NCC EFM EXAM LATEST 2023 REAL EXAM 200 QUESTIONS AND DETAIED ANSWERS (VERIFIED ANSWERS) |AGRADE

NCC EFM EXAM LATEST 2023 REAL EXAM 200

QUESTIONS AND DETAIED ANSWERS (VERIFIED

ANSWERS) |AGRADE

Which position best promotes maternal-fetal exchange? - ANSWER- R

or L lateral. Change positions Qhour.

What on a strip indicates no academia in the fetus? - ANSWERModerate variability

The FHR develops recurrent late decelerations soon after the epidural

injection. The most likely physiologic rationale is ... ? - ANSWERMaternal sympathetic blockade

When monitoring monochorionic monoamniotic (mono-mono) twins,

what are you expecting to see on the strip in FHR? - ANSWERVariable decelerations

Variable decorations are mediated primarily by what? - ANSWERBaroreceptors

The sympathetic branch of the autonomic nervous system influences the

FHR to what? - ANSWER- Increase

Uteroplacental blood flow is reduced by what percentage during normal

contractions? - ANSWER- 60%. You want at least 1 minute rest

between contractions

The most highly oxygenated blood in fetal circulation is the what? -

ANSWER- Ductus venous

An abrupt rise in fetal BP can stimulate what? - ANSWER- Variable

decelerations

During an acute episode of fetal hypoxemia, fetal blood flow is

redistributed primarily to the ? - ANSWER- Brain

Fetus can survive in an environment with a PO2 equal to adult venous

blood due to what? - ANSWER- Increased oxygen affinity

The fetus's ability to regulate cardiac output is based upon altering their

what? - ANSWER- Heart rate

The FHR characteristic most predictive of a vigorous baby at birth is? -

ANSWER- Variability

The term that refers to decelerations occurring with less than 50% of

contractions is ? - ANSWER- Intermittent

In any 10 minute segment of FHR tracing, the minimum baseline

duration must be at least how long? - ANSWER- 2 minutes

A FHR pattern likely to develop with severe fetal anemia is called what?

- ANSWER- Sinusoidal pattern

Baseline FHR variability is classified as? - ANSWER- Absent, minimal,

moderate, or marked

Late decelerations with moderate variability are most likely due to? -

ANSWER- Fetal stress

For low-risk women without oxytocin during first stage of labor, fetal

assessment using EFM should occur how often? - ANSWER- Q30

minutes

For women with risk-factors (e.g. Oxytocin) during first stage of labor,

fetal assessment using EFM should occur how often? - ANSWER- Q15

minutes

For women receiving Oxytocin while actively pushing, fetal assessment

using EFM should occur how often? - ANSWER- Q5 minutes

A likely cause of fetal tachycardia with moderate variability in a term

fetus is what? - ANSWER- Maternal fever

Fetal scalp stimulation is appropriate in the context of? - ANSWERMinimal variability

During the first stage of labor, amnioinfusion is an appropriate

intervention for what? - ANSWER- Recurrent variable decelerations

Initial treatment for recurrent late decelerations with moderate

variability during the first stage of labor is what? - ANSWER- Maternal

positioning

Maternal oxygen for intrauterine resuscitation should be given at what

rate? - ANSWER- 10L/Minute

Rationale for increasing Oxytocin no more frequently than Q30 minutes

is based upon the what? - ANSWER- Half-life of Oxytocin

Oxygen would be appropriate for intrauterine resuscitation based upon?

- ANSWER- Absent variability

G1P0 @ 32 weeks. 6cm/90%/-2. Following SROM, the FHR decreases

to 50. Your initial reaction is to what? - ANSWER- Perform a vaginal

exam to check for cord prolapse