NCC EFM EXAM LATEST REAL EXAM 200 QUESTIONS AND DETAIED ANSWERS (VERIFIED ANSWERS) |A+ GRADE
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Course
NCC EFM 2023-2024 REAL
Institution
NCC EFM 2023-2024 REAL
NCC EFM EXAM LATEST REAL EXAM
200 QUESTIONS AND DETAIED ANSWERS
(VERIFIED ANSWERS) |A+ GRADE
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 - ANS-a. A decrease in the heart rate...
NCC EFM EXAM LATEST 2023-2024 REAL EXAM
200 QUESTIONS AND DETAIED ANSWERS
(VERIFIED ANSWERS) |A+ GRADE
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 - ANS-a. A decrease in the heart rate
When a fetus is stressed, catecholamine release (epinephrine,
norepinephrine) occurs from the medulla oblongata, shunting
blood _______ the brain, heart, and adrenal glands.
A. Toward
B. Away from - ANS-A. Toward
T/F: A Doppler device used for intermittent auscultation of the
fetal heart rate may be used to identify rhythm irregularities,
such as supraventricular tachycardia. - ANS-False
T/F: Use of a fetoscope for intermittent auscultation of the fetal
heart rate may be used to detect accelerations and
decelerations from the baseline, and can clarify double-
counting of half-counting of baseline rate. - ANS-True
T/F: In the context of moderate variability, late decelerations
are considered neurogenic in origin and are typically amenable
When coupling or tripling is apparent on the uterine activity
tracing, this may be indicative of a dysfunctional labor process
and saturation (down regulation) of uterine oxytocin receptor
sites in response to excess exposure to oxytocin. Which of the
following interventions would be most appropriate?
A. Normal response; continue to increase oxytocin titration
B. Turn patient on side
C. Decrease or discontinue oxytocin infusion - ANS-C. Decrease
or discontinue oxytocin infusion
The most common tachyarrhythmia in fetuses, supraventricular
tachycardia, typically occurs at a rate of _____ to _____ bpm
with minimal or absent variability.
A. 160-200
B. 200-240
C. 240-260 - ANS-C. 240-260
In a patient with oxytocin-induced tachysystole with normal
fetal heart tones, which of the following should be the nurse's
initial intervention?
A. Assist the patient to lateral position
B. Discontinue Pitocin
C. Administer IV fluid bolus - ANS-A. Assist the patient to lateral
position
,In a patient with oxytocin-induced tachysystole with
indeterminate or abnormal fetal heart tones, which of the
following should be the nurse's initial intervention?
A. Assist the patient to lateral position
B. Discontinue Pitocin
C. Administer IV fluid bolus - ANS-B. Discontinue Pitocin
Fetal hypoxia and acidemia are demonstrated by pH < _____
and base excess < _____. - ANS-< 7.15; < -8
T/F: Uterine resting tone may appear higher (25 to 40 mmHg)
during amnioinfusion. - ANS-True
_______ denotes an increase in hydrogen ions in the fetal
blood.
A. Acidosis
B. Acidemia
C. Hypercapnia - ANS-B. Acidemia
_______ _______ occurs when there is low bicarbonate (base
excess) in the presence of normal pressure of carbon dioxide
(PCO2) values.
A. Metabolic acidosis
B. Respiratory acidosis
C. Metabolic alkalosis - ANS-A. Metabolic acidosis
_______ _______ occurs when there is high PCO2 with normal
bicarbonate levels.
A. Metabolic acidosis
, B. Respiratory acidosis
C. Metabolic alkalosis - ANS-B. Respiratory acidosis
_______ _______ occurs when the HCO3 concentration is
lower than normal.
A. Base deficit
B. Base excess
C. Metabolic acidosis - ANS-A. Base deficit
_______ _______ occurs when the HCO3 concentration is
higher than normal.
A. Base deficit
B. Base excess
C. Metabolic acidosis - ANS-B. Base excess
_______ is defined as the energy-consuming process of
metabolism. - ANS-Anabolism
_______ is defined as the energy-releasing process of
metabolism. - ANS-Catabolism
Normal oxygen saturation for the fetus in labor is ___% to
___%. - ANS-30% to 65%
pH 7.05
PO2 21
PCO2 72
HCO3 24
Base excess -12
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