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NCC EFM EXAM NEWEST 2024 REAL EXAM 2 VERSIONS (VERSION A AND B) 300 QUESTIONS AND DETAIED ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+$17.99
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Late decel: - ANSWER: • Inadequate uteroplacental blood flow->decreased maternal
fetal O2 transfer
• ->activation of chemoreceptors to respond due to increased PCO2, decreased PO2,
and decreased pH
• ->Fetal bradycardia and hypertension
Category I: - ANSWER: • Normal fetal acid base status
• All the following are required:
• Moderate variability
• Baseline rate 110-160
• Late or variable decels are absent
• Early decels present or absent
• Accels present or absent
Category II: - ANSWER: • Indeterminate compensatory response
• Not category I or II
Category III: - ANSWER: • Abnormal fetal acid-base status
• Either required
• Absent variability with:
o Recurrent late decels, or
o Recurrent variable decels, or
o Bradycardia
• Sinusoidal pattern
In-Utero resuscitation: - ANSWER: • Change maternal position
• Decrease uterine activity
• IV fluid bolus
• Correct maternal hypotension
• Oxygen administration
• Amnioinfusion
• Alteration in 2nd stage maternal pushing efforts
• If prolapsed cord, then elevate fetal presenting part while moving toward
operative birth
Baseline FHR: - ANSWER: • Approximate mean FHR excluding accelerations and
decelerations or periods of marked variability (>25 bpm)
• Minimum of 2 minutes of identifiable BL segments in any 10 min window
• May need to refer to previous 10 min window
Baseline variability: - ANSWER: • Irregular fluctuation in baseline FHR in both
amplitude and frequency
• Absent- Undetectable
• Minimal- 0-5
• Moderate- 6-25
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