NCC ELECTRONIC FETAL MONITORING CERTIFICATION EXAM VERSION B 2023 BRAND NEW VERSION 100+ QUESTIONS AND CORRECT ANSWERS|AGRADE

NCC ELECTRONIC FETAL

MONITORING CERTIFICATION EXAM

VERSION B 2023 BRAND NEW VERSION

100+ QUESTIONS AND CORRECT

ANSWERS|AGRADE

A nurse is explaining to a pregnant patient the purpose of electronic fetal

monitoring. Which of the following statements by the nurse is the most accurate

way to describe the purpose of EFM?

a. "EFM is a diagnostic procedure that monitors your baby's heart rate or FHR and

your uterine contractions.

b. "EFM is a screening procedure that monitors your baby's heart rate or FHR and

your uterine contractions."

c."EFM is a screening procedure that only monitors your baby's heart rate or

FHR."

d. "EFM is a diagnostic procedure that only monitors the frequency, duration, and

intensity of your uterine contractions." - ANSWER- b. "EFM is a screening

procedure that monitors your baby's heart rate or FHR and your uterine

contractions."

The nurse measures fetal well being during labor by paying attention to:

a. the response of the FHR to uterine contractions

b. mom's complaint of pain during the labor

c. the FHR only

d. the frequency, duration, and intensity of the mother's uterine contractions only -

ANSWER- a. the response of the FHR to uterine contractions

A nursing student explains during her presentation that the 5 factors for adequate

fetal oxygenation include:

1. normal maternal __________ _________and volume to the placenta

2. normal ___________ ___________in the maternal blood

3. adequate exchange of ___________ and CO2 in the placenta

4. an open ___________path between the placenta and the fetus through vessels in

the umbillical cord

5. normal fetal circulatory and ____________ -carry functions - ANSWER- 1.

normal maternal blood flow and volume to placenta

2. normal oxygen saturation in the maternal blood

3. adequate exchange of oxygen and CO2 in the palcenta

4. an open circulatory path between the placenta and the fetus through vessels in

the umbillical cord

5. normal fetal circulatory and oxygen-carrying functions

While monitoring a baby's fetal well being using EFM, the nurse recognizes that

the baby's baseline fetal heart rate is identified as the:

a. average rate of a 30 minute segment that excludes periodic or episodic changes

b. average rate of a 10 minute segment that excludes periodic or episodic changes

c. average rate of a 20 minute segment that does not include periodic or episodic

changes - ANSWER- b. average rate of a 10 minute segment that excludes periodic

or episodic changes

A nurse determines that term baby's baseline fetal heart rate is 140 beats per

minute. A nurse explains to her patient that this fetal heart rate is:

a. abnormal because it is not in the normal range of 90-100 bears perm minute for a

term or post term fetus

b. normal because it is in the range of 110-160 bpm for a term or post term fetus

c. abnormal because it is not in the normal range of 160-200 bpm for a term or post

term fetus - ANSWER- b. normal because it is in the range of 110-160 bpm for a

term or post term fetus

The nurse documents that the baseline heart rate for a fetus is between 120-160

beats per minute. Based on this finding, the nurse can determine that the fetus is:

a. post term

b. term

c. premature

d. both a and b - ANSWER- c. premature

While keeping track of a patient's uterine contractions, the nurse documents that

the measurements of the beginning of one contraction to the beginning of the next

is occurring too frequently at quicker than every 2 minutes. The nurse is measuring

which of the following aspects of a uterine contraction?

a. duration

b. frequency

c. intensity

d. resting tone or interval - ANSWER- b. frequency

One of the maternal nurses explains to a nursing student that the duration of a

contraction, which is measured from the beginning to the end of one contraction,

usually lasts:

a. about 50 seconds or less

b. about 60 seconds, NO longer than 90 seconds

c. about 90 seconds or more

d. about 40 to 50 seconds - ANSWER- b. about 60 seconds, NO longer than 90

seconds

A nurse is assessing the relaxation or intrauterine pressures between contractions

on a EFM strip. The nurse is assessing which of the following components of the

uterine contractions?

a. duration

b. frequency

c. intensity

d. resting tone or interval - ANSWER- d. resting tone or interval

Which of the following is the priority nursing action of a nurse preparing to begin

EFM on a patient?

a. place the tocotransducer on the patient's abdomen where the fundus is

b. explain the purpose of the EFM and the procedure of EFM Placement to the

patient

c. begin using the ultrasound transducer to find the fetal heart rate

d. none of the above - ANSWER- b. explain the purpose of the EFM and the

procedure of EFM Placement to the patient

The nurse is observing the peak of a contraction on a EFM strip and watching as a

mother,who has a tocotransducer across her abdomen, scream out that she is in

extreme pain. The nurse knows that she is observing which aspect of the uterine

contraction:

a. frequency

b. duration

c. intensity

d. resting tone or interval - ANSWER- c. intensity