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ANSWERS
P0 at 42 wks in active labor. AROM 2 hours ago thick meconi
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um, now 4cm dilated. Tracing is Cat 1. The appropriate interv
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ention is: m
A. continue to monitor and observe
m m m m m
b. perform amnioinfusion
m m
c. plase ISE -
m m m
<<Answers>>>a. continue to monitor and observe
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P1 at 39wks IOL gHTN. Pit at 7mU. SVE 1 hour ago 4cm. Inc
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reased dark bloody show and abdominal pain. Tracing showin
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g quivering ctx pattern. After turning off pit. Next interventio
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n is:
m
a. administer terbutaline m
b. palpate the uterus for rigidity m m m m
c. perform SVE - <<Answers>>>b. palpate uterus for rigidity
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P2 at 37 wks, in MVA. Obvious compound fracture to right fe
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mur. Hysterical crying, pain everywhere. BP 90/68, RR 45, H
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R 160. Tracing Cat 3. Priority intervention is:
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a. administer pain medication m m
b. order ultrasound m
c. stabilize mother - <<Answers>>>c. stabilize mother
m m m m m
,NCC EFM TEST (ACTUAL 2025) QUESTIONS AND
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ANSWERS
TOLAC IOL, 5/70/0, membranes intact. Vomitted and then lar
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ge amount of blood per vagina. Now with severe abdominal pai
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n and cat 3 tracing. This is characteristic of:
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a. placenta previa m
b. uterine rupture m
c. vasa previa - <<Answers>>>b. uterine rupture
m m m m m
MonoMono twins are prone to what type of decelerations duri
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ng labor - <<Answers>>>variable decels
m m m m
DiDi twins, appear to be tracing same FH, A has ISE and B ha
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s external. Appropriate action is:
m m m m
a. apply a different monitor
m m m
b. continue to observe m m
c. readjust the ultrasound transducer for baby B -
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<<Answers>>>c. readjust the ultrasound transducer for baby m m m m m m m
B
P1 IOL, BMI 43, SVE 2cm, cannot trace externally next step:
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a. continue to readjust external devices m m m m
b. hand hold monitor in place
m m m m
c. place internal monitors -
m m m
<<Answers>>>c. place internal monitors
m m m m
,NCC EFM TEST (ACTUAL 2025) QUESTIONS AND
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ANSWERS
During labor, the recommended fetal heart rate assessment int
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erval for auscultation is every
m m m m
A. 15-
30 minutes in the active phase of the first stage and every
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5-15 minutes in second stage
m m m m
B. 15 minutes no matter what stage of labor
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C. 60 minutes in the active phase of the first stage and every 3
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0 minutes in second stage - <<Answers>>>A. 15-
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30 minutes in the active phase of the first stage and every 5-
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15 minutes in second stage
m m m m
The fetal spiral electrode measures the
m m m m m
A. Peaks of the Doppler waveforms
m m m m
B. R to R intervals of the fetal heart
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C. ST segments of the fetal ECG -
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<<Answers>>>B. R to R intervals of the fetal heart
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The optimal location for the ultrasound transducer for the fetu
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s - <<Answers>>>the fetal back
m m m m
First step when contraction pattern is weird with IUPC in plac
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e - <<Answers>>>re zero the IUPC
m m m m m
Membranes ruptured 60 minutes ago and now you see prolong
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ed deceleration, first step: -
m m m m
<<Answers>>>perform a vaginal exam
m m m m
, NCC EFM TEST (ACTUAL 2025) QUESTIONS AND
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ANSWERS
A woman who is admitted for an induction of labor with oxyt
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ocin is questioning the need for continuous EFM. The appropr
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iate response to the woman is.
m m m m m
A. hospital policy requires all patients have continuous EFM
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B. I would like to answer your questions about continuous
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monitoring and give you some information about why it is
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recommended
C. Nurses have more training with continuous monitoring t
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han with intermittent auscultation so it is safer for you and b
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aby - m
<<Answers>>>B. I would like to answer your questions a
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bout continuous monitoring and give you some information
m m m m m m m
about why it is recommended
m m m m m
The process by which oxygen and carbon dioxide pass from a
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region of higher concentration to one of lower concentration i
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s called:
m
a. active transport m
b. simple diffusion m
c. facilitated diffusion - <<Answers>>>B. simple diffusion
m m m m m
The greater affinity that fetal hemoglobin has for oxygen allo
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ws for: m
a. easier release of oxygen to the tissues
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b. greater binding of oxygen m m m