NCC ELECTRONIC FETAL MONITORING CERTIFICATION 3 NEWEST VERSIONS 2024 VERSION A, B AND C COMPLETE 400 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+

NCC ELECTRONIC FETAL MONITORING
CERTIFICATION 3 NEWEST VERSIONS 2024
VERSION A, B AND C COMPLETE 400
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
NCC ELECTRONIC FETAL MONITORING CERTIFICATION
VERSION A
Which of the following does not affect the degree of fetal
activity?
a. Vibroacoustic stimulation
b. Smoking
c. Fetal position
d. Gestational age - ...ANSWER...a. Vibroacoustic stimulation
To be considered reactive, a nonstress test must have:
a. 4 fetal heart rate accelerations in a 20 minute window
b. 2 fetal heart rate accelerations in a 10 minute window
c. 4 fetal heart rate accelerations in a 40 minute window
d. 2 fetal heart rate accelerations in a 20 minute window -
...ANSWER...d. 2 fetal heart rate accelerations in a 20 minute
window
If a nonstress test is nonreactive after 40 minutes, the next
step should be:
a. Have the client go home and do fetal movement counts
b. Do a biophysical profile or contraction stress test
c. Repeat the nonstress test within a week
d. Admit the client for delivery - ...ANSWER...b. Do a
biophysical profile or contraction stress test
All of the following are components of a biophysical profile
except:
a. Contraction stress test
b. Assessment of fetal breathing
c. Amniotic fluid volume measurement
d. Fetal movement assessment - ...ANSWER...a. Contraction
stress test
A modified biophysical profile includes a nonstress test and:
a. Contraction stress test
b. Ultrasound assessment of fetal movement
c. Ultrasound assessment of amniotic fluid volume
d. Fetal movement counts - ...ANSWER...c. Ultrasound
assessment of amniotic fluid volume
For a contraction stress test to be interpretable, you must have
a minimum of:
a. 5 contractions in a 10-minute window
b. 3 contractions in a 10-minute window
c. 4 contractions in a 10-minute window
d. 2 contractions in a 10-minute window - ...ANSWER...b. 3
contractions in a 10 minute window
A negative contraction stress test is one in which:
a. No contractions are seen
b. There are late decelerations with > 50% of the contractions
seen
c. There are no fetal heart rate late decelerations with the
contractions
d. There is one fetal heart rate deceleration seen -
...ANSWER...c. There are no fetal heart rate late decelerations
with the contractions
According to AWHONN, the normal baseline Fetal Heart
Rate (FHR) is
A. 90-150 bpm
B. 100-170 bpm
C. 110-160 bpm
D. 120-140 bpm - ...ANSWER...C. 110-160 bpm
What are the two most important characteristics of the FHR?
A. Rate and decelerations
B. Variability and accelerations
C. Variability and decelerations
D. Rate and variability - ...ANSWER...B. Variability and
accelerations
You recognize that an FHR tracing has been showing a
decrease in variability for the last 45 minutes. Your first
intervention should be to
A. Encourage ambulation
B. Administer oxygen
C. Discontinue IV fluids
D. Increase Pitocin rate - ...ANSWER...B. Administer oxygen
Resuscitation measures improves the baby's variability, but
the FHR is still not reactive. You attempt fetal scalp
stimulation (FSE) because you know that a well-oxygenated
fetus will respond to FSE with a(n)
A. Acceleration
B. Deceleration
C. Fetal movement
D. Sleep pattern - ...ANSWER...A. Acceleration
You are evaluating a patient in the Prenatal Testing
Department who has just completed a biophysical profile
(BPP). You suspect that there could be chronic fetal asphyxia
because the score is below
A. 10
B. 6
C. 8 - ...ANSWER...B. 6
When using a fetal scalp electrode (FSE), you notice an
abnormally low FHR on the monitor. You should first
A. Compare maternal pulse simultaneously with FHR
B. Remove FSE
C. Call the doctor immediately
D. Turn off the monitor - ...ANSWER...A. Compare maternal
pulse simultaneously with FHR
As a result of the intrinsic fetal response to oxygen
deprivation, increased catecholamine levels cause the
peripheral blood flow to decrease while the blood flow to vital
organs increases. These flow changes along with increased
catecholamine secretions have what effect on fetal blood
pressure and fetal heart rate?
A. Increase BP and increase HR
B. Increase BP and decrease HR
C. Decrease BP and increase HR
D. Decrease BP and decrease HR - ...ANSWER...B. Increase
BP and decrease HR
All of the following might indicate a pseudosinusoidal pattern
as opposed to a sinusoidal pattern, except:
A. Recent administration of narcotics to mother
B. Accelerations in FHR
C. Moderate variability
D. Frequency of oscillations of two to five cycles/min -
...ANSWER...D. Frequency of oscillations of two to five
cycles/min
All of the following are appropriate interventions for fetal
tachycardia except:
A. Increase maternal IV fluid rate
B. Assess maternal vital signs
C. Perform SVE
D. Administer oxygen - ...ANSWER...C. Perform SVE
During a term antepartum NST (non-stress test), you notice
several variable decelerations that decrease at least 15 bpm
and last at least 15 sec long. Which of the following is the
least likely explanation?
A. True knot
B. Gestational diabetes
C. Umbilical cord entanglement
D. Oligohydramnios - ...ANSWER...B. Gestational diabetes
All of the following are likely causes of prolonged
decelerations except:
A. Uterine tachysystole
B. Prolapsed cord
C. Maternal hypotension
D. Maternal fever - ...ANSWER...D. Maternal fever
_______ decelerations occur with less than 50% of
contractions.
A. Recurrent
B. Intermittent
C. Repetitive - ...ANSWER...B. Intermittent
_______ decelerations occur with greater than or equal to
50% of contractions.
A. Recurrent
B. Intermittent
C. Repetitive - ...ANSWER...A. Recurrent
All of the following could likely cause minimal variability in
FHR except
A. Magnesium sulfate administration
B. Fetal sleep cycle
C. Narcotic administration
D. Ephedrine administration - ...ANSWER...D. Ephedrine
administration
When an IUPC has been placed, Montevideo units must be
___ or greater for adequate cervical change to occur.
A. 100
B. 200
C. 300
D. 400 - ...ANSWER...B. 200
The ________ increases the heart rate and strengthens
myocardial contractions through the release of epinephrine
and nonepinephrine.
A. Sympathetic nervous system
B. Parasympathetic nervous system - ...ANSWER...A.
Sympathetic nervous system
The ________, through stimulation of the vagus nerve,
reduces FHR and maintains variability.
A. Sympathetic nervous system
B. Parasympathetic nervous system - ...ANSWER...B.
Parasympathetic nervous system
What would be a suspected pH in a fetus whose FHTs
included recurrent late decelerations during labor?
A. 7.10
B. 7.26
C. 7.32
D. 7.41 - ...ANSWER...A. 7.10
What is the most common cause of sinusoidal patterns?
A. Prolapsed cord
B. Rh incompatibility
C. Recurrent late decelerations
D. Oligohydramnios - ...ANSWER...B. Rh incompatibility
Before ___ weeks of gestation, an increase in FHR that peaks
at least 10 bpm above the baseline and lasts at least 10
seconds is considered an acceleration.
A. 28
B. 30
C. 32
D. 36 - ...ANSWER...C. 32
The expected response of the fetal heart rate to active fetal
movement of a 31-week gestational age fetus is:
a. Suppression of normal short term variability for 15 seconds
b. Acceleration of at least 15 beats per minute for 15 seconds
c. Acceleration followed by a 15-second deceleration of the
heart rate
d. Acceleration of at least 10 beats per minute for 10 seconds -
...ANSWER...d. Acceleration of at least 10 beats per minute
for 10 seconds