EFM Exam Training Practice Tests (NCC Certified - Electronic Fetal Monitoring)]

Question 1

The duration of a contraction is best represented by which colored arrow?

A. Red (C) B. Green (B) C. Blue (A)

Correct Answer: B

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Question 2

The fetal heart rate tracing shown is consistent with

A. supraventricular tachycardia B. artifact C. half counting

Correct Answer: A

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Question 3

A woman at 39-weeks gestation is being induced. She has chronic hypertension controlled by methyldopa (Aldomet). Spontaneous rupture of membranes has occurred; she is 10 cm dilated and at +1 station. The fetal monitor tracing shown is obtained by spiral electrode and tocodynamometer. The next best appropriate action is to:

A. Administer terbutaline B. Consider amnioinfusion C. Modify pushing

Correct Answer: C

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Question 4

In the event of recurrent variable decelerations with thick meconium, amnioinfusion is recommended to:

A. Treat oligohydramnios B. Dilute thick meconium C. Restore uterine blood flow

Correct Answer: A

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Question 5

During amnioinfusion, the infusion should be stopped periodically to assess changes in:

A. Patient pain level B. Contraction pattern C. Baseline uterine pressure

Correct Answer: C

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Question 6

(Full question)
Vibroacoustic stimulation (VAS) is a useful intervention which can

A. relax the uterus during tachysystole B. shorten the length of the nonstress test (NST) C. provide an indication of the amount of amniotic fluid

Correct Answer: B

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Question 7

(Full question statement)
The American College of Obstetricians and Gynecologists (ACOG) recommends continuous electronic fetal monitoring in pregnancies when there is:

A. Macrosomia B. A history of preterm birth C. Maternal diabetes

Correct Answer: C

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Question 8

A characteristic of early decelerations is that they

A. commonly fall below 100 beats per minute B. are thought to be caused by a vagal reflex C. are episodic

Correct Answer: B

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Question 9

A woman who is one week past a confirmed due date has serial ultrasounds to determine:

A. Placental calcification B. Fetal weight C. Amniotic fluid volume

Correct Answer: C

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NCC Certified - Electronic Fetal Monitoring - EFM Exam Practice Test