EFM NCC PREP EXAM QUESTIONS WITH SOLVED SOLUTIONS 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 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. Only true auscultation tool - Answer fetoscope, the reason is it is the only tool that listens to the open