完美的EFM資料和認證考試的領導者材料和完整的最新EFM題庫資源我相信不論在哪個行業工作的人都希望自己有很好的職業前景。當然在競爭激烈的IT行業裏面也不例外。在IT行業中工作的專業人士也希望自己有個很好的提升機會和很大的提升空間。很多專業的IT人士都知道NCC EFM 認證考試可以幫你滿足這些願望的。而KaoGuTi是一個能幫助你成功通過NCC EFM 的網站。 最新的 NCC C-EFM EFM 免費考試真題 (Q91-Q96):問題 #91
The fetal heart rate tracing shown is consistent with
A. supraventricular tachycardia
B. half counting
C. artifact
答案：A
解題說明：
Comprehensive and Detailed Explanation From Exact Extract NCC-Recommended Sources The tracing demonstrates a very rapid, highly regular baseline fetal heart rate with minimal beat-to-beat variability-characteristic of fetal supraventricular tachycardia (SVT). NCC-recommended references, including AWHONN's Fetal Heart Monitoring Principles & Practices, Menihan's Electronic Fetal Monitoring: Concepts and Applications, Simpson & Creehan's Perinatal Nursing, and Creasy & Resnik's Maternal-Fetal Medicine all describe fetal SVT as a sustained tachyarrhythmia usually greater than 200 bpm
, narrow-complex, and extremely regular in appearance.
AWHONN teaches that SVT appears as a "tight, rapid, uniform baseline with minimal variability." Menihan states that "SVT may present on EFM as a nearly straight line due to the rapid, consistent rate with micro- oscillations." This differs significantly from artifact, which appears disorganized, erratic, and inconsistent in amplitude. Additionally, "half-counting" is a Doppler misinterpretation that records half of an extremely fast fetal rate, usually resulting in a falsely lower heart rate-not the very rapid tracing shown here.
Creasy & Resnik emphasize that SVT is the most common pathological fetal arrhythmia and can lead to fetal compromise if prolonged, making accurate recognition essential. Miller's Pocket Guide to Fetal Monitoring also identifies SVT as a pattern with a "smooth, fast rhythm lacking normal variability." All authoritative NCC-recommended references support that this EFM pattern is consistent with fetal SVT, not artifact or half-counting.
References:
AWHONN - Fetal Heart Monitoring Principles & PracticesMenihan - Electronic Fetal MonitoringSimpson & Creehan - Perinatal NursingCreasy & Resnik - Maternal-Fetal MedicineMiller's Pocket Guide to Fetal Monitoring
問題 #92
A fetal heart rate deceleration that is episodic is a/an:
A. Variable deceleration
B. Early deceleration
C. Late deceleration
答案：A
解題說明：
Comprehensive and Detailed Explanation From Exact Extract-Based NCC C-EFM References:
NCC and NICHD differentiate:
* Periodic decelerations - those occurring with contractions
* Episodic decelerations - those occurring independent of contractions
Deceleration types:
* Early - periodic (mirror contractions)
* Late - periodic (after peak of contraction)
* Variable - may be periodic or episodic, and are the only type strongly associated with episodic patterns** Therefore, the only deceleration type that is characteristically episodic is a variable deceleration.
Correct answer: C. Variable deceleration
References:NICHD FHR Definitions; NCC C-EFM Guide; AWHONN; Menihan; Simpson & Creehan.
問題 #93
The main reason intrauterine pressure catheters are placed is to:
A. Rule out artifact
B. Determine the contraction pattern
C. Define the quality of the fetal baseline
答案：B
解題說明：
Comprehensive and Detailed Explanation From Exact Extract-Based NCC C-EFM References:
Intrauterine pressure catheters (IUPCs) are an internal uterine activity monitoring device used when external tocodynamometry does not provide adequate assessment of contraction strength or frequency.
According to NCC, AWHONN, Miller, and Menihan, the primary indication for placing an IUPC is to obtain accurate, quantitative measurement of uterine activity.
Purpose of IUPC (per NCC and AWHONN):
* Measures exact intrauterine pressure in mmHg
* Calculates Montevideo units (MVUs) to evaluate adequacy of labor
* Clearly differentiates:
* Frequency
* Duration
* Strength (intensity)
* Resting tone
NCC explicitly lists the primary purpose as:
"Accurate assessment of uterine contraction pattern and intensity."
Why the other options are incorrect:
A). Define the quality of the fetal baseline - Incorrect
* Fetal heart rate (FHR) baseline quality is determined by fetal ECG or FSE, not IUPC.
* IUPCs monitor the uterus, not the fetal cardiac signal.
C). Rule out artifact - Incorrect
* While an IUPC can reduce artifact from the toco, this is not its primary purpose.
* Artifact is more commonly an issue with external FHR monitoring, corrected by repositioning or placing a fetal scalp electrode-not by using an IUPC.
B). Determine the contraction pattern
This aligns directly with NCC's Electronic Monitoring Equipment domain: IUPCs provide the most accurate and reliable measurement of uterine activity when external monitoring is inadequate.
References:NCC C-EFM Candidate Guide (2025); NCC Content Outline; AWHONN Fetal Heart Monitoring Principles & Practices; Miller's Fetal Monitoring Pocket Guide; Menihan Electronic Fetal Monitoring; Simpson & Creehan Perinatal Nursing; Creasy & Resnik Maternal-Fetal Medicine.
問題 #94
The success of interventions to treat fetal hypoxia first depends on:
A. Improving maternal oxygenation
B. Optimizing uteroplacental blood flow
C. Minimizing uterine activity
答案：B
解題說明：
Comprehensive and Detailed Explanation From NCC-Aligned Sources:
NCC/AWHONN emphasize that the primary goal of intrauterine resuscitation is to:
* Optimize uteroplacental blood flow, which restores fetal oxygen delivery.
Key measures include:
* Maternal repositioning (lateral)
* Reducing tachysystole
* IV fluid bolus
* Correcting maternal hypotension
* Stopping oxytocin
* Treating underlying causes
Improving maternal oxygenation is supportive, but improving uteroplacental perfusion is the critical first determinant of resuscitation success.
Why the other answers are not first priority:
* A. Oxygen - optional and no longer universally recommended unless maternal hypoxemia exists.
* B. Minimizing uterine activity - essential, but still secondary to restoring perfusion.
Correct answer: C. Optimizing uteroplacental blood flow
References:NCC Pattern Recognition & Intervention Domain; AWHONN FHMPP; Menihan; Simpson & Creehan.
問題 #95
When documenting the occurrence of late decelerations in the medical record, what should be charted?
A. Components of the tracing
B. Notation that the tracing was normal or abnormal
C. Tracing category
答案：A
解題說明：
Comprehensive and Detailed Explanation From NCC-Aligned Sources:
According to NCC, AWHONN, and evidence-based documentation standards, clinicians must document:
* Baseline
* Variability
* Accelerations
* Decelerations (type, depth, duration, timing)
* Uterine activity
This fulfills the NICHD 3-tier system and legal documentation expectations.
Why the incorrect answers are wrong:
* B. "Normal/abnormal" # vague, not an acceptable documentation standard.
* C. Category alone # insufficient; categories must be supported by the components.
References:NCC C-EFM Candidate Guide; AWHONN Documentation Standards; Menihan.
