NCC Electronic Fetal Monitoring Certification Exam Questions and Answers (2022/2023) (400+ Questions with Verified Answers)

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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 1 / 63 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 ....... .... ..... 456. For a patient with a suspicious or unsatisfactory CST, select the appro- priate followup. A. Prepare patient for delivery B. Repeat in 24 hours C. Repeat in one week: B. Repeat in 24 hours 457. In a patient whose CST reveals late decelerations with three out of the four induced contractions, which of the following would be the least appropriate plan for treatment? A. Obtain physician order for BPP B. Prepare for possible induction of labor C. Repeat CST in 24 hours: C. Repeat CST in 24 hours 458. For a patient at 38 weeks' gestation with a BPP score of 6, select the most appropriate course of action. A. Repeat in one week B. Consider induction of labor C. Prepare for cesarean delivery: B. Consider induction of labor 459. For a patient at 35 weeks' gestation with a BPP score of 4, select the most appropriate course of action. A. Repeat in 24 hours B. Obtain physician order for CST C. Prepare for probable induction of labor: C. Prepare for probable induction of labor 460. (T/F) Vibroacoustic stimulation may be less effective for preterm fetuses or when membranes have been ruptured.: True 461. cord blood sampling is predictive of uteroplacental function. A. Arterial B. Venous C. Maternal: B. Venous 462. (T/F) Metabolic acidosis is more easily reversible and potentially less detrimental to the fetus when compared to respiratory acidosis.: False 463. (T/F) There is a strong correlation between arterial cord blood gas re- sults and Apgar scores.: False 464. Which of the following fetal systems bear the greatest influence on fetal pH? 61 / 63 A. Heart and lungs B. Lungs and kidneys C. Sympathetic and parasympathetic nervous systems: B. Lungs and kidneys 465. Your patient is a 41-year-old diabetic primigravida. You have just per- formed a vaginal exam: 6/90/-1. The fetus has been having late decels with ab- sent to minimal variability and no accels for one hour, despite interventions to improve the tracing. The provider arrives on the unit and states that she will remain on the floor, and writes orders to start oxytocin. You inform the physician that you are not comfortable starting oxytocin based on maternal history, SVE, and FHR tracing. The provider insists that you should start oxytocin. What is your response? A. Tell the physician that if she will remain on the unit, you will start the oxytocin. B. Tell the physician that she can start the oxytocin herself. C. Tell the physician that you decline to start the oxytocin, and notify the physician that you are activating your chain of command.: C. Tell the physician that you decline to start the oxytocin, and notify the physician that you are activating your chain of command. 466. All of the following are components of liability except A. Breach of duty B. Chain of command C. Damages/loss: B. Chain of command 467. If the EFM pattern you see does not fit any of the definitions for the NICHD, you should A. Choose the term closest to the pattern you see B. Describe the tracing in detail C. Do not chart the tracing, as there is no correlating terminology to match it: B. Describe the tracing in detail 468. When using SBAR communication, the "R" involves A. Making a recommendation B. Reporting pertinent lab results C. Reviewing the patient's medical history: A. Making a recommendation 469. Which of the following is considered using the chain of command? A. Asking the patient to talk with the provider directly B. Notifying the charge nurse C. Writing a variance report: B. Notifying the charge nurse 62 / 63 470. Elements of a malpractice claim include all of the following except A. Breach of duty B. Deposition C. Injury or loss: B. Deposition [Show More]

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