C-EFM : NCC Electronic Fetal Monitoring Exam

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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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