best treated with
maternal administration of
A. Digoxin
B. Phenobarbital
C. Terbutaline - ....ANSWER...A. Digoxin
The initial response in treating a primigravida being
induced for preeclampsia who has a seizure is
A. Administer terbutaline to slow down uterine activity
B. Initiate magnesium sulfate
C. Perform an immediate cesarean delivery -
....ANSWER...B. Initiate magnesium sulfate
Which FHR sounds are counted with a stethoscope and a
fetoscope?
A. Atrial
B. Atrial and ventricular
C. Ventricular - ....ANSWER...C. Ventricular
*** When using auscultation to determine FHR baseline,
the FHR should be counted after the contractions for
A. 5-10 sec
B. 15-30 sec
C. 30-60 sec - ....ANSWER...C. 30-60 sec
When the hydrogen ion content in the blood rises, the pH
A. Lowers
B. Neutralizes
C. Rises - ....ANSWER...A. Lowers
, ***A woman receives terbutaline for an external version.
You may expect what on the fetal heart tracing?
A. Decrease in variability
B. Increase in baseline
C. No change - ....ANSWER...B. Increase in baseline
What affect does magnesium sulfate have on the fetal heart
rate?
A. Decreases variability
B. Increases variability
C. No change - ....ANSWER...A. Decreases variability
Sinusoidal pattern can be documented when
A. Cycles are 4-6 beats per minute in frequency
B. The pattern lasts 20 minutes or longer
C. There is moderate or minimal variability -
....ANSWER...B. The pattern lasts 20 minutes or longer
Vagal stimulation would be manifested as what type of
fetal heart rate pattern?
A. Acceleration
B. Early deceleration
C. Tachycardia - ....ANSWER...B. Early deceleration
Which fetal monitoring pattern is characteristic of
cephalopelvic disproportion, especially when seen at the
onset of labor?
A. Early deceleration
B. Late deceleration
EXAM 2 VERSIONS (VERSION A AND B) 300
QUESTIONS AND DETAIED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY
GRADED A+
VERSION A
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 - ....ANSWER...C. Supine
hypotension
As a contraction beings, partial umbilical cord
compression causes occlusion of the low-pressure vein and
decreased return of blood to the fetal heart, resulting in
decreased CO, hypotension, and a compensatory FHR
_____.
A. Acceleration
B. Early deceleration
C. Late deceleration
,D. Variable deceleration - ....ANSWER...A. Acceleration
A woman who is 34 weeks' gestation is counting fetal
movements each day. Today she counted eight fetal
movements in a two-hour period. Based on her kick
counts, this woman should
A. Continue counting for one more hour
B. Discontinue counting until tomorrow
C. Notify her provider for further evaluation -
....ANSWER...C. Notify her provider for further evaluation
A woman at 38 weeks gestation is in labor. The labor has
been uneventful, and the fetal heart tracings have been
normal. Spontaneous rupture of membranes occurs; fetal
heart rate drops to 90 beats per minute for four minutes
and then resumes a normal pattern. The most likely
etiology for this fetal heart rate change is
A. Abnormal fetal presentation
B. Impaired placental circulation
C. Possible cord compression - ....ANSWER...C. Possible
cord compression
A woman has 10 fetal movements in one hour. This is
considered what kind of movement?
A. Decreased
B. Excessive
C. Normal - ....ANSWER...C. Normal
,*** A preterm fetus with persistent supraventricular
tachycardia that is not hydropic is best treated with
maternal administration of
A. Digoxin
B. Phenobarbital
C. Terbutaline - ....ANSWER...A. Digoxin
The initial response in treating a primigravida being
induced for preeclampsia who has a seizure is
A. Administer terbutaline to slow down uterine activity
B. Initiate magnesium sulfate
C. Perform an immediate cesarean delivery -
....ANSWER...B. Initiate magnesium sulfate
Which FHR sounds are counted with a stethoscope and a
fetoscope?
A. Atrial
B. Atrial and ventricular
C. Ventricular - ....ANSWER...C. Ventricular
*** When using auscultation to determine FHR baseline,
the FHR should be counted after the contractions for
A. 5-10 sec
B. 15-30 sec
C. 30-60 sec - ....ANSWER...C. 30-60 sec
When the hydrogen ion content in the blood rises, the pH
A. Lowers
B. Neutralizes
C. Rises - ....ANSWER...A. Lowers
, ***A woman receives terbutaline for an external version.
You may expect what on the fetal heart tracing?
A. Decrease in variability
B. Increase in baseline
C. No change - ....ANSWER...B. Increase in baseline
What affect does magnesium sulfate have on the fetal heart
rate?
A. Decreases variability
B. Increases variability
C. No change - ....ANSWER...A. Decreases variability
Sinusoidal pattern can be documented when
A. Cycles are 4-6 beats per minute in frequency
B. The pattern lasts 20 minutes or longer
C. There is moderate or minimal variability -
....ANSWER...B. The pattern lasts 20 minutes or longer
Vagal stimulation would be manifested as what type of
fetal heart rate pattern?
A. Acceleration
B. Early deceleration
C. Tachycardia - ....ANSWER...B. Early deceleration
Which fetal monitoring pattern is characteristic of
cephalopelvic disproportion, especially when seen at the
onset of labor?
A. Early deceleration
B. Late deceleration
