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NCC EFM EXAM BREAKDOWN & STUDY GUIDE/72 QUESTIONS AND ANSWERS (A+)
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NCC EFM EXAM BREAKDOWN & STUDY GUIDE/72 QUESTIONS AND ANSWERS (A+)
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NCC EFM EXAMBREAKDOWN &
STUDY GUIDE/72
QUESTIONS AND
ANSWERS (A+)
Content on exam - √Answer>-Pattern recognition
& intervention: 70%
-Physiology: 11%
-Fetal assessment methods: 9%
-EFM equipment: 5%
-Professional issues: 5%
Quiz :Pattern recognition & intervention -
√Answer>-FHR baseline ✓
-FHR variability ✓
-FHR accelerations ✓
-FHR decelerations ✓
-Normal uterine activity ✓
-Abnormal uterine activity ✓
-Fetal dysrhythmias ✓
-Maternal complications ✓
-Uteroplacental complications ✓
-Fetal complications ✓
Quiz :FHR Descriptors - √Answer>1) Baseline
,2) Variability
3) Presence of accels
4) Presence of decels
5) Changes in trends overtime
Quiz :FHR Baseline - √Answer>Average FHR
rounded to nearest 5 during a 10 min window
-110 to 160
-excludes accels, decels, & marked variability
-must have 2 mins to identify as a baseline
(doesn't need to be continuous)
Quiz :Fetal Bradycardia - √Answer><110 for ≥10
min
-Causes: hypotension (ex: after epi), cord
prolapse, head compression, congenital defect,
rapid descent, abruption or rupture, tachysystole,
post dates, hypoglycemia, lupus (heart block)
-With ↓ O2, blood will be shunted to brain, heart, &
adrenals, eventually ↓ FHR to ↓ O2 demands of
heart muscle
-Verify not mom's HR, vaginal exam (r/o prolapse),
resuscitate, evaluate arrhythmia, expedite delivery
Quiz :Fetal Tachycardia - √Answer>>160 for ≥10
min
-Causes: fetal anemia, maternal fever or infection,
fetal immaturity (preterm), SVT, maternal anxiety
(catecholamines), dehydration, hyperthyroid,
hypoxia
, -Med causes: terbutaline, catecholamines
(epinephrine, norepi)
-Assess mom's temp & infection risk (GBS,
PROM)
Quiz :FHR Variability - √Answer>Irregular in
amplitude & frequency, quantified by peak to
trough
-Caused by sympathetic vs parasympathetic, r/t
neuro maturity
-Less in preterm due to undeveloped CNS
-Absent: undetectable, flat
-Minimal: ≤5 bpm but detectable
-Moderate: 6-25 bpm
-Marked: >25 bpm (indeterminate baseline),
significance unknown
Quiz :Minimal variability - √Answer>≤5 bpm but
detectable
Sleep, sedated, or sick
-Sleep cycle: 20-60 mins
-Sedated: CNS depressant (ex: mag), 1-2 hrs
-Sick (acidemia): unresolved w intervention
-Priority: maximize oxygenation (position, bolus,
O2 if needed)
Quiz :Moderate variability - √Answer>6 to 25 bpm
-Reliably predicts the absence of metabolic
acidosis (even w decels)
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