EFM NCC
EFM NCC Study Guide Test Questions
(102 Terms) with Complete Solutions
2023-2024.
Why use fetal monitoring? - Answer: Primary goal is to prevent fetal and maternal
morbidity and mortality (prevent injury and death to mother and/ or baby), to
prevent bad patient outcomes.
What percent of babies who experience a suboptimal event while being fetal
monitored, develop cerebral palsy? - Answer: 3% of babies with poor tracing
develop cerebral palsy
, EFM NCC
What are most sentinel events due to? - Answer: Poor communication between
providers. Most errors are traceable back to communication errors.
Sentinel events - Answer: bad things that happen to patients due to a human or
equipment error, and not due to the reason that they came into the hospital
(disease process)
Equipment - Answer: your hands (palpation) use fingertips, ultrasound transducer,
FSE, tocodynamometer, Intrauterine Pressure Catheter, Auscultation (fetoscope,
hand held doppler device).
What if you can not get contractions? - Answer: palpate and readjust
IUPC resting tone - Answer: 20-25
IUPC resting tone with aminoinfusion - Answer: should not be above 40,
troubleshoot if this is higher, weigh pads, make sure there is fluid return.
Not meant for meconium or thick mec, they are used for variables or recurrent
variables - Answer: amnioinfusion
Auscultation tools - Answer: intermittent monitoring, use fetoscope or hand help
doppler to trace.
, EFM NCC
Only true auscultation tool - Answer: fetoscope, the reason is it is the only tool
that listens to the open and close of the fetal heart valve
Using the doppler or fetoscope - Answer: count the FHR before, during, and after
a contraction. Document the baseline rate (range), regular vs irregular, increases
or decreases. Do NOT document variability, accels, or decels
doppler category 1 - Answer: normal FHR baseline, regular rhythm, presence of
increases from FHR baseline, no decreases from baseline
doppler category 2 - Answer: includes ANY of the following: irregular rhythm,
presence of FHR decreases, tachycardia, bradycardia (i feel the need to intervene,
I feel like I can't walk out of the room)
doppler category 3 - Answer: there is none! auscultation because there is no
variabile determination with auscultation
goal of external EFM - Answer: external monitoring: goal is to detect fetal heart
movement (efm)
Autocorrelation - Answer: how the monitor adjusts with every third beat using a
mathematical formula, that it is still monitoring this baby. Detected what is normal
for this baby and is making the appropriate adjustments.
EFM NCC Study Guide Test Questions
(102 Terms) with Complete Solutions
2023-2024.
Why use fetal monitoring? - Answer: Primary goal is to prevent fetal and maternal
morbidity and mortality (prevent injury and death to mother and/ or baby), to
prevent bad patient outcomes.
What percent of babies who experience a suboptimal event while being fetal
monitored, develop cerebral palsy? - Answer: 3% of babies with poor tracing
develop cerebral palsy
, EFM NCC
What are most sentinel events due to? - Answer: Poor communication between
providers. Most errors are traceable back to communication errors.
Sentinel events - Answer: bad things that happen to patients due to a human or
equipment error, and not due to the reason that they came into the hospital
(disease process)
Equipment - Answer: your hands (palpation) use fingertips, ultrasound transducer,
FSE, tocodynamometer, Intrauterine Pressure Catheter, Auscultation (fetoscope,
hand held doppler device).
What if you can not get contractions? - Answer: palpate and readjust
IUPC resting tone - Answer: 20-25
IUPC resting tone with aminoinfusion - Answer: should not be above 40,
troubleshoot if this is higher, weigh pads, make sure there is fluid return.
Not meant for meconium or thick mec, they are used for variables or recurrent
variables - Answer: amnioinfusion
Auscultation tools - Answer: intermittent monitoring, use fetoscope or hand help
doppler to trace.
, EFM NCC
Only true auscultation tool - Answer: fetoscope, the reason is it is the only tool
that listens to the open and close of the fetal heart valve
Using the doppler or fetoscope - Answer: count the FHR before, during, and after
a contraction. Document the baseline rate (range), regular vs irregular, increases
or decreases. Do NOT document variability, accels, or decels
doppler category 1 - Answer: normal FHR baseline, regular rhythm, presence of
increases from FHR baseline, no decreases from baseline
doppler category 2 - Answer: includes ANY of the following: irregular rhythm,
presence of FHR decreases, tachycardia, bradycardia (i feel the need to intervene,
I feel like I can't walk out of the room)
doppler category 3 - Answer: there is none! auscultation because there is no
variabile determination with auscultation
goal of external EFM - Answer: external monitoring: goal is to detect fetal heart
movement (efm)
Autocorrelation - Answer: how the monitor adjusts with every third beat using a
mathematical formula, that it is still monitoring this baby. Detected what is normal
for this baby and is making the appropriate adjustments.
