NCC EFM TEST ACTUAL QUESTIONS AND

NCC EFM TEST (ACTUAL QUESTIONS AND

ANSWERS

P0 at 42 wks in active labor. AROM 2 ours ago t ick meconium,

now 4cm dilated. Tracing is Cat 1. T e appropriate intervention is:

• continue to monitor and observe
• perform amnioinfusion
• plase ISE - <>>a. continue to monitor and observe

P1 at 39wks IOL g TN. Pit at 7mU. SVE 1 our ago 4cm. Increased dark bloody s ow and abdominal pain. Tracing s owing quivering

ctx pattern. After turning off pit. Next intervention is:

• administer terbutaline
• palpate t e uterus for rigidity
• perform SVE - <>>b. palpate uterus for rigidity

P2 at 37 wks, in MVA. Obvious compound fracture to rig t femur.ysterical crying, pain everyw ere. BP 90/68, RR 45, R 160.

Tracing Cat 3. Priority intervention is:

• administer pain medication
• order ultrasound
• stabilize mot er - <>>c. stabilize mot er 1 / 4

NCC EFM TEST (ACTUAL QUESTIONS AND

ANSWERS

TOLAC IOL, 5/70/0, membranes intact. Vomitted and t en large amount of blood per vagina. Now wit severe abdominal pain and

cat 3 tracing. T is is c aracteristic of:

• placenta previa
• uterine rupture
• vasa previa - <>>b. uterine rupture

MonoMono twins are prone to w at type of decelerations during labor - <>>variable decels

DiDi twins, appear to be tracing same F , A as ISE and B as

external. Appropriate action is:

• apply a different monitor
• continue to observe
• readjust t e ultrasound transducer for baby B -

<>>c. readjust t e ultrasound transducer for baby B

P1 IOL, BMI 43, SVE 2cm, cannot trace externally next step:

• continue to readjust external devices
• and old monitor in place
• place internal monitors - <>>c. place internal

monitors 2 / 4

NCC EFM TEST (ACTUAL QUESTIONS AND

ANSWERS

During labor, t e recommended fetal eart rate assessment interval for auscultation is every

• 15-30 minutes in t e active p ase of t e first stage and every 5-

15 minutes in second stage

• 15 minutes no matter w at stage of labor
• 60 minutes in t e active p ase of t e first stage and every 30

minutes in second stage - <>>A. 15-30 minutes in t e active p ase of t e first stage and every 5-15 minutes in second stage T e fetal spiral electrode measures t e

• Peaks of t e Doppler waveforms
• R to R intervals of t e fetal eart
• ST segments of t e fetal ECG - <>>B. R to R

intervals of t e fetal eart

T e optimal location for t e ultrasound transducer for t e fetus - <>>t e fetal back

First step w en contraction pattern is weird wit IUPC in place - <>>re zero t e IUPC

Membranes ruptured 60 minutes ago and now you see prolonged deceleration, first step: - <>>perform a vaginal exam 3 / 4

NCC EFM TEST (ACTUAL QUESTIONS AND

ANSWERS

A woman w o is admitted for an induction of labor wit oxytocin is questioning t e need for continuous EFM. T e appropriate response to t e woman is.

• ospital policy requires all patients ave continuous EFM
• I would like to answer your questions about continuous

monitoring and give you some information about w y it is recommended

• Nurses ave more training wit continuous monitoring t an

wit intermittent auscultation so it is safer for you and baby - <>>B. I would like to answer your questions about continuous monitoring and give you some information about w y it is recommended

T e process by w ic oxygen and carbon dioxide pass from a region

of ig er concentration to one of lower concentration is called:

• active transport
• simple diffusion
• facilitated diffusion - <>>B. simple diffusion

T e greater affinity t at fetal emoglobin as for oxygen allows for:

• easier release of oxygen to t e tissues
• greater binding of oxygen
• / 4