NCC EFM EXAM WITH COMPLETE
VERIFIED QUESTIONS AND ANSWERS
LATEST UPDATED
19 yo p0 at 34 weeks presents with nausea and vomiting. Tracing
shows baseline of 210bpm, if fh continues at this rate, the
recommended treatment is maternal administration of A. Dioxin
B. Mag sulfate
C. Phenobarbital
19 yo p0 at 34 weeks presents with nausea and vomitting.
Tracing shows baseline of 210bpm, moderate variability, -accels,
+variables. If baseline persists at this rate the fetus is at risk of:
A. Hydrops
B. Low output failure
C. Second degree heart block
The umbilical arterial cord blood gas values reflect
,A. Metabolic acidemia
D. Mixed acidemia
E. Respiratory acidemia
F.
20 minutes into an nst, the patient still has not felt the baby
move. You have 2 accelerations of 15 beats by 15 beats. You
would
A. Have her ambulate for 20 minutes then reapply the monitor to
see if the baby is more active
B. Consider this a reactive nst and discontinue monitoring
C. Continue to monitor until the mother perceives fetal movement
that correlates to acceleration
21 yo p0 at 33 wks presents with decreased fm. No pregnancy
complication. Tracing showing baseline 140 with absent
variability. When volume of efm is turned up, the fh is too fast to
count. These findings are consistent with:
A. Maternal hr
B. Normal baseline rate
,C. Svt
28 yo p0 at 35wks iol chtn r/o pec, afi 2.0. She has ise and iupc in
place. Pit is at 2mu. Based on above strip (minimal variability,
recurrent late decels) what would next intervention be?
A. Perform a vaginal exam
B. Reposition the mother
C. Turn off the pit
30 yo p0 at 40wks iol chtn, on pitocin. Bp 178/89 just before test
dose of epidural. Tracing now with prolonged decel. After
repositioning the pateitn the first action is to
A. Administer a 1l bolus
B. Apply o2
C. Stop the pit
34 wks r/o ptl. Tracing showing baseline 180bpm, moderate
variability. The appropriate action in response to the fh baseline
is:
A. Continue observation based upon normal findings
, B. Interpret with caution; further evaluation needed
C. Prepare for cesarean section
34 yo gdma2 admitted with nausea vomiting abdominal pain.
Glucose is 515. Tracing with minimal variability. Suspect:
A. Dka
B. Euglycemia
C. Insulin shock
35 wks having nst. Baseline 130 bpm. Rn uses vas to reduce the
length of time needed to obtain the nst. Fetal well being requires:
A. 1 accel to 145
B. 2 accels to 140
C. 2 accels to 145
36 wks, bpp 6/10. Afi is normal. Expected management is:
A. Immediate delivery
B. Repeat test in 24 hours
C. Schedule the test in 1 week
38 wks, gdm, bpp 4/10. This indicated need for:
VERIFIED QUESTIONS AND ANSWERS
LATEST UPDATED
19 yo p0 at 34 weeks presents with nausea and vomiting. Tracing
shows baseline of 210bpm, if fh continues at this rate, the
recommended treatment is maternal administration of A. Dioxin
B. Mag sulfate
C. Phenobarbital
19 yo p0 at 34 weeks presents with nausea and vomitting.
Tracing shows baseline of 210bpm, moderate variability, -accels,
+variables. If baseline persists at this rate the fetus is at risk of:
A. Hydrops
B. Low output failure
C. Second degree heart block
The umbilical arterial cord blood gas values reflect
,A. Metabolic acidemia
D. Mixed acidemia
E. Respiratory acidemia
F.
20 minutes into an nst, the patient still has not felt the baby
move. You have 2 accelerations of 15 beats by 15 beats. You
would
A. Have her ambulate for 20 minutes then reapply the monitor to
see if the baby is more active
B. Consider this a reactive nst and discontinue monitoring
C. Continue to monitor until the mother perceives fetal movement
that correlates to acceleration
21 yo p0 at 33 wks presents with decreased fm. No pregnancy
complication. Tracing showing baseline 140 with absent
variability. When volume of efm is turned up, the fh is too fast to
count. These findings are consistent with:
A. Maternal hr
B. Normal baseline rate
,C. Svt
28 yo p0 at 35wks iol chtn r/o pec, afi 2.0. She has ise and iupc in
place. Pit is at 2mu. Based on above strip (minimal variability,
recurrent late decels) what would next intervention be?
A. Perform a vaginal exam
B. Reposition the mother
C. Turn off the pit
30 yo p0 at 40wks iol chtn, on pitocin. Bp 178/89 just before test
dose of epidural. Tracing now with prolonged decel. After
repositioning the pateitn the first action is to
A. Administer a 1l bolus
B. Apply o2
C. Stop the pit
34 wks r/o ptl. Tracing showing baseline 180bpm, moderate
variability. The appropriate action in response to the fh baseline
is:
A. Continue observation based upon normal findings
, B. Interpret with caution; further evaluation needed
C. Prepare for cesarean section
34 yo gdma2 admitted with nausea vomiting abdominal pain.
Glucose is 515. Tracing with minimal variability. Suspect:
A. Dka
B. Euglycemia
C. Insulin shock
35 wks having nst. Baseline 130 bpm. Rn uses vas to reduce the
length of time needed to obtain the nst. Fetal well being requires:
A. 1 accel to 145
B. 2 accels to 140
C. 2 accels to 145
36 wks, bpp 6/10. Afi is normal. Expected management is:
A. Immediate delivery
B. Repeat test in 24 hours
C. Schedule the test in 1 week
38 wks, gdm, bpp 4/10. This indicated need for:
