NCC ELECTRONIC FETAL MONITORING CERTIFIC
m m m mm
ATION (EFM) ACTUAL EXAM AND TEST BANK 202
m m m m m mm m
5 REAL EXAM QUESTIONS AND ANSWERS EXPER
m m m m mm m
T VERIFIED FOR GUARANTEED PASS GRADED A+
m m m mm m m
What mismyourmfirst minterventionminmmanagement mof mamclient mexperiencingmvariable mdecelerations? mC
ORRECTmANSWER>>
a. Immediatemdelivery
b. Changemmaternalmposition
c. Nomtreatment mindicated
d. Oxygen
e. Stopmoxytocinminfusion
b.mChangemmaternalmposition
Etiologymof mambaselinemFHRmof m165bpmmoccurringmformthemlast mhourmcanmbe:
1. Maternalmsupinemhypotension
2. Maternalmfever
3. Maternalmdehydration
4. Unknown
a.m1mand m2
b.m1,m2mand m3
c.m2,m3mand m4
c.m2,m3mand m4
What mismthemmost mprobablemcausemof mrecurrent mlatemdecelerations?mCORRECTmANSWER>>
a. Utero-placentalminsufficiency
b. Head mcompression
c. Cord mcompression
d. Maternalmpositionmchange
a. Utero-placentalminsufficiency
Themmost mprevalent mriskmfactormassociated mwithmfetalmdeathmbeforemthemonset mof mlabormis:
a. Low msocioeconomicmstatus
b. Fetalmmalpresentation
c. Uteroplacentalminsufficiency
d. Uterinemanomalies
c.mUteroplacentalminsufficiency
Whichmof mthemfollowingmismNOTmused mformantepartummfetalmsurveillance?mCORRECTmANSWER>>
a. Fetalmmovement mcounting
b. Antepartummfetalmheart mratemtesting
,NCC ELECTRONIC FETAL MONITORING CERTIFIC
m m m mm
ATION (EFM) ACTUAL EXAM AND TEST BANK 202
m m m m m mm m
5 REAL EXAM QUESTIONS AND ANSWERS EXPER
m m m m mm m
T VERIFIED FOR GUARANTEED PASS GRADED A+
m m m mm m m
c. Biophysicalmprofilemtesting
d. MaternalmHCG mlevels
d.mMaternalmHCG mlevels
Whichmof mthemfollowingmconditionsmismnot manmindicationmformantepartummfetalmsurveillance?mCO
RRECTmANSWER>>
a. Gestationalmhypertension
b. Diabetesminmpregnancy
c. Fetusminmbreechmpresentation
d. Decreased mfetalmmovement
c.mFetusminmbreechmpresentation
Whichmof mthemfollowingmdoesmnot maffect mthemdegreemof mfetalmactivity?mCORRECTmANSWER>>
a. Vibroacousticmstimulation
b. Smoking
c. Fetalmposition
d. Gestationalmage
a. Vibroacousticmstimulation
Tombemconsidered mreactive,mamnonstressmtest mmust mhave:
a. 4mfetalmheart mratemaccelerationsminmam20mminutemwindow
b. 2mfetalmheart mratemaccelerationsminmam10mminutemwindow
c. 4mfetalmheart mratemaccelerationsminmam40mminutemwindow
d. 2mfetalmheart mratemaccelerationsminmam20mminutemwindow
d.m2mfetalmheart mratemaccelerationsminmam20mminutemwindow
If mamnonstressmtest mismnonreactivemafterm40mminutes,mthemnext mstepmshould mbe:
a. Havemthemclient mgomhomemand mdomfetalmmovement mcounts
b. Domambiophysicalmprofilemormcontractionmstressmtest
c. Repeat mthemnonstressmtest mwithinmamweek
d. Admit mthemclient mformdelivery
b. Domambiophysicalmprofilemormcontractionmstressmtest
Allmof mthemfollowingmaremcomponentsmof mambiophysicalmprofilemexcept:
a. Contractionmstressmtest
b. Assessment mof mfetalmbreathing
c. Amnioticmfluid mvolumemmeasurement
d. Fetalmmovement massessment
a. Contractionmstressmtest
Ammodified mbiophysicalmprofilemincludesmamnonstressmtest mand:
a. Contractionmstressmtest
b. Ultrasound massessment mof mfetalmmovement
,NCC ELECTRONIC FETAL MONITORING CERTIFIC
m m m mm
ATION (EFM) ACTUAL EXAM AND TEST BANK 202
m m m m m mm m
5 REAL EXAM QUESTIONS AND ANSWERS EXPER
m m m m mm m
T VERIFIED FOR GUARANTEED PASS GRADED A+
m m m mm m m
c. Ultrasound massessment mof mamnioticmfluid mvolume
d. Fetalmmovement mcounts
c. Ultrasound massessment mof mamnioticmfluid mvolume
Formamcontractionmstressmtest mtombeminterpretable,m yoummust mhavemamminimum mof:
a. 5mcontractionsminmam10-minutemwindow
b. 3mcontractionsminmam10-minutemwindow
c. 4mcontractionsminmam10-minutemwindow
d. 2mcontractionsminmam10-minutemwindow
b. 3mcontractionsminmam10mminutemwindow
Amnegativemcontractionmstressmtest mismoneminmwhich:
a. Nomcontractionsmaremseen
b. Theremaremlatemdecelerationsmwithm>m50%mof mthemcontractionsmseen
c. Theremaremnomfetalmheart mratemlatemdecelerationsmwithmthemcontractions
d. Theremismonemfetalmheart mratemdecelerationmseen
c. Theremaremnomfetalmheart mratemlatemdecelerationsmwithmthemcontractions
AccordingmtomAWHONN,mthemnormalmbaselinemFetalmHeart mRatem(FHR)mis
A. 90-150mbpm
B. 100-170mbpm
C. 110-160mbpm
D. 120-140mbpm
C.m110-160mbpm
What maremthemtwommost mimportant mcharacteristicsmof mthemFHR?mCORRECTmANSWER>>
A.mRatemand mdecelerations
B.mVariabilitymand maccelerations
C.mVariabilitymand mdecelerations
D.mRatemand mvariability
B.mVariabilitymand maccelerations
Youmrecognizemthat manmFHRmtracingmhasmbeenmshowingmamdecreaseminmvariabilitymformthemlast m45m min
utes.mYourmfirst minterventionmshould mbemto
A.mEncouragemambulation
B.mAdministermoxygen
C.mDiscontinuemIVmfluids
D.mIncreasemPitocinmrate
B.mAdministermoxygen
Resuscitationmmeasuresmimprovesmthembaby'smvariability,mbut mthemFHRmismstill mnot mreactive.mYoum
attempt mfetalmscalpmstimulationm(FSE)mbecausemyoumknowmthat mamwell-
oxygenated mfetusmwillmrespond mtomFSEmwithma(n)
, NCC ELECTRONIC FETAL MONITORING CERTIFIC
m m m mm
ATION (EFM) ACTUAL EXAM AND TEST BANK 202
m m m m m mm m
5 REAL EXAM QUESTIONS AND ANSWERS EXPER
m m m m mm m
T VERIFIED FOR GUARANTEED PASS GRADED A+
m m m mm m m
A.mAcceleration
B.mDeceleration
C.mFetalmmovement
D.mSleepmpattern
A.mAcceleration
Youmaremevaluatingmamclient minmthemPrenatalmTestingmDepartment mwhomhasmjust mcompleted mambi
ophysicalmprofilem(BPP).mYoumsuspect mthat mtheremcould mbemchronicmfetalmasphyxia mbecause mthems
coremismbelow
A.m10
B.m6
C.m8
B.m6
Whenmusingmamfetalmscalpmelectrodem(FSE),myoumnoticemanmabnormallymlowmFHRmonmthemmonitor
.mYoumshould mfirst
A.mComparemmaternalmpulsemsimultaneouslymwithmFHR
B.mRemovemFSE
C.mCallmthemdoctormimmediately
D.mTurnmoff mthemmonitor
A.mComparemmaternalmpulsemsimultaneouslymwithmFHR
Asmamresult mof mthemintrinsicmfetalmresponsemtomoxygenmdeprivation,mincreased mcatecholaminemleve
lsmcausemthemperipheralmblood mflow mtomdecreasemwhilemthe mblood mflow mtomvitalmorgansmincreases.m
Thesemflow mchangesmalongmwithmincreased mcatecholaminemsecretions mhavemwhat meffect monmfetalm
blood mpressuremand mfetalmheart mrate?mCORRECTmANSWER>>
A.mIncreasemBPmand mincreasemHR
B.mIncreasemBPmand mdecreasemHR
C.mDecreasemBPmand mincreasemHR
D.mDecreasemBPmand mdecreasemHR
B.mIncreasemBPmand mdecreasemHR
Allmof mthemfollowingmmight mindicatemampseudosinusoidalmpatternmasmopposed mtomamsinusoidalmpattern,
mexcept:
A.mRecent madministrationmof mnarcoticsmtommother
B.mAccelerationsminmFHR
C.mModeratemvariability
D.mFrequencymof moscillationsmof mtwomtomfivemcycles/min
D.mFrequencymof moscillationsmof mtwomtomfivemcycles/min
Allmof mthemfollowingmaremappropriateminterventionsmformfetalmtachycardiamexcept:
A.mIncreasemmaternalmIV mfluid mrate
B.mAssessmmaternalmvitalmsigns
m m m mm
ATION (EFM) ACTUAL EXAM AND TEST BANK 202
m m m m m mm m
5 REAL EXAM QUESTIONS AND ANSWERS EXPER
m m m m mm m
T VERIFIED FOR GUARANTEED PASS GRADED A+
m m m mm m m
What mismyourmfirst minterventionminmmanagement mof mamclient mexperiencingmvariable mdecelerations? mC
ORRECTmANSWER>>
a. Immediatemdelivery
b. Changemmaternalmposition
c. Nomtreatment mindicated
d. Oxygen
e. Stopmoxytocinminfusion
b.mChangemmaternalmposition
Etiologymof mambaselinemFHRmof m165bpmmoccurringmformthemlast mhourmcanmbe:
1. Maternalmsupinemhypotension
2. Maternalmfever
3. Maternalmdehydration
4. Unknown
a.m1mand m2
b.m1,m2mand m3
c.m2,m3mand m4
c.m2,m3mand m4
What mismthemmost mprobablemcausemof mrecurrent mlatemdecelerations?mCORRECTmANSWER>>
a. Utero-placentalminsufficiency
b. Head mcompression
c. Cord mcompression
d. Maternalmpositionmchange
a. Utero-placentalminsufficiency
Themmost mprevalent mriskmfactormassociated mwithmfetalmdeathmbeforemthemonset mof mlabormis:
a. Low msocioeconomicmstatus
b. Fetalmmalpresentation
c. Uteroplacentalminsufficiency
d. Uterinemanomalies
c.mUteroplacentalminsufficiency
Whichmof mthemfollowingmismNOTmused mformantepartummfetalmsurveillance?mCORRECTmANSWER>>
a. Fetalmmovement mcounting
b. Antepartummfetalmheart mratemtesting
,NCC ELECTRONIC FETAL MONITORING CERTIFIC
m m m mm
ATION (EFM) ACTUAL EXAM AND TEST BANK 202
m m m m m mm m
5 REAL EXAM QUESTIONS AND ANSWERS EXPER
m m m m mm m
T VERIFIED FOR GUARANTEED PASS GRADED A+
m m m mm m m
c. Biophysicalmprofilemtesting
d. MaternalmHCG mlevels
d.mMaternalmHCG mlevels
Whichmof mthemfollowingmconditionsmismnot manmindicationmformantepartummfetalmsurveillance?mCO
RRECTmANSWER>>
a. Gestationalmhypertension
b. Diabetesminmpregnancy
c. Fetusminmbreechmpresentation
d. Decreased mfetalmmovement
c.mFetusminmbreechmpresentation
Whichmof mthemfollowingmdoesmnot maffect mthemdegreemof mfetalmactivity?mCORRECTmANSWER>>
a. Vibroacousticmstimulation
b. Smoking
c. Fetalmposition
d. Gestationalmage
a. Vibroacousticmstimulation
Tombemconsidered mreactive,mamnonstressmtest mmust mhave:
a. 4mfetalmheart mratemaccelerationsminmam20mminutemwindow
b. 2mfetalmheart mratemaccelerationsminmam10mminutemwindow
c. 4mfetalmheart mratemaccelerationsminmam40mminutemwindow
d. 2mfetalmheart mratemaccelerationsminmam20mminutemwindow
d.m2mfetalmheart mratemaccelerationsminmam20mminutemwindow
If mamnonstressmtest mismnonreactivemafterm40mminutes,mthemnext mstepmshould mbe:
a. Havemthemclient mgomhomemand mdomfetalmmovement mcounts
b. Domambiophysicalmprofilemormcontractionmstressmtest
c. Repeat mthemnonstressmtest mwithinmamweek
d. Admit mthemclient mformdelivery
b. Domambiophysicalmprofilemormcontractionmstressmtest
Allmof mthemfollowingmaremcomponentsmof mambiophysicalmprofilemexcept:
a. Contractionmstressmtest
b. Assessment mof mfetalmbreathing
c. Amnioticmfluid mvolumemmeasurement
d. Fetalmmovement massessment
a. Contractionmstressmtest
Ammodified mbiophysicalmprofilemincludesmamnonstressmtest mand:
a. Contractionmstressmtest
b. Ultrasound massessment mof mfetalmmovement
,NCC ELECTRONIC FETAL MONITORING CERTIFIC
m m m mm
ATION (EFM) ACTUAL EXAM AND TEST BANK 202
m m m m m mm m
5 REAL EXAM QUESTIONS AND ANSWERS EXPER
m m m m mm m
T VERIFIED FOR GUARANTEED PASS GRADED A+
m m m mm m m
c. Ultrasound massessment mof mamnioticmfluid mvolume
d. Fetalmmovement mcounts
c. Ultrasound massessment mof mamnioticmfluid mvolume
Formamcontractionmstressmtest mtombeminterpretable,m yoummust mhavemamminimum mof:
a. 5mcontractionsminmam10-minutemwindow
b. 3mcontractionsminmam10-minutemwindow
c. 4mcontractionsminmam10-minutemwindow
d. 2mcontractionsminmam10-minutemwindow
b. 3mcontractionsminmam10mminutemwindow
Amnegativemcontractionmstressmtest mismoneminmwhich:
a. Nomcontractionsmaremseen
b. Theremaremlatemdecelerationsmwithm>m50%mof mthemcontractionsmseen
c. Theremaremnomfetalmheart mratemlatemdecelerationsmwithmthemcontractions
d. Theremismonemfetalmheart mratemdecelerationmseen
c. Theremaremnomfetalmheart mratemlatemdecelerationsmwithmthemcontractions
AccordingmtomAWHONN,mthemnormalmbaselinemFetalmHeart mRatem(FHR)mis
A. 90-150mbpm
B. 100-170mbpm
C. 110-160mbpm
D. 120-140mbpm
C.m110-160mbpm
What maremthemtwommost mimportant mcharacteristicsmof mthemFHR?mCORRECTmANSWER>>
A.mRatemand mdecelerations
B.mVariabilitymand maccelerations
C.mVariabilitymand mdecelerations
D.mRatemand mvariability
B.mVariabilitymand maccelerations
Youmrecognizemthat manmFHRmtracingmhasmbeenmshowingmamdecreaseminmvariabilitymformthemlast m45m min
utes.mYourmfirst minterventionmshould mbemto
A.mEncouragemambulation
B.mAdministermoxygen
C.mDiscontinuemIVmfluids
D.mIncreasemPitocinmrate
B.mAdministermoxygen
Resuscitationmmeasuresmimprovesmthembaby'smvariability,mbut mthemFHRmismstill mnot mreactive.mYoum
attempt mfetalmscalpmstimulationm(FSE)mbecausemyoumknowmthat mamwell-
oxygenated mfetusmwillmrespond mtomFSEmwithma(n)
, NCC ELECTRONIC FETAL MONITORING CERTIFIC
m m m mm
ATION (EFM) ACTUAL EXAM AND TEST BANK 202
m m m m m mm m
5 REAL EXAM QUESTIONS AND ANSWERS EXPER
m m m m mm m
T VERIFIED FOR GUARANTEED PASS GRADED A+
m m m mm m m
A.mAcceleration
B.mDeceleration
C.mFetalmmovement
D.mSleepmpattern
A.mAcceleration
Youmaremevaluatingmamclient minmthemPrenatalmTestingmDepartment mwhomhasmjust mcompleted mambi
ophysicalmprofilem(BPP).mYoumsuspect mthat mtheremcould mbemchronicmfetalmasphyxia mbecause mthems
coremismbelow
A.m10
B.m6
C.m8
B.m6
Whenmusingmamfetalmscalpmelectrodem(FSE),myoumnoticemanmabnormallymlowmFHRmonmthemmonitor
.mYoumshould mfirst
A.mComparemmaternalmpulsemsimultaneouslymwithmFHR
B.mRemovemFSE
C.mCallmthemdoctormimmediately
D.mTurnmoff mthemmonitor
A.mComparemmaternalmpulsemsimultaneouslymwithmFHR
Asmamresult mof mthemintrinsicmfetalmresponsemtomoxygenmdeprivation,mincreased mcatecholaminemleve
lsmcausemthemperipheralmblood mflow mtomdecreasemwhilemthe mblood mflow mtomvitalmorgansmincreases.m
Thesemflow mchangesmalongmwithmincreased mcatecholaminemsecretions mhavemwhat meffect monmfetalm
blood mpressuremand mfetalmheart mrate?mCORRECTmANSWER>>
A.mIncreasemBPmand mincreasemHR
B.mIncreasemBPmand mdecreasemHR
C.mDecreasemBPmand mincreasemHR
D.mDecreasemBPmand mdecreasemHR
B.mIncreasemBPmand mdecreasemHR
Allmof mthemfollowingmmight mindicatemampseudosinusoidalmpatternmasmopposed mtomamsinusoidalmpattern,
mexcept:
A.mRecent madministrationmof mnarcoticsmtommother
B.mAccelerationsminmFHR
C.mModeratemvariability
D.mFrequencymof moscillationsmof mtwomtomfivemcycles/min
D.mFrequencymof moscillationsmof mtwomtomfivemcycles/min
Allmof mthemfollowingmaremappropriateminterventionsmformfetalmtachycardiamexcept:
A.mIncreasemmaternalmIV mfluid mrate
B.mAssessmmaternalmvitalmsigns
