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NCC Certified - Electronic Fetal Monitoring Sample Questions (Q73-Q78):

NEW QUESTION # 73
Prenatal diagnosis shows that a fetus has renal agenesis. During delivery, what type of electronic fetal heart rate pattern is most likely to be seen due to a common complication associated with this syndrome?

Answer: C

Explanation:
Comprehensive and Detailed Explanation From NCC-Aligned Sources:
Renal agenesis # severe oligohydramnios (due to absent fetal urine production).
Oligohydramnios causes:
* Cord compression
* Recurrent variable decelerations
* Possible prolonged decels from cord entrapment
This is one of the hallmark FHR complications in renal agenesis.
Why the other options are incorrect:
* A. Heart block - associated with maternal autoimmune antibodies, not renal anomalies.
* B. Late decelerations - associated with uteroplacental insufficiency, not fluid deficiency.
Correct answer: C. Variable decelerations.
References:NCC Physiology & Pattern Recognition; AWHONN FHMPP; Menihan; Simpson & Creehan; Creasy & Resnik.


NEW QUESTION # 74
A woman who is one week past a confirmed due date has serial ultrasounds to determine:

Answer: C

Explanation:
Comprehensive and Detailed Explanation From NCC-Aligned Sources:
Post-dates surveillance focuses on:
* Amniotic fluid volume (AFI or deepest vertical pocket)
* This is the most sensitive parameter of placental function
* Oligohydramnios is strongly associated with post-maturity and perinatal morbidity NCC and AWHONN emphasize amniotic fluid as the primary parameter for fetal well-being in post-term surveillance.
Why the incorrect answers are wrong:
* B. Fetal weight # inaccurate and not used for surveillance decisions.
* C. Placental calcification # poor predictor of fetal outcome and not used for management.
References:NCC C-EFM Candidate Guide; ACOG post-dates management (summaries); Simpson & Creehan.


NEW QUESTION # 75
A woman reports 12 fetal movements over one hour. The best recommendation is to:

Answer: C

Explanation:
Comprehensive and Detailed Explanation From Exact Extract-Based NCC C-EFM References:
NCC and AWHONN consider fetal movement counts normal when:
* #10 distinct movements occur within 2 hours
* Or #4 movements in 1 hour for certain protocols
* Or #10 movements in 1 hour (common triage threshold)
This patient reports 12 movements in 1 hour, which is reassuring and requires no further testing.
Thus, recommending she continue daily kick counts at home is appropriate.
Why the other options are incorrect:
* A. NST is not needed because movements are normal.
* B. Continue to monitor is unnecessary; the test is already reassuring.
Correct choice: C. Count again the next day.
References:NCC C-EFM Candidate Guide; AWHONN Fetal Assessment guidelines; Simpson & Creehan.


NEW QUESTION # 76
A key differentiating factor when determining if a deceleration is early or late is the

Answer: B

Explanation:
Comprehensive and Detailed Explanation From Exact Extract (NCC-Referenced Sources) AWHONN and Menihan clearly state that classification of decelerations is determined by their timing relative to uterine contractions:
* Early decelerations: "mirror the contraction; onset, nadir, and recovery occur simultaneously with the contraction."
* Late decelerations: "begin after the contraction begins and return to baseline after the contraction ends." Depth is not a differentiating feature, as both early and late decelerations may vary in depth. The onset-to- nadir interval is used to differentiate variable vs. early/late, not early vs. late.
Thus, timing relative to contractions is the correct NCC-supported answer.


NEW QUESTION # 77
The presence of fetal breathing movements on a biophysical profile reflects adequate:

Answer: A

Explanation:
Comprehensive and Detailed Explanation From Exact Extract-Based NCC C-EFM References:
A biophysical profile (BPP) assesses 5 components:
* FHR reactivity
* Fetal breathing movements
* Fetal tone
* Fetal movement
* Amniotic fluid volume
According to NCC/AWHONN, fetal breathing movements are controlled by the fetal central nervous system, specifically brainstem integrity.
Thus, fetal breathing movements signify normal neurologic function, particularly intact CNS and oxygenation.
Why the others are incorrect:
* Pulmonary vasoconstriction is not assessed by BPP.
* Surfactant levels do not correlate directly with fetal breathing movement scores.
Correct answer: A. Neurologic function.
References:NCC C-EFM Candidate Guide; AWHONN; Simpson & Creehan; Creasy & Resnik.


NEW QUESTION # 78
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