Master the NCC Electronic Fetal Monitoring (EFM) Certification Exam with this comprehensive study guide, complete with practice questions and targeted exam prep. Ideal for nurses, midwives, and healthcare professionals, this resource covers all essential EFM topics, including fetal heart rate patterns, uterine activity, and tracing interpretation, fully aligned with NCC standards. It features a detailed study guide to build your knowledge, practice questions that mirror the exam format with in-depth answer explanations, and focused exam prep strategies to enhance your performance. Perfect for achieving NCC certification or advancing your obstetrics expertise, this guide ensures you’re well-prepared to excel in electronic fetal monitoring and provide safe, high-quality patient care.
Preview
1. The most frequently observed type of FHR deceleration is: A. Early
B. Late
C. Variable (Correct Answer: C)
Rationale: Variable decelerations are the most commonly observed FHR
decelerations and are usually caused by umbilical cord compression.
2. Amnioinfusion may be useful in alleviating recurrent decelerations that are: A.
Early
B. Late
C. Variable (Correct Answer: C)
Rationale: Amnioinfusion can help alleviate variable decelerations by reducing
umbilical cord compression through increased amniotic fluid volume.
3. Findings indicative of progressive fetal hypoxemia include: A. Late decelerations,
moderate variability, stable baseline rate
B. Prolonged decelerations recovering to baseline and moderate variability
C. Loss of variability and recurrent late or variable decelerations (Correct Answer:
C)
Rationale: Loss of variability combined with recurrent late or variable decelerations
suggests worsening fetal hypoxia and requires prompt intervention.
4. Clinically significant fetal metabolic acidemia is indicated by an arterial cord
gas pH of ≤ 7.10 and a base deficit of: A. 3
B. 6
C. 12 (Correct Answer: C)
Rationale: A base deficit of 12 or more indicates severe metabolic acidosis and
possible fetal compromise.
5. Fetal bradycardia can result from: A. The sleep state
B. Umbilical vein compression
C. Vagal stimulation (Correct Answer: C)
Rationale: Vagal stimulation can cause a reflex decrease in heart rate, leading to
fetal bradycardia.
B. Late
C. Variable (Correct Answer: C)
Rationale: Variable decelerations are the most commonly observed FHR
decelerations and are usually caused by umbilical cord compression.
2. Amnioinfusion may be useful in alleviating recurrent decelerations that are: A.
Early
B. Late
C. Variable (Correct Answer: C)
Rationale: Amnioinfusion can help alleviate variable decelerations by reducing
umbilical cord compression through increased amniotic fluid volume.
3. Findings indicative of progressive fetal hypoxemia include: A. Late decelerations,
moderate variability, stable baseline rate
B. Prolonged decelerations recovering to baseline and moderate variability
C. Loss of variability and recurrent late or variable decelerations (Correct Answer:
C)
Rationale: Loss of variability combined with recurrent late or variable decelerations
suggests worsening fetal hypoxia and requires prompt intervention.
4. Clinically significant fetal metabolic acidemia is indicated by an arterial cord
gas pH of ≤ 7.10 and a base deficit of: A. 3
B. 6
C. 12 (Correct Answer: C)
Rationale: A base deficit of 12 or more indicates severe metabolic acidosis and
possible fetal compromise.
5. Fetal bradycardia can result from: A. The sleep state
B. Umbilical vein compression
C. Vagal stimulation (Correct Answer: C)
Rationale: Vagal stimulation can cause a reflex decrease in heart rate, leading to
fetal bradycardia.
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