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CEFM Practice Test The paper speed used with EFM in North America is: a. 1cm/min b. 2cm/min c. 3cm/min - correct answer C. 3cm/min The US transducer on the EFM measures the a. Electrical signal of the fetal heart b. Mechanical movement of the fetal heart reflected off of sound waves c. R to R intervals of the fetal heart - correct answer b. Mechanical movement of the fetal heart reflected off of sound waves The purpose of the autocorrelation in external monitoring is to a. ...

NCC EFM LATE DECELERATIONS ARE MEDIATED PRIMARILY BY - correct answer CHEMORECEPTORS BASELINE - correct answer FHR IN A 10 MIN SEGMENT TACHYCARDIA - correct answer FHR >160 BRADYCARDIA - correct answer FHR <110 VARIABILITY - correct answer VARIATIONS IN BASELINE ABSENT-0 MIN <=5 MOD 6-25 MARKED >25 NO DISTINCTION IS MADE BETWEEN SHORT TERM & LONG TERM VARIABILITY BECAUSE - correct answer THEY ARE VISUALIZED AS A UNIT ACCELERATION - correct answer ABRUP...

NCC EFM Test The fetal spiral electrode measures the A. Peaks of the Doppler waveforms B. R to R intervals of the fetal heart C. ST segments of the fetal ECG - correct answer B. R to R intervals of the fetal heart The optimal location for the ultrasound transducer for the fetus - correct answer the fetal back First step when contraction pattern is weird with IUPC in place - correct answer re zero the IUPC Membranes ruptured 60 minutes ago and now you see prolonged decelerati...

NCC EFM Causes of uteroplacental perfusion decrease: - correct answer • HTN • Pregnancy • DM • Hypotension • Excessive uterine contractions (hypertonus) • Decreased surface area, edema, degenerative calcifications, infarcts, infection FHR reflects fetal oxygenation from which extrinsic factors: - correct answer • Maternal oxygenation • Uterine blood flow • Placental change • Umbilical blood flow FHR reflects oxygenation from which intrinsic factors: -...

EFM NCC Why use fetal monitoring? - correct 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? - correct answer 3% of babies with poor tracing develop cerebral palsy What are most sentinel events due to? - correct answer Poor communication between providers. Most...

NCC EFM Exam Breakdown & Study Guide Content on exam - correct answer -Pattern recognition & intervention: 70% -Physiology: 11% -Fetal assessment methods: 9% -EFM equipment: 5% -Professional issues: 5% Pattern recognition & intervention - correct answer -FHR baseline -FHR variability -FHR accelerations -FHR decelerations -Normal uterine activity -Abnormal uterine activity -Fetal dysrhythmias -Maternal complications -Uteroplacental complications -Fetal complica...

NCC-EFM Test Uterine contractions are quantified as - correct answer the number of contractions present in a 10 min window Normal frequency of uterine contractions - correct answer ≤5 contractions in 10 min, averaged over a 30 min window Tachysystole is - correct answer >5 contractions in 10 min, averaged over a 30 min window. Should be qualified as to the presence or absence of FHR decelerations Terms describing uterine contractions that have been abandoned - correct answer...

NCC EFM Cert. Exam Ductus venosus connects ______ to ______? - correct answer Umb. vein to IVC Foramen ovale connects _______to______? - correct answer R. atrium to L. atrium Ductus arteriosus connects _______ to _______? - correct answer Pulm. artery to aorta Normal rate - correct answer 110 to 160 BPM Average baseline rate at 15wks gestation - correct answer 160 BPM Average rate in fetus with heart block - correct answer 60 BPM (intrinsic ventricular or nodal rate) ...

NCC EFM practice Which of the following factors can have a negative effect on uterine blood flow? a. Hypertension b. Epidural c. Hemorrhage d. Diabetes e. All of the above - correct answer e. All of the above Stimulating the vagus nerve typically produces: a. A decrease in the heart rate b. An increase in the heart rate c. An increase in stroke volume d. No change - correct answer a. A decrease in the heart rate The vagus nerve begins maturation 26 to 28 weeks. Its ...

NCC Electronic Fetal Monitoring Certification Which of the following factors can have a negative effect on uterine blood flow? a. Hypertension b. Epidural c. Hemorrhage d. Diabetes e. All of the above - correct answer e. All of the above How does the fetus compensate for decreased maternal circulating volume? a. Increases cardiac output by increasing stroke volume. b. Increases cardiac output by increasing it's heart rate. c. Increases cardiac output by increasing feta...