NCC Electronic Fetal Monitoring Certification Exam
1. e. All of the
above
2. b. Increases car-
diac output by
increasing it's
heart rate.
3. a. A decrease in
the heart rate
4. g. C & D
5. b. Decreases
baseline
6. True
7. False
Which of the following factors can have a negative effect
...
NCC Electronic Fetal Monitoring Certification Exam
1. e. All of the Which of the following factors can have a negative effect
above on uterine blood flow?
a. Hypertension
b. Epidural
c. Hemorrhage
d. Diabetes
e. All of the above
2. b. Increases car- How does the fetus compensate for decreased maternal
diac output by circulating volume?
increasing it's a. Increases cardiac output by increasing stroke volume.
heart rate. b. Increases cardiac output by increasing it's heart rate.
c. Increases cardiac output by increasing fetal movement.
3. a. A decrease in Stimulating the vagus nerve typically produces:
the heart rate a. A decrease in the heart rate
b. An increase in the heart rate
c. An increase in stroke volume
d. No change
4. g. C & D 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
5. b. Decreases The vagus nerve begins maturation 26 to 28 weeks. Its
baseline dominance results in what effect to the FHR baseline?
a. Increases baseline
b. Decreases baseline
6. True T/F: Oxygen exchange in the placenta takes place in the
intervillous space.
7. False T/F: The parasympathetic nervous system is a cardioac-
celerator.
, NCC Electronic Fetal Monitoring Certification Exam
8. True T/F: Baroreceptors are stretch receptors which respond
to increases or decreases in blood pressure.
9. True T/F: There are two electronic fetal monitoring methods of
obtaining the fetal heart rate: the ultrasound transducer
and the fetal spiral electrode.
10. False T/F: Variability can be determined with the fetoscope.
11. False T/F: Because the ultrasound transducer and toco trans-
ducer are sealed units, they can be dipped in warm water
to make cleaning easier.
12. True T/F: The most common artifact with the ultrasound trans-
ducer system for fetal heart rate is increased variability.
13. True T/F: All fetal monitors contain a logic system designed to
reject artifact.
14. True T/F: The monitor should always be tested before starting
a tracing, either external or internal mode and labeled a
test.
15. False T/F: The paper speed on the fetal monitor should always
be set at 1cm/min.
16. False T/F: Both internal and external monitoring methods are
equally accurate means of obtaining the fetal heart rate
and contraction patterns.
17. True T/F: The external toco is usually placed over the uterine
fundus to pick up contractions.
18. False T/F: The external toco gives measurable uterine pressure.
19. False T/F: The fetal spiral electrode can be placed when vaginal
bleeding of unknown origin is present.
20. True
, NCC Electronic Fetal Monitoring Certification Exam
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.
21. False T/F: The spiral electrode is used to more accurately de-
termine the frequency, duration, and intensity of uterine
contractions.
22. False T/F: The heart rate from a well-applied fetal spiral elec-
trode can only be fetal, not maternal.
23. False T/F: The intrauterine catheter is used to pick up the fetal
heart rate.
24. True T/F: The internal spiral electrode may pick up the maternal
heart rate if the baby has died.
25. True T/F: Fetal arrhythmias can be seen on both internal and
external monitor tracings.
26. True T/F: Variability and periodic changes can be detected with
both internal and external monitoring.
27. True T/F: Variable decelerations are a result of cord compres-
sion.
28. True T/F: The presence of FHR accelerations in the intra-
partum and antepartum periods is a sign of adequate fetal
oxygenation.
29. True T/F: Variable decelerations are a vagal response.
30. 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.
31. False T/F: The fetal heart rate baseline can be determined
during periods of marked variability.
, NCC Electronic Fetal Monitoring Certification Exam
32. True T/F: Anything that affects maternal blood flow (cardiac
output) can affect the blood flow through the placenta.
33. True T/F: Variable decelerations are the most frequently seen
fetal heart rate deceleration pattern in labor.
34. False T/F: Minimal variability is always an indicator of hypoxia
and a Cesarean section is indicated.
35. b. Change mater- What is your first intervention in management of a patient
nal position experiencing variable decelerations?
a. Immediate delivery
b. Change maternal position
c. No treatment indicated
d. Oxygen
e. Stop oxytocin infusion
36. c. 2, 3 and 4 Etiology of a baseline FHR of 165bpm occurring for the
last hour can be:
1. Maternal supine hypotension
2. Maternal fever
3. Maternal dehydration
4. Unknown
a. 1 and 2
b. 1, 2 and 3
c. 2, 3 and 4
37. a. Utero-placen- What is the most probable cause of recurrent late decel-
tal insufficiency erations?
a. Utero-placental insufficiency
b. Head compression
c. Cord compression
d. Maternal position change
38. c. Uteroplacental The most prevalent risk factor associated with fetal death
insufficiency before the onset of labor is:
a. Low socioeconomic status
b. Fetal malpresentation
c. Uteroplacental insufficiency
d. Uterine anomalies
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