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C-EFM : NCC Electronic Fetal Monitoring Exam

Nursing C-EFM Questions & Answers

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Nursing


C-EFM


NCC Electronic Fetal Monitoring


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Question: 1


Which component of electronic monitoring equipment measures the electrical activity of the uterus?


  1. Intrauterine pressure catheter.

  2. Ultrasound transducer.


    ocodynamometer. wer: D

    anation: The tocodynamometer is a component of electronic monitori pment that measures the electrical activity of the uterus, specifically ut actions. It aids in the assessment of uterine activity patterns during la rovides information about their frequency, duration, and intensity.


    stion: 2


    ch fetal assessment method involves evaluating five components: fetal rate, fetal movement, fetal tone, amniotic fluid volume, and fetal hing movements?


    ontraction stress test (CST). etal blood sampling (FBS). on-stress test (NST).

    Fetal scalp electrode.

  3. T


Ans


Expl ng

equi erine

contr bor

and p


Que


Whi heart breat


  1. C

  2. F

  3. N

  4. Biophysical profile (BPP). Answer: D

Explanation: The biophysical profile (BPP) is a fetal assessment method that evaluates five components: fetal heart rate, fetal movement, fetal tone, amniotic fluid volume, and fetal breathing movements. It provides information about the

overall well-being and developmental status of the fetus.


Question: 3


When assessing fetal heart rate patterns, which of the following patterns requires immediate intervention?


ccelerations with fetal movement.

ariable decelerations with loss of beat-to-beat variability. arly decelerations during contractions.


wer: C


anation: Variable decelerations with loss of beat-to-beat variability ar erning as they may indicate umbilical cord compression. This pattern res immediate intervention to alleviate the compression and prevent f promise.


stion: 4


ch professional issue is specifically related to the ethical consideration ronic fetal monitoring?


egal implications of documentation. formed consent and patient autonomy.

  • Baseline heart rate of 140 bpm with moderate variability.

  • A

  • V

  • E


    • Ans


    Expl e

    conc

    requi etal

    com


    Que


    Whi s of

    elect


    1. L

    2. In

    3. Interdisciplinary collaboration.

    4. Quality improvement and evidence-based practice.


    Answer: B


    Explanation: Informed consent and patient autonomy are important ethical

    considerations in electronic fetal monitoring. Healthcare providers must ensure that pregnant individuals are adequately informed about the purpose, benefits, and risks of the monitoring procedure and obtain their consent before initiating the monitoring process.


    Question: 5


    emia?


    H 7.35, pCO2 45, base excess 0.

    H 7.45, pCO2 40, base excess +2.

    H 7.25, pCO2 55, base excess -5.

    H 7.30, pCO2 50, base excess -2.


    wer: C


    anation: Fetal acidemia refers to an abnormal decrease in blood pH in A pH value of 7.25, pCO2 of 55, and base excess of -5 suggests

    emia, indicating an imbalance in fetal acid-base status.


    stion: 6


    ch physiological parameter is primarily responsible for determining fe enation status?

    Which set of arterial blood gas values from cord blood analysis indicates fetal acid


    1. p

    2. p

    3. p

    4. p


    Ans


    Expl the

    fetus. acid


    Que


    Whi tal

    oxyg


    1. Placental blood flow.

    2. Fetal movement.

    3. Fetal heart rate.

    4. Maternal blood pressure.

    Explanation: Placental blood flow is primarily responsible for determining fetal oxygenation status. It supplies oxygen and nutrients to the fetus and removes waste products. Any compromise in placental blood flow can lead to hypoxia and compromise fetal well-being.



    ch fetal assessment method involves measuring the oxygen saturation calp blood?


    iophysical profile (BPP). etal blood sampling (FBS). on-stress test (NST).

    ibroacoustic stimulation (VAS).


    wer: B


    anation: Fetal blood sampling (FBS), also known as fetal scalp blood pling, involves the direct measurement of oxygen saturation and acid-b

    in the fetal scalp blood. It is used to assess fetal well-being and mine fetal response to stress during labor.


    stion: 8

    Question: 7


    Whi in the

    fetal s


    1. B

    2. F

    3. N

    4. V


    Ans Expl

    sam ase

    status deter


    Que


    Which of the following is a side effect of terbutaline administration during electronic fetal monitoring?


    1. Hematocrit should be multiplied by x hgb.

    2. Abnormal arterial blood gas values (pH 7.24, pCO2 54, base excess -10).

    3. Increased mom and baby's heart rate and cardiac output.


    Answer: C


    oth the mother and the baby.


    stion: 9


    ch pattern recognition component of electronic fetal monitoring involv ssessment of periodic decreases in the fetal heart rate that coincide wi ne contractions?


    arly decelerations. ariable decelerations. ccelerations.

    ate decelerations. wer: D

    anation: Late decelerations are pattern recognition components of ronic fetal monitoring. They are characterized by periodic decreases i

    eart rate that occur after the onset of uterine contractions. Late

    Explanation: Terbutaline is a tocolytic medication commonly used to inhibit uterine contractions. However, one of its side effects is the stimulation of beta- adrenergic receptors, which can result in increased heart rate and cardiac output for b


    Que


    Whi es

    the a th

    uteri


    1. E

    2. V

    3. A

    4. L

    Ans Expl

    elect n the

    fetal h

    decelerations are associated with impaired placental blood flow and require prompt intervention.


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