NCC Electronic Fetal Monitoring
m m m m
Certification
Which mof mthemfollowingmfactorsmcan mhavemamnegativemeffectmon muterinembloodmflow?
a. Hypertension
b. Epidural
c. Hemorrhage
d. Diabetes
e. All mof mthemabove
e.mAll mof mthemabove
How mdoesmthemfetusmcompensatemformdecreasedmmaternal mcirculatingmvolume?
a. Increasesmcardiacmoutputmbymincreasingmstrokemvolume.
b. Increasesmcardiacmoutputmbymincreasingmit'smheartmrate.
c. Increasesmcardiacmoutputmbymincreasingmfetal mmovement.
b.mIncreasesmcardiacmoutputmbymincreasingmit'smheartmrate.mStimulati
ngmthemvagusmnervemtypicallymproduces:
a. Amdecreasemin mthemheartmrate
b. An mincreasemin mthemheartmrate
c. An mincreasemin mstrokemvolume
d. Nomchange
a. Amdecreasemin mthemheartmrate
Whatminitiallymcausesmamchemoreceptormresponse?
a. Epidurals
b. Supinemmaternal mposition
c. IncreasedmCO2mlevels
d. DecreasedmO2mlevels
e. Am&mC
f. Am&mB
g. C m&mD
g.mC m&mD
Themvagusmnervembeginsmmaturation m26mtom28mweeks.mItsmdominancemresultsminmwhatmeffe
ctmtomthemFHR mbaseline?
a. Increasesmbaseline
b. Decreasesmbaseline
b.mDecreasesmbaseline
T/F:mOxygen mexchangeminmthemplacentamtakesmplaceminmthemintervillousmspace.mT
rue
T/F:mThemparasympatheticmnervousmsystemmismamcardioaccelerator.
mFalse
T/F:mBaroreceptorsmaremstretch mreceptorsmwhichmrespondmtomincreasesmormdecreasesminmb
loodmpressure.
True
T/F:mTheremaremtwomelectronicmfetal mmonitoringmmethodsmofmobtainingmthemfetal mheartmrate:
mthemultrasound mtransducermandmthemfetal mspiral melectrode.
,True
T/F:mVariabilitymcan mbemdeterminedmwith mthemfetoscope.mFal
se
T/F:mBecausemthemultrasoundmtransducermandmtocomtransducermaremsealedmunits,mtheymca
n mbemdippedmin mwarmmwatermtommakemcleaningmeasier.
False
T/F:mThemmostmcommon martifactmwith mthemultrasoundmtransducermsystemmformfetal mheartmra
temismincreasedmvariability.
True
T/F:mAllmfetal mmonitorsmcontainmamlogicmsystemmdesignedmtomrejectmartifact
.mTrue
T/F:mThemmonitormshouldmalwaysmbemtestedmbeforemstartingmamtracing,meithermexternal mormi
nternal mmodemandmlabeledmamtest.
True
T/F:mThempapermspeedmonmthemfetal mmonitormshouldmalwaysmbemsetmatm1cm/min.m
False
T/F:mBoth minternal mandmexternalmmonitoringmmethodsmaremequallymaccuratemmeansmof mobt
ainingmthemfetal mheartmratemandmcontraction mpatterns.
False
T/F:mThemexternal mtocomismusuallymplacedmovermthemuterinemfundusmtompickmupmcontraction
s.mTrue
T/F:mThemexternal mtocomgivesmmeasurablemuterinempressur
e.mFalse
T/F:mThemfetal mspiral melectrodemcanmbemplacedmwhenmvaginal mbleedingmofmunknownmoriginmismp
resent.
False
T/F:mThemultrasoundmtransducermismusuallymplacedmonmthemsidemofmthemuterusmovermth
embaby'smback,masmthemfetal mheartmismheardmbestmthere.
True
T/F:mThemspiral melectrodemismusedmtommoremaccuratelymdeterminemthemfrequency,mduration
,mandmintensitymof muterinemcontractions.
False
T/F:mThemheartmratemfrommamwell-
appliedmfetal mspiral melectrodemcan monlymbemfetal,mnotmmaternal.
False
T/F:mThemintrauterinemcathetermismusedmtompickmupmthemfetal mheartmrate.mF
alse
T/F:mTheminternal mspiral melectrodemmaympickmupmthemmaternal mheartmratemif mthembabymhasm
died.
True
T/F:mFetal marrhythmiasmcanmbemseenmonmboth minternalmandmexternal mmonitormtracings.
mTrue
T/F:mVariabilitymandmperiodicmchangesmcanmbemdetectedmwith mbothminternalmandmexternalmm
onitoring.
True
T/F:mVariablemdecelerationsmaremamresultmof mcordmcompression.
,True
T/F:mThempresencemof mFHRmaccelerationsminmthemintrapartummandmantepartummperiodsmism
amsign mof madequatemfetal moxygenation.
True
T/F:mVariablemdecelerationsmaremamvagal mresponse
.mTrue
T/F:mLatemdecelerationsmhavemamgradual mdecreaseminmFHR m(onsetmtomnadirm30mseconds)m
andmaremdelayedminmtimingmwithmthemnadirmofmthemdecelerationmoccurringmaftermthempeakmof
mthemcontraction.
True
T/F:mThemfetal mheartmratembaselinemcanmbemdeterminedmduringmperiodsmof mmarke
dmvariability.
False
T/F:mAnythingmthatmaffectsmmaternalmbloodmflow m(cardiacmoutput)mcanmaffectmthembloodmflow mth
rough mthemplacenta.
True
T/F:mVariablemdecelerationsmaremthemmostmfrequentlymseenmfetalmheartmratemdecelerationmp
attern min mlabor.
True
T/F:mMinimal mvariabilitymismalwaysmanmindicatormofmhypoxiamandmamCesareanmsectionmismind
icated.
False
Whatmismyourmfirstminterventionminmmanagementmofmampatientmexperiencingmvariablemdecelerati
ons?
a. Immediatemdelivery
b. Changemmaternal mposition
c. Nomtreatmentmindicated
d. Oxygen
e. Stopmoxytocin minfusion
b.mChangemmaternal mposition
Etiologymof mambaselinemFHR mof m165bpmmoccurringmformthemlastmhourmcan mbe:
1. Maternal msupinemhypotension
2. Maternal mfever
3. Maternal mdehydration
4. Unknown
a. 1mandm2
b. 1,m2mandm3
c. 2,m3mandm4
c.m2,m3mandm4
Whatmismthemmostmprobablemcausemof mrecurrentmlatemdecelerations?
a. Utero-placental minsufficiency
b. Headmcompression
c. Cordmcompression
d. Maternal mposition mchange
a. Utero-placental minsufficiency
, Themmostmprevalentmriskmfactormassociatedmwith mfetal mdeath mbeforemthemonsetmof mlabormis:
a. Lowmsocioeconomicmstatus
b. Fetal mmalpresentation
c. Uteroplacental minsufficiency
d. Uterinemanomalies
c.mUteroplacental minsufficiency
Which mof mthemfollowingmismNOTmusedmformantepartummfetal msurveillance?
a. Fetal mmovementmcounting
b. Antepartummfetal mheartmratemtesting
c. Biophysical mprofilemtesting
d. Maternal mHCGmlevels
d.mMaternal mHCGmlevels
Which mofmthemfollowingmconditionsmismnotman mindication mformantepartummfetal msurveillance?
a. Gestational mhypertension
b. Diabetesmin mpregnancy
c. Fetusmin mbreech mpresentation
d. Decreasedmfetal mmovement
c.mFetusmin mbreech mpresentation
Which mof mthemfollowingmdoesmnotmaffectmthemdegreemof mfetal mactivity?
a. Vibroacousticmstimulation
b. Smoking
c. Fetal mposition
d. Gestational mage
a. Vibroacousticmstimulation
Tombemconsideredmreactive,mamnonstressmtestmmustmhave:
a. 4mfetal mheartmratemaccelerationsmin mam20mminutemwindow
b. 2mfetal mheartmratemaccelerationsmin mam10mminutemwindow
c. 4mfetal mheartmratemaccelerationsmin mam40mminutemwindow
d. 2mfetal mheartmratemaccelerationsmin mam20mminutem window
d.m2mfetal mheartmratemaccelerationsmin mam20mminutemwindow
If mamnonstressmtestmismnonreactivemafterm40mminutes,mthemnextmstepmshouldmbe:
a. Havemthemclientmgomhomemandmdomfetal mmovementmcounts
b. Domambiophysical mprofilemormcontraction mstressmtest
c. Repeatmthemnonstressmtestmwithin mamweek
d. Admitmthemclientmformdelivery
b. Domambiophysical mprofilemormcontraction mstressmtest
Allmof mthemfollowingmaremcomponentsmof mambiophysical mprofilemexcept:
a. Contraction mstressmtest
b. Assessmentmof mfetal mbreathing
c. Amnioticmfluidmvolumemmeasurement
d. Fetal mmovementmassessment
a. Contraction mstressmtest
Ammodifiedmbiophysical mprofilemincludesmamnonstressmtestmand:
a. Contraction mstressmtest
b. Ultrasoundmassessmentmof mfetal mmovement
m m m m
Certification
Which mof mthemfollowingmfactorsmcan mhavemamnegativemeffectmon muterinembloodmflow?
a. Hypertension
b. Epidural
c. Hemorrhage
d. Diabetes
e. All mof mthemabove
e.mAll mof mthemabove
How mdoesmthemfetusmcompensatemformdecreasedmmaternal mcirculatingmvolume?
a. Increasesmcardiacmoutputmbymincreasingmstrokemvolume.
b. Increasesmcardiacmoutputmbymincreasingmit'smheartmrate.
c. Increasesmcardiacmoutputmbymincreasingmfetal mmovement.
b.mIncreasesmcardiacmoutputmbymincreasingmit'smheartmrate.mStimulati
ngmthemvagusmnervemtypicallymproduces:
a. Amdecreasemin mthemheartmrate
b. An mincreasemin mthemheartmrate
c. An mincreasemin mstrokemvolume
d. Nomchange
a. Amdecreasemin mthemheartmrate
Whatminitiallymcausesmamchemoreceptormresponse?
a. Epidurals
b. Supinemmaternal mposition
c. IncreasedmCO2mlevels
d. DecreasedmO2mlevels
e. Am&mC
f. Am&mB
g. C m&mD
g.mC m&mD
Themvagusmnervembeginsmmaturation m26mtom28mweeks.mItsmdominancemresultsminmwhatmeffe
ctmtomthemFHR mbaseline?
a. Increasesmbaseline
b. Decreasesmbaseline
b.mDecreasesmbaseline
T/F:mOxygen mexchangeminmthemplacentamtakesmplaceminmthemintervillousmspace.mT
rue
T/F:mThemparasympatheticmnervousmsystemmismamcardioaccelerator.
mFalse
T/F:mBaroreceptorsmaremstretch mreceptorsmwhichmrespondmtomincreasesmormdecreasesminmb
loodmpressure.
True
T/F:mTheremaremtwomelectronicmfetal mmonitoringmmethodsmofmobtainingmthemfetal mheartmrate:
mthemultrasound mtransducermandmthemfetal mspiral melectrode.
,True
T/F:mVariabilitymcan mbemdeterminedmwith mthemfetoscope.mFal
se
T/F:mBecausemthemultrasoundmtransducermandmtocomtransducermaremsealedmunits,mtheymca
n mbemdippedmin mwarmmwatermtommakemcleaningmeasier.
False
T/F:mThemmostmcommon martifactmwith mthemultrasoundmtransducermsystemmformfetal mheartmra
temismincreasedmvariability.
True
T/F:mAllmfetal mmonitorsmcontainmamlogicmsystemmdesignedmtomrejectmartifact
.mTrue
T/F:mThemmonitormshouldmalwaysmbemtestedmbeforemstartingmamtracing,meithermexternal mormi
nternal mmodemandmlabeledmamtest.
True
T/F:mThempapermspeedmonmthemfetal mmonitormshouldmalwaysmbemsetmatm1cm/min.m
False
T/F:mBoth minternal mandmexternalmmonitoringmmethodsmaremequallymaccuratemmeansmof mobt
ainingmthemfetal mheartmratemandmcontraction mpatterns.
False
T/F:mThemexternal mtocomismusuallymplacedmovermthemuterinemfundusmtompickmupmcontraction
s.mTrue
T/F:mThemexternal mtocomgivesmmeasurablemuterinempressur
e.mFalse
T/F:mThemfetal mspiral melectrodemcanmbemplacedmwhenmvaginal mbleedingmofmunknownmoriginmismp
resent.
False
T/F:mThemultrasoundmtransducermismusuallymplacedmonmthemsidemofmthemuterusmovermth
embaby'smback,masmthemfetal mheartmismheardmbestmthere.
True
T/F:mThemspiral melectrodemismusedmtommoremaccuratelymdeterminemthemfrequency,mduration
,mandmintensitymof muterinemcontractions.
False
T/F:mThemheartmratemfrommamwell-
appliedmfetal mspiral melectrodemcan monlymbemfetal,mnotmmaternal.
False
T/F:mThemintrauterinemcathetermismusedmtompickmupmthemfetal mheartmrate.mF
alse
T/F:mTheminternal mspiral melectrodemmaympickmupmthemmaternal mheartmratemif mthembabymhasm
died.
True
T/F:mFetal marrhythmiasmcanmbemseenmonmboth minternalmandmexternal mmonitormtracings.
mTrue
T/F:mVariabilitymandmperiodicmchangesmcanmbemdetectedmwith mbothminternalmandmexternalmm
onitoring.
True
T/F:mVariablemdecelerationsmaremamresultmof mcordmcompression.
,True
T/F:mThempresencemof mFHRmaccelerationsminmthemintrapartummandmantepartummperiodsmism
amsign mof madequatemfetal moxygenation.
True
T/F:mVariablemdecelerationsmaremamvagal mresponse
.mTrue
T/F:mLatemdecelerationsmhavemamgradual mdecreaseminmFHR m(onsetmtomnadirm30mseconds)m
andmaremdelayedminmtimingmwithmthemnadirmofmthemdecelerationmoccurringmaftermthempeakmof
mthemcontraction.
True
T/F:mThemfetal mheartmratembaselinemcanmbemdeterminedmduringmperiodsmof mmarke
dmvariability.
False
T/F:mAnythingmthatmaffectsmmaternalmbloodmflow m(cardiacmoutput)mcanmaffectmthembloodmflow mth
rough mthemplacenta.
True
T/F:mVariablemdecelerationsmaremthemmostmfrequentlymseenmfetalmheartmratemdecelerationmp
attern min mlabor.
True
T/F:mMinimal mvariabilitymismalwaysmanmindicatormofmhypoxiamandmamCesareanmsectionmismind
icated.
False
Whatmismyourmfirstminterventionminmmanagementmofmampatientmexperiencingmvariablemdecelerati
ons?
a. Immediatemdelivery
b. Changemmaternal mposition
c. Nomtreatmentmindicated
d. Oxygen
e. Stopmoxytocin minfusion
b.mChangemmaternal mposition
Etiologymof mambaselinemFHR mof m165bpmmoccurringmformthemlastmhourmcan mbe:
1. Maternal msupinemhypotension
2. Maternal mfever
3. Maternal mdehydration
4. Unknown
a. 1mandm2
b. 1,m2mandm3
c. 2,m3mandm4
c.m2,m3mandm4
Whatmismthemmostmprobablemcausemof mrecurrentmlatemdecelerations?
a. Utero-placental minsufficiency
b. Headmcompression
c. Cordmcompression
d. Maternal mposition mchange
a. Utero-placental minsufficiency
, Themmostmprevalentmriskmfactormassociatedmwith mfetal mdeath mbeforemthemonsetmof mlabormis:
a. Lowmsocioeconomicmstatus
b. Fetal mmalpresentation
c. Uteroplacental minsufficiency
d. Uterinemanomalies
c.mUteroplacental minsufficiency
Which mof mthemfollowingmismNOTmusedmformantepartummfetal msurveillance?
a. Fetal mmovementmcounting
b. Antepartummfetal mheartmratemtesting
c. Biophysical mprofilemtesting
d. Maternal mHCGmlevels
d.mMaternal mHCGmlevels
Which mofmthemfollowingmconditionsmismnotman mindication mformantepartummfetal msurveillance?
a. Gestational mhypertension
b. Diabetesmin mpregnancy
c. Fetusmin mbreech mpresentation
d. Decreasedmfetal mmovement
c.mFetusmin mbreech mpresentation
Which mof mthemfollowingmdoesmnotmaffectmthemdegreemof mfetal mactivity?
a. Vibroacousticmstimulation
b. Smoking
c. Fetal mposition
d. Gestational mage
a. Vibroacousticmstimulation
Tombemconsideredmreactive,mamnonstressmtestmmustmhave:
a. 4mfetal mheartmratemaccelerationsmin mam20mminutemwindow
b. 2mfetal mheartmratemaccelerationsmin mam10mminutemwindow
c. 4mfetal mheartmratemaccelerationsmin mam40mminutemwindow
d. 2mfetal mheartmratemaccelerationsmin mam20mminutem window
d.m2mfetal mheartmratemaccelerationsmin mam20mminutemwindow
If mamnonstressmtestmismnonreactivemafterm40mminutes,mthemnextmstepmshouldmbe:
a. Havemthemclientmgomhomemandmdomfetal mmovementmcounts
b. Domambiophysical mprofilemormcontraction mstressmtest
c. Repeatmthemnonstressmtestmwithin mamweek
d. Admitmthemclientmformdelivery
b. Domambiophysical mprofilemormcontraction mstressmtest
Allmof mthemfollowingmaremcomponentsmof mambiophysical mprofilemexcept:
a. Contraction mstressmtest
b. Assessmentmof mfetal mbreathing
c. Amnioticmfluidmvolumemmeasurement
d. Fetal mmovementmassessment
a. Contraction mstressmtest
Ammodifiedmbiophysical mprofilemincludesmamnonstressmtestmand:
a. Contraction mstressmtest
b. Ultrasoundmassessmentmof mfetal mmovement
