NCC ELECTRONIC FETAL MONITORING CERTIFICATION
1. Which of the following factors can have a negative effect on uterine
blood flow?
a. Hypertension
b. Epidural
c. Hemorrhage
d. Diabetes
e. All of the above: e. All of the above
2. How does the fetus compensate for decreased maternal circulating
vol- ume?
a. Increases cardiac output by increasing stroke volume.
b. Increases cardiac output by increasing it's heart rate.
c. Increases cardiac output by increasing fetal movement.: b. Increases
car- diac output by increasing it's heart rate.
3. Stimulating the vagus nerve typically produces:
a. A decrease in the heart rate
b. An increase in the heart rate
c. An increase in stroke volume
d. No change: a. A decrease in the heart rate
4. What initially causes a chemoreceptor response?
a. Epidurals
b. Supine maternal position
c. Increased CO2 levels
d. Decreased O2 levels
,e. A & C
f. A & B
g. C & D: g. C & D
5. The vagus nerve begins maturation 26 to 28 weeks. Its dominance
results in what effect to the FHR baseline?
a. Increases baseline
b. Decreases baseline: b. Decreases baseline
6. T/F: Oxygen exchange in the placenta takes place in the
intervillous space.: True
7. T/F: The parasympathetic nervous system is a cardioaccelerator.: False
8. T/F: Baroreceptors are stretch receptors which respond to increases
or decreases in blood pressure.: True
,9. T/F: There are two electronic fetal monitoring methods of obtaining the
fetal heart rate: the ultrasound transducer and the fetal spiral electrode.:
True
10.T/F: Variability can be determined with the fetoscope.: False
11.T/F: Because the ultrasound transducer and toco transducer are
sealed units, they can be dipped in warm water to make cleaning easier.:
False
12.T/F: The most common artifact with the ultrasound transducer system
for fetal heart rate is increased variability.: True
13. T/F: All fetal monitors contain a logic system designed to reject artifact.-
: True
14.T/F: The monitor should always be tested before starting a tracing,
either external or internal mode and labeled a test.: True
15.T/F: The paper speed on the fetal monitor should always be set
at 1cm/min.: False
16.T/F: Both internal and external monitoring methods are equally
accurate means of obtaining the fetal heart rate and contraction patterns.:
False
17.T/F: The external toco is usually placed over the uterine fundus to pick
up contractions.: True
18.T/F: The external toco gives measurable uterine pressure.: False
19.T/F: The fetal spiral electrode can be placed when vaginal bleeding
of unknown origin is present.: False
, 20.T/F: The ultrasound transducer is usually placed on the side of the
uterus over the baby's back, as the fetal heart is heard best there.: True
21.T/F: The spiral electrode is used to more accurately determine the
fre- quency, duration, and intensity of uterine contractions.: False
22.T/F: The heart rate from a well-applied fetal spiral electrode can only
be fetal, not maternal.: False
23.T/F: The intrauterine catheter is used to pick up the fetal heart rate.:
False
24.T/F: The internal spiral electrode may pick up the maternal heart rate if
the baby has died.: True
25.T/F: Fetal arrhythmias can be seen on both internal and external
monitor tracings.: True
26.T/F: Variability and periodic changes can be detected with both
internal and external monitoring.: True
1. Which of the following factors can have a negative effect on uterine
blood flow?
a. Hypertension
b. Epidural
c. Hemorrhage
d. Diabetes
e. All of the above: e. All of the above
2. How does the fetus compensate for decreased maternal circulating
vol- ume?
a. Increases cardiac output by increasing stroke volume.
b. Increases cardiac output by increasing it's heart rate.
c. Increases cardiac output by increasing fetal movement.: b. Increases
car- diac output by increasing it's heart rate.
3. Stimulating the vagus nerve typically produces:
a. A decrease in the heart rate
b. An increase in the heart rate
c. An increase in stroke volume
d. No change: a. A decrease in the heart rate
4. What initially causes a chemoreceptor response?
a. Epidurals
b. Supine maternal position
c. Increased CO2 levels
d. Decreased O2 levels
,e. A & C
f. A & B
g. C & D: g. C & D
5. The vagus nerve begins maturation 26 to 28 weeks. Its dominance
results in what effect to the FHR baseline?
a. Increases baseline
b. Decreases baseline: b. Decreases baseline
6. T/F: Oxygen exchange in the placenta takes place in the
intervillous space.: True
7. T/F: The parasympathetic nervous system is a cardioaccelerator.: False
8. T/F: Baroreceptors are stretch receptors which respond to increases
or decreases in blood pressure.: True
,9. T/F: There are two electronic fetal monitoring methods of obtaining the
fetal heart rate: the ultrasound transducer and the fetal spiral electrode.:
True
10.T/F: Variability can be determined with the fetoscope.: False
11.T/F: Because the ultrasound transducer and toco transducer are
sealed units, they can be dipped in warm water to make cleaning easier.:
False
12.T/F: The most common artifact with the ultrasound transducer system
for fetal heart rate is increased variability.: True
13. T/F: All fetal monitors contain a logic system designed to reject artifact.-
: True
14.T/F: The monitor should always be tested before starting a tracing,
either external or internal mode and labeled a test.: True
15.T/F: The paper speed on the fetal monitor should always be set
at 1cm/min.: False
16.T/F: Both internal and external monitoring methods are equally
accurate means of obtaining the fetal heart rate and contraction patterns.:
False
17.T/F: The external toco is usually placed over the uterine fundus to pick
up contractions.: True
18.T/F: The external toco gives measurable uterine pressure.: False
19.T/F: The fetal spiral electrode can be placed when vaginal bleeding
of unknown origin is present.: False
, 20.T/F: The ultrasound transducer is usually placed on the side of the
uterus over the baby's back, as the fetal heart is heard best there.: True
21.T/F: The spiral electrode is used to more accurately determine the
fre- quency, duration, and intensity of uterine contractions.: False
22.T/F: The heart rate from a well-applied fetal spiral electrode can only
be fetal, not maternal.: False
23.T/F: The intrauterine catheter is used to pick up the fetal heart rate.:
False
24.T/F: The internal spiral electrode may pick up the maternal heart rate if
the baby has died.: True
25.T/F: Fetal arrhythmias can be seen on both internal and external
monitor tracings.: True
26.T/F: Variability and periodic changes can be detected with both
internal and external monitoring.: True
