Exam (elaborations)
NCC EFM EXAM () STUDY GUIDE (UPDATED)
- Course
- Institution
NCC EFM EXAM () STUDY GUIDE (UPDATED)
[Show more]
Seller
Follow
Content preview
NCC EFM EXAM (2024-2025) STUDY GUIDE(UPDATED)
Maternal obesity - <<Answers>>>-Risk of diabetes,
preeclampsia, DVT, infection, PPH (↑ estrogen), miscarriage
-Fetus: NTD, heart defect, macrosomia (4000g, 8-13), PTD
-Recommended weight gain: 11-20 lbs (compared to 25-35 in
average weight)
Uteroplacental complications - <<Answers>>>1) Previa: total
= covering cx os, marginal = 2cm of os, low lying = 2-3.5 cm
from os (usually resolves)
-painless bright red bleeding
-risk: AMA, uterine scarring, fibroids, smoking, multiples
-pelvic rest, bedrest, rhogam (rh-), steroids, PTD
2) Abruption: placental separation from uterus
-painful bleeding (may be concealed), ↑ frequency ↓
amplitude contractions, ↑ fundal height, rigid abd
3) Uterine rupture: risk w overdistended uterus or previous
surgery (poly, LGA, TOLAC, pit)
-abrupt pain, fetal intolerance, no contractions, hematuria,
head unengaged (loss of station), chest or shoulder pain
(blood accumulation in peritoneum)
Auscultation - <<Answers>>>Intermittently listening to fetal
heart sounds w fetoscope or doppler to assess FHR
-Detects baseline, rhythm, increases & decreases from
baseline
-Cannot determine variability or classify decels
, NCC EFM EXAM (2024-2025) STUDY GUIDE
(UPDATED)
-Use of fetoscope can verify presence of arrhythmia (most
accurate) & clarifies halving or doubling
-Listen to FHR before, during, & for 30 sec after contraction
-Feel for mom's radial pulse to differentiate
Fetal movement & stimulation - <<Answers>>>-Kick count:
10 movements in 2 hrs (starting at 28 wks)
-To ↑ movement, have ice chips (auditory stimulation) or
juice (sugar)
-Do not do scalp stim when FHR is not at baseline (don't use
during a decel)
Non stress test (NST) - <<Answers>>>Can be done >26 wks
-Reactive: 2 accels in 20 mins (can prolong to 40min) with
moderate variability
-Acoustic stim: ≤3, 1 min apart lasting 3 sec each (not used
for oligo or <32 wks), elicits startle reflex
-Valid for 24 hrs
Biophysical Profile (BPP) - <<Answers>>>Normal = 2
points, abnormal = 0
-Can be done ≥28 wks, valid for 7 days
-BPP done over 30 mins
1) Fetal heart rate
2) Breathing movements
, NCC EFM EXAM (2024-2025) STUDY GUIDE
(UPDATED)
3) Gross body movements
4) Muscle tone: extension/flexion
5) Amniotic fluid volume: (>2cm or AFI >5)
Scoring a BPP - <<Answers>>>Will get 2 points for each of
the following:
-Reactive NST: 2 accles in 20min
-Breathing: 1 lasting 60 secs or 2 lasting 30 secs
-Gross movements: 3 of arms, legs, or body
-Tone: 1 flexion & extension of arms, legs, hands
-AFI: either a 2cm pocket or a total of 5cm (normal 5-25cm)
Interpretation of BPP - <<Answers>>>-8 to 10 = reassuring
(unless oligo)
-6 = equivocal, repeat in 24 hrs (if pt is term then delivery is
recommended)
-4 = further testing needed
Normal ABGs - <<Answers>>>-pH ≥7.1
-CO2 <60
-Bicarb >22
-pO2 >20
-BD <12
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller jackbundi9071. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
85443 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now