MED 3 NCC ELECTRONIC FETAL MONITORING
CERTIFICATION EXAM 2022/2023 UPDATE ASSUARED
SUCCESS
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 - CORRECT ANSWERS e. All of the above
How does the fetus compensate for decreased maternal
circulating volume? 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. - CORRECT
ANSWERS b. Increases cardiac output by increasing it's heart rate.
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 - CORRECT ANSWERS a. A decrease in the heart
rate
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 - CORRECT ANSWERS g. C & D
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 - CORRECT ANSWERS b. Decreases
baseline
T/F: Oxygen exchange in the placenta takes place in the
intervillous space. - CORRECT ANSWERS True
T/F: The parasympathetic nervous system is a cardioaccelerator. -
, MED 3 NCC ELECTRONIC FETAL MONITORING
CERTIFICATION EXAM 2022/2023 UPDATE ASSUARED
SUCCESS
CORRECT ANSWERS False
T/F: Baroreceptors are stretch receptors which respond to increases or
decreases in blood pressure. - CORRECT ANSWERS True
, MED 3 NCC ELECTRONIC FETAL MONITORING
CERTIFICATION EXAM 2022/2023 UPDATE ASSUARED
SUCCESS
T/F: There are two electronic fetal monitoring methods of obtaining the fetal
heart rate: the ultrasound transducer and the fetal spiral electrode. -
CORRECT ANSWERS
True
T/F: Variability can be determined with the fetoscope. - CORRECT
ANSWERS False
T/F: Because the ultrasound transducer and toco transducer are sealed
units, they can be dipped in warm water to make cleaning easier. - CORRECT
ANSWERS
False
T/F: The most common artifact with the ultrasound transducer system for
fetal heart rate is increased variability. - CORRECT ANSWERS True
T/F: All fetal monitors contain a logic system designed to reject artifact. -
CORRECT ANSWERS True
T/F: The monitor should always be tested before starting a tracing, either
external or internal mode and labeled a test. - CORRECT ANSWERS
T/F: The paper speed on the fetal monitor should always be set at
1cm/min. - CORRECT ANSWERS False
T/F: Both internal and external monitoring methods are equally accurate
means of obtaining the fetal heart rate and contraction patterns. -
CORRECT ANSWERS False
T/F: The external toco is usually placed over the uterine fundus to pick up
contractions.
- CORRECT ANSWERS True
T/F: The external toco gives measurable uterine pressure. - CORRECT
ANSWERS False
T/F: The fetal spiral electrode can be placed when vaginal bleeding of
unknown origin is present. - CORRECT ANSWERS False
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. - CORRECT
ANSWERS
True
T/F: The spiral electrode is used to more accurately determine the
frequency, duration, and intensity of uterine contractions. - CORRECT
, MED 3 NCC ELECTRONIC FETAL MONITORING
CERTIFICATION EXAM 2022/2023 UPDATE ASSUARED
SUCCESS
T/F: The heart rate from a well-applied fetal spiral electrode can only
be fetal, not maternal. - CORRECT ANSWERS False
T/F: The intrauterine catheter is used to pick up the fetal heart rate. -
CORRECT ANSWERS False
T/F: The internal spiral electrode may pick up the maternal heart rate if
the baby has died. - CORRECT ANSWERS True
T/F: Fetal arrhythmias can be seen on both internal and external monitor
tracings. - CORRECT ANSWERS True
T/F: Variability and periodic changes can be detected with both internal
and external monitoring. - CORRECT ANSWERS True
T/F: Variable decelerations are a result of cord compression. - CORRECT
ANSWERS True
T/F: The presence of FHR accelerations in the intrapartum and antepartum
periods is a sign of adequate fetal oxygenation. - CORRECT ANSWERS True
T/F: Variable decelerations are a vagal response. - CORRECT
ANSWERS True
T/F: Late decelerations have a gradual decrease in FHR (onset to nadir 30
seconds) and are delayed in timing with the nadir of the deceleration
occurring after the peak of the contraction. - CORRECT ANSWERS
True
T/F: The fetal heart rate baseline can be determined during periods
of marked variability. - CORRECT ANSWERS False
T/F: Anything that affects maternal blood flow (cardiac output) can affect
the blood flow through the placenta. - CORRECT ANSWERS True
T/F: Variable decelerations are the most frequently seen fetal heart rate
deceleration pattern in labor. - CORRECT ANSWERSTrue
T/F: Minimal variability is always an indicator of hypoxia and a Cesarean
section is indicated. - CORRECT ANSWERS False
What is your first intervention in management of a patient
experiencing variable decelerations?
a. Immediate delivery
b. Change maternal position
CERTIFICATION EXAM 2022/2023 UPDATE ASSUARED
SUCCESS
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 - CORRECT ANSWERS e. All of the above
How does the fetus compensate for decreased maternal
circulating volume? 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. - CORRECT
ANSWERS b. Increases cardiac output by increasing it's heart rate.
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 - CORRECT ANSWERS a. A decrease in the heart
rate
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 - CORRECT ANSWERS g. C & D
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 - CORRECT ANSWERS b. Decreases
baseline
T/F: Oxygen exchange in the placenta takes place in the
intervillous space. - CORRECT ANSWERS True
T/F: The parasympathetic nervous system is a cardioaccelerator. -
, MED 3 NCC ELECTRONIC FETAL MONITORING
CERTIFICATION EXAM 2022/2023 UPDATE ASSUARED
SUCCESS
CORRECT ANSWERS False
T/F: Baroreceptors are stretch receptors which respond to increases or
decreases in blood pressure. - CORRECT ANSWERS True
, MED 3 NCC ELECTRONIC FETAL MONITORING
CERTIFICATION EXAM 2022/2023 UPDATE ASSUARED
SUCCESS
T/F: There are two electronic fetal monitoring methods of obtaining the fetal
heart rate: the ultrasound transducer and the fetal spiral electrode. -
CORRECT ANSWERS
True
T/F: Variability can be determined with the fetoscope. - CORRECT
ANSWERS False
T/F: Because the ultrasound transducer and toco transducer are sealed
units, they can be dipped in warm water to make cleaning easier. - CORRECT
ANSWERS
False
T/F: The most common artifact with the ultrasound transducer system for
fetal heart rate is increased variability. - CORRECT ANSWERS True
T/F: All fetal monitors contain a logic system designed to reject artifact. -
CORRECT ANSWERS True
T/F: The monitor should always be tested before starting a tracing, either
external or internal mode and labeled a test. - CORRECT ANSWERS
T/F: The paper speed on the fetal monitor should always be set at
1cm/min. - CORRECT ANSWERS False
T/F: Both internal and external monitoring methods are equally accurate
means of obtaining the fetal heart rate and contraction patterns. -
CORRECT ANSWERS False
T/F: The external toco is usually placed over the uterine fundus to pick up
contractions.
- CORRECT ANSWERS True
T/F: The external toco gives measurable uterine pressure. - CORRECT
ANSWERS False
T/F: The fetal spiral electrode can be placed when vaginal bleeding of
unknown origin is present. - CORRECT ANSWERS False
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. - CORRECT
ANSWERS
True
T/F: The spiral electrode is used to more accurately determine the
frequency, duration, and intensity of uterine contractions. - CORRECT
, MED 3 NCC ELECTRONIC FETAL MONITORING
CERTIFICATION EXAM 2022/2023 UPDATE ASSUARED
SUCCESS
T/F: The heart rate from a well-applied fetal spiral electrode can only
be fetal, not maternal. - CORRECT ANSWERS False
T/F: The intrauterine catheter is used to pick up the fetal heart rate. -
CORRECT ANSWERS False
T/F: The internal spiral electrode may pick up the maternal heart rate if
the baby has died. - CORRECT ANSWERS True
T/F: Fetal arrhythmias can be seen on both internal and external monitor
tracings. - CORRECT ANSWERS True
T/F: Variability and periodic changes can be detected with both internal
and external monitoring. - CORRECT ANSWERS True
T/F: Variable decelerations are a result of cord compression. - CORRECT
ANSWERS True
T/F: The presence of FHR accelerations in the intrapartum and antepartum
periods is a sign of adequate fetal oxygenation. - CORRECT ANSWERS True
T/F: Variable decelerations are a vagal response. - CORRECT
ANSWERS True
T/F: Late decelerations have a gradual decrease in FHR (onset to nadir 30
seconds) and are delayed in timing with the nadir of the deceleration
occurring after the peak of the contraction. - CORRECT ANSWERS
True
T/F: The fetal heart rate baseline can be determined during periods
of marked variability. - CORRECT ANSWERS False
T/F: Anything that affects maternal blood flow (cardiac output) can affect
the blood flow through the placenta. - CORRECT ANSWERS True
T/F: Variable decelerations are the most frequently seen fetal heart rate
deceleration pattern in labor. - CORRECT ANSWERSTrue
T/F: Minimal variability is always an indicator of hypoxia and a Cesarean
section is indicated. - CORRECT ANSWERS False
What is your first intervention in management of a patient
experiencing variable decelerations?
a. Immediate delivery
b. Change maternal position
