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NCC EFM 2023 2024 Maternal Hypovolemia - correct answer Tracing change: Tachycardia, minimal variability, late decelerations Maternal vital signs change after more than 30% of blood volume lost (700-800cc) Placental abruption - correct answer EFM most sensitive to detect Tracing: loss of variability, late or prolonged decelerations ultrasound can diagnose abruption 90% of abruption will have uterine activity w/in 1st 4hrs oligohydramnios - correct answer oligo: AFI < 5...

NCC EFM EXAM FLASHCARDS What entity standardized the term "Electronic Fetal Monitoring (EFM)" ? - correct answer Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) Primary reason for continuous EFM - correct answer Legal reasons. No real benefit of continuous EFM according to studies. Correlation found between continuous EFM and Deliveries. - correct answer continuous EFM found to have increase rates of assisted vaginal deliveries or cesa...

NCC EFM - chapter 2 physiology Placenta Functions - correct answer Serves as the fetus' extracorporeal life-support system: fetal lung (respiration), kidney (excretion), GI (nutrition), skin (heat exchange), barrier to dangerous substances, endocrine (steroid and proteins production) Blood Flow to Uterus - correct answer 85% of total uterine flow to the placental circulation and 15% to the extraplacental uterine musculature What are the two layers that nutrients must cross of...

CEFM – NCC 2023 2024 What are some important factors (risks) to consider when evaluating a fetal heart rate strip? -correct answer --*PNLs* (abnormal?) --weight gain/loss --Maternal age --*Gestational age* --*MATERNAL vital signs* --*Membrane status* --*Cervical exam* What are the easiest ways for assessment of maternal oxygenation status? -correct answer *Pulse Ox* (& other vital signs, RR) *Blood gas* (if indicated, asthma exacerbation) *Lung soungs* (pneumonia, pulmo...

EFM practice test What FHR finding is top priority for immediate interventions? a. heart block rate of 60 bpm cardia cardia with minimal variability rate of 170 with pushing - correct answer B. BRADYCARDIA The change from moderate to minimal variability which is most concerning would be when: a. association with tachysystole with or without pitocin b. association after giving stadol and phenergan c. association with active phase of pushing +3 station - correct answer a. as...

C-EFM simple diffusion - correct answer The mechanism for movement of carbon dioxide and oxygen through the placenta. bradycardia - correct answer The fetal heart rate pattern that is likely to be seen with maternal hypothermia. inferior vena cava - correct answer Maternal supine hypotension is caused mainly by compression of? Terbutaline - correct answer The medication that following maternal administration, can make the FHR baseline increase. insert a spiral electr...

EFM exam Hypoxemia - correct answer Decreased oxygen in blood Hypoxia - correct answer Not enough oxygen to supply organs Normal fetal PO2 - correct answer 15-25 mmhm What factors can change the maternal HR? - correct answer Intrinsic pacemakers (SA & AV node) Cardiac conduction system Autonomic regulation... Sympathetic, parasympathetic Humoral factors (catecholamines) Extrinsic factors (medications) Local factors (Ca, K) What are the 3 most common causes of decrea...

NCC EFM test 1 Variable decelerations are thought to be caused by: A. Fetal head compression B. Umbilical cord compression c. Uteroplacental insufficiency - correct answer B. Umbilical cord compression An appropriate treatment for recurrent variable decelerations with moderate variability during second stage pushing is: A. Amnioinfusion B. Modification of pushing efforts C. Oxygen at 10 liters per nonrebreather face mask. - correct answer B. Modification of pushing effort...

Electronic Fetal Monitoring Practice Questions A nurse is explaining to a pregnant patient the purpose of electronic fetal monitoring. Which of the following statements by the nurse is the most accurate way to describe the purpose of EFM? a. "EFM is a diagnostic procedure that monitors your baby's heart rate or FHR and your uterine contractions. b. "EFM is a screening procedure that monitors your baby's heart rate or FHR and your uterine contractions." c."EFM is a screening...

C-EFM Exam Flash Cards Acceleration - correct answer 15 bpm above base line for 15 secs but less than 30 secs. If less than 32 wks 10x10 Acidosis - correct answer excessive acidity of body fluids/tissue ph less than 7.1 Respiratory acidosis - correct answer low ph high Co2 (above 60) Metabolic Acidosis - correct answer low pH Low 02 normal Co2 Mixed acidosis - correct answer low pH low p02 high pC02 Alkalosis - correct answer accumulation of base in tissue/blood ...