NCC- ELECTRONIC FETAL MONITORING//A+
GRADED EXAM 2024/2025
Which of the following FHR changes would not typically be seen in a mother with
chorioamnionitis?
A. Increased baseline
B. Increased variability
C. Decreased accelerations - CORRECT ANSWERB. Increased variability
Which of the following is false regarding electronic fetal monitoring of twins?
A. Both twins must be monitored, as opposed to monitoring one twin at a time
B. Twins rarely have accelerations and decelerations simultaneously, and tracings
should appear distinctly different
C. Twins must be identified and monitored as A or B throughout the entire antenatal and
intrapartum periods - CORRECT ANSWERB. Twins rarely have accelerations and
decelerations simultaneously, and tracings should appear distinctly different
pH 6.9, PO2 15, PCO2 55, HCO3 18, BE -22
The nurse reviews the arterial gas results and concludes that the fetus had _____
acidosis. With results such as these, you would expect a _____ resuscitation.
A. Metabolic; lengthy
B. Metabolic; short
C. Respiratory; lengthy - CORRECT ANSWERA. Metabolic; lengthy
Which of the following umbilical artery cord gases would most likely result in a fetus who
had a Category I strip, then had a cord prolapse and was delivered within 3 minutes?
A. pH 7.17, PO2 22, PCO2 70, HCO3 24, BE -5
B. pH 7.25, PO2 23, PCO2 46, HCO3 22, BE -8
C. pH 7.02, PO2 18, PCO2 56, HCO3 15, BE -18 - CORRECT ANSWERA. pH 7.17,
PO2 22, PCO2 70, HCO3 24, BE -5
Cord blood gases from one of the umbilical arteries best represent
A. The status of fetal acid-base balance
B. The status of maternal oxygenation
C. The status of placental function - CORRECT ANSWERA. The status of fetal acid-
base balance
A modified biophysical profile (map) is considered normal if
A. NST is reactive and mother reports at least 10 fetal movements in 2 hours
B. NST is reactive and the amniotic fluid index (AFI) is greater than 5 cm
C. There are no decelerations following contractions - CORRECT ANSWERB. NST is
reactive and the amniotic fluid index (AFI) is greater than 5 cm
,Which of the following is not a component of a BPP?
A. Amniotic fluid index (AFI)
B. Fetal breathing
C. No stress test (NST) - CORRECT ANSWERA. Amniotic fluid index (AFI)
(Should be volume, not index)
A contraction stress test (CST) is done. During the testing, there were three
contractions in 10 minutes, no decals, the baseline was 145, and there was moderate
variability. This is interpreted as
A. Negative
B. Positive
C. Suspicious - CORRECT ANSWERA. Negative
Which of the following is most likely to result in absent end diastolic flow during umbilical
artery velocimetry?
A. Preeclampsia
B. Preterm labor
C. Previous cesarean delivery - CORRECT ANSWERA. Preeclampsia
Which of the following best describes a condition in which there is decreased oxygen in
the tissues?
A. Acidosis
B. Hypoxemia
C. Hypoxia - CORRECT ANSWERC. Hypoxia
What is the maximum amount of time allotted for a no stress test?
A. 20 minutes
B. 40 minutes
C. 60 minutes - CORRECT ANSWERB. 40 minutes
A no stress test (NST) is nonreactive after 40 minutes. The nurse should
A. Call the physician to plan for a possible induction
B. Call the physician to arrange for a BPP or CST
C. Perform vibroacoustic stimulation and monitor patient for 20 additional minutes -
CORRECT ANSWERB. Call the physician to arrange for a BPP or CST
(T/F) Contractions during a contraction stress test (CST) may be spontaneous or
induced with oxytocin or nipple stimulation. - CORRECT ANSWER True
A contraction stress test (CST) is performed. Late decelerations were noted in three out
of the five contractions in 10 minutes. This is interpreted as
A. Positive
B. Negative
C. Suspicious - CORRECT ANSWERA. Positive
,A contraction stress test (CST) is performed. Late decelerations were noted in two out
of the five contractions in 10 minutes. This is interpreted as
A. Positive
B. Negative
C. Suspicious - CORRECT ANSWERC. Suspicious
A contraction stress test (CST) is performed. Two variable decelerations were seen on
the FHR tracing and there were four contractions in 10 minutes. This is interpreted as
A. Positive
B. Negative
C. Suspicious - CORRECT ANSWERB. Negative
A contraction stress test (CST) is performed. No decelerations were noted with the two
contractions that occurred over 10 minutes. This is interpreted as
A. Positive
B. Negative
C. Unsatisfactory - CORRECT ANSWERC. Unsatisfactory
A patient has a reactive NST and negative CST. Select the appropriate follow-up.
A. Prepare patient for delivery
B. Repeat in 24 hours
C. Repeat in one week - CORRECT ANSWERC. Repeat in one week
A patient has a nonreactive NST and negative CST. Select the appropriate follow-up.
A. Prepare patient for delivery
B. Repeat in 24 hours
C. Repeat in one week - CORRECT ANSWERB. Repeat in 24 hours
For a patient with a suspicious or unsatisfactory CST, select the appropriate follow-up.
A. Prepare patient for delivery
B. Repeat in 24 hours
C. Repeat in one week - CORRECT ANSWERB. Repeat in 24 hours
In a patient whose CST reveals late decelerations with three out of the four induced
contractions, which of the following would be the least appropriate plan for treatment?
A. Obtain physician order for BPP
B. Prepare for possible induction of labor
C. Repeat CST in 24 hours - CORRECT ANSWERC. Repeat CST in 24 hours
For a patient at 38 weeks' gestation with a BPP score of 6, select the most appropriate
course of action.
A. Repeat in one week
B. Consider induction of labor
C. Prepare for cesarean delivery - CORRECT ANSWERB. Consider induction of labor
, For a patient at 35 weeks' gestation with a BPP score of 4, select the most appropriate
course of action.
A. Repeat in 24 hours
B. Obtain physician order for CST
C. Prepare for probable induction of labor - CORRECT ANSWERC. Prepare for
probable induction of labor
(T/F) Vibroacoustic stimulation may be less effective for preterm fetuses or when
membranes have been ruptured. - CORRECT ANSWER True
_____ cord blood sampling is predictive of uteroplacental function.
A. Arterial
B. Venous
C. Maternal - CORRECT ANSWERB. Venous
(T/F) Metabolic acidosis is more easily reversible and potentially less detrimental to the
fetus when compared to respiratory acidosis. - CORRECT ANSWER False
(T/F) There is a strong correlation between arterial cord blood gas results and Apgar
scores. - CORRECT ANSWER False
Which of the following fetal systems bear the greatest influence on fetal pH?
A. Heart and lungs
B. Lungs and kidneys
C. Sympathetic and parasympathetic nervous systems - CORRECT ANSWERB. Lungs
and kidneys
Your patient is a 41-year-old diabetic prim gravida. You have just performed a vaginal
exam: 6/90/-1. The fetus has been having late decals with absent to minimal variability
and no access for one hour, despite interventions to improve the tracing. The provider
arrives on the unit and states that she will remain on the floor, and writes orders to start
oxytocin. You inform the physician that you are not comfortable starting oxytocin based
on maternal history, SVE, and FHR tracing. The provider insists that you should start
oxytocin. What is your response?
A. Tell the physician that if she will remain on the unit, you will start the oxytocin.
B. Tell the physician that she can start the oxytocin herself.
C. Tell the physician that you decline to start the oxytocin, and notify the physician that
you are activating your chain of command. - CORRECT ANSWERC. Tell the physician
that you decline to start the oxytocin, and notify the physician that you are activating
your chain of command.
All of the following are components of liability except
A. Breach of duty
B. Chain of command
C. Damages/loss - CORRECT ANSWERB. Chain of command
GRADED EXAM 2024/2025
Which of the following FHR changes would not typically be seen in a mother with
chorioamnionitis?
A. Increased baseline
B. Increased variability
C. Decreased accelerations - CORRECT ANSWERB. Increased variability
Which of the following is false regarding electronic fetal monitoring of twins?
A. Both twins must be monitored, as opposed to monitoring one twin at a time
B. Twins rarely have accelerations and decelerations simultaneously, and tracings
should appear distinctly different
C. Twins must be identified and monitored as A or B throughout the entire antenatal and
intrapartum periods - CORRECT ANSWERB. Twins rarely have accelerations and
decelerations simultaneously, and tracings should appear distinctly different
pH 6.9, PO2 15, PCO2 55, HCO3 18, BE -22
The nurse reviews the arterial gas results and concludes that the fetus had _____
acidosis. With results such as these, you would expect a _____ resuscitation.
A. Metabolic; lengthy
B. Metabolic; short
C. Respiratory; lengthy - CORRECT ANSWERA. Metabolic; lengthy
Which of the following umbilical artery cord gases would most likely result in a fetus who
had a Category I strip, then had a cord prolapse and was delivered within 3 minutes?
A. pH 7.17, PO2 22, PCO2 70, HCO3 24, BE -5
B. pH 7.25, PO2 23, PCO2 46, HCO3 22, BE -8
C. pH 7.02, PO2 18, PCO2 56, HCO3 15, BE -18 - CORRECT ANSWERA. pH 7.17,
PO2 22, PCO2 70, HCO3 24, BE -5
Cord blood gases from one of the umbilical arteries best represent
A. The status of fetal acid-base balance
B. The status of maternal oxygenation
C. The status of placental function - CORRECT ANSWERA. The status of fetal acid-
base balance
A modified biophysical profile (map) is considered normal if
A. NST is reactive and mother reports at least 10 fetal movements in 2 hours
B. NST is reactive and the amniotic fluid index (AFI) is greater than 5 cm
C. There are no decelerations following contractions - CORRECT ANSWERB. NST is
reactive and the amniotic fluid index (AFI) is greater than 5 cm
,Which of the following is not a component of a BPP?
A. Amniotic fluid index (AFI)
B. Fetal breathing
C. No stress test (NST) - CORRECT ANSWERA. Amniotic fluid index (AFI)
(Should be volume, not index)
A contraction stress test (CST) is done. During the testing, there were three
contractions in 10 minutes, no decals, the baseline was 145, and there was moderate
variability. This is interpreted as
A. Negative
B. Positive
C. Suspicious - CORRECT ANSWERA. Negative
Which of the following is most likely to result in absent end diastolic flow during umbilical
artery velocimetry?
A. Preeclampsia
B. Preterm labor
C. Previous cesarean delivery - CORRECT ANSWERA. Preeclampsia
Which of the following best describes a condition in which there is decreased oxygen in
the tissues?
A. Acidosis
B. Hypoxemia
C. Hypoxia - CORRECT ANSWERC. Hypoxia
What is the maximum amount of time allotted for a no stress test?
A. 20 minutes
B. 40 minutes
C. 60 minutes - CORRECT ANSWERB. 40 minutes
A no stress test (NST) is nonreactive after 40 minutes. The nurse should
A. Call the physician to plan for a possible induction
B. Call the physician to arrange for a BPP or CST
C. Perform vibroacoustic stimulation and monitor patient for 20 additional minutes -
CORRECT ANSWERB. Call the physician to arrange for a BPP or CST
(T/F) Contractions during a contraction stress test (CST) may be spontaneous or
induced with oxytocin or nipple stimulation. - CORRECT ANSWER True
A contraction stress test (CST) is performed. Late decelerations were noted in three out
of the five contractions in 10 minutes. This is interpreted as
A. Positive
B. Negative
C. Suspicious - CORRECT ANSWERA. Positive
,A contraction stress test (CST) is performed. Late decelerations were noted in two out
of the five contractions in 10 minutes. This is interpreted as
A. Positive
B. Negative
C. Suspicious - CORRECT ANSWERC. Suspicious
A contraction stress test (CST) is performed. Two variable decelerations were seen on
the FHR tracing and there were four contractions in 10 minutes. This is interpreted as
A. Positive
B. Negative
C. Suspicious - CORRECT ANSWERB. Negative
A contraction stress test (CST) is performed. No decelerations were noted with the two
contractions that occurred over 10 minutes. This is interpreted as
A. Positive
B. Negative
C. Unsatisfactory - CORRECT ANSWERC. Unsatisfactory
A patient has a reactive NST and negative CST. Select the appropriate follow-up.
A. Prepare patient for delivery
B. Repeat in 24 hours
C. Repeat in one week - CORRECT ANSWERC. Repeat in one week
A patient has a nonreactive NST and negative CST. Select the appropriate follow-up.
A. Prepare patient for delivery
B. Repeat in 24 hours
C. Repeat in one week - CORRECT ANSWERB. Repeat in 24 hours
For a patient with a suspicious or unsatisfactory CST, select the appropriate follow-up.
A. Prepare patient for delivery
B. Repeat in 24 hours
C. Repeat in one week - CORRECT ANSWERB. Repeat in 24 hours
In a patient whose CST reveals late decelerations with three out of the four induced
contractions, which of the following would be the least appropriate plan for treatment?
A. Obtain physician order for BPP
B. Prepare for possible induction of labor
C. Repeat CST in 24 hours - CORRECT ANSWERC. Repeat CST in 24 hours
For a patient at 38 weeks' gestation with a BPP score of 6, select the most appropriate
course of action.
A. Repeat in one week
B. Consider induction of labor
C. Prepare for cesarean delivery - CORRECT ANSWERB. Consider induction of labor
, For a patient at 35 weeks' gestation with a BPP score of 4, select the most appropriate
course of action.
A. Repeat in 24 hours
B. Obtain physician order for CST
C. Prepare for probable induction of labor - CORRECT ANSWERC. Prepare for
probable induction of labor
(T/F) Vibroacoustic stimulation may be less effective for preterm fetuses or when
membranes have been ruptured. - CORRECT ANSWER True
_____ cord blood sampling is predictive of uteroplacental function.
A. Arterial
B. Venous
C. Maternal - CORRECT ANSWERB. Venous
(T/F) Metabolic acidosis is more easily reversible and potentially less detrimental to the
fetus when compared to respiratory acidosis. - CORRECT ANSWER False
(T/F) There is a strong correlation between arterial cord blood gas results and Apgar
scores. - CORRECT ANSWER False
Which of the following fetal systems bear the greatest influence on fetal pH?
A. Heart and lungs
B. Lungs and kidneys
C. Sympathetic and parasympathetic nervous systems - CORRECT ANSWERB. Lungs
and kidneys
Your patient is a 41-year-old diabetic prim gravida. You have just performed a vaginal
exam: 6/90/-1. The fetus has been having late decals with absent to minimal variability
and no access for one hour, despite interventions to improve the tracing. The provider
arrives on the unit and states that she will remain on the floor, and writes orders to start
oxytocin. You inform the physician that you are not comfortable starting oxytocin based
on maternal history, SVE, and FHR tracing. The provider insists that you should start
oxytocin. What is your response?
A. Tell the physician that if she will remain on the unit, you will start the oxytocin.
B. Tell the physician that she can start the oxytocin herself.
C. Tell the physician that you decline to start the oxytocin, and notify the physician that
you are activating your chain of command. - CORRECT ANSWERC. Tell the physician
that you decline to start the oxytocin, and notify the physician that you are activating
your chain of command.
All of the following are components of liability except
A. Breach of duty
B. Chain of command
C. Damages/loss - CORRECT ANSWERB. Chain of command
