NCC Certified - Electronic Fetal Monitoring : EFM

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NCC EFM Exam Syllabus Topics:

NCC Certified - Electronic Fetal Monitoring Sample Questions:

1. The success of interventions to treat fetal hypoxia first depends on:

A) Optimizing uteroplacental blood flow
B) Improving maternal oxygenation
C) Minimizing uterine activity

2. Fetal heart rate variability results from normal variance in fetal:

A) R-R intervals
B) Levels of carbon dioxide
C) Cardiac responsiveness

3. When accelerations precede a variable deceleration pattern, this is caused by

A) hypoxic reflex response
B) occlusion of the umbilical vein
C) oligohydramnios

4. A fetal heart rate tracing is abnormal. A change in maternal position and oxygen administration do not correct the pattern. Following birth, a fetal cord blood sample is taken:
pH = 7.25
PaCO# = 46 mm Hg
PaO# = 20 mm Hg
HCO# = 22 mEq/L
Base deficit = -4 mEq/L
These results are best interpreted as:

A) Normal
B) Hypoxia
C) Acidosis

5. This is a tracing of a multiparous woman in the second stage of labor. The vertex is at +3 station. This pattern has continued for the last 20 minutes. She has been pushing for 2½ hours, and oxytocin is infusing at 12 milliunits/minute. Management should include

A) preparing for operative vaginal birth
B) increasing the oxytocin
C) preparing for cesarean birth

Solutions: