Title: 100% Pass NCC - Trustable Study EFM Group [Print This Page] Author: robhill572 Time: 15 hour before Title: 100% Pass NCC - Trustable Study EFM Group Exams4sures has one of the most comprehensive and top-notch NCC EFM Exam Questions. We eliminated the filler and simplified the Certified - Electronic Fetal Monitoring exam preparation process so you can ace the NCC certification exam on your first try. Our NCC EFM Questions include real-world examples to help you learn the fundamentals of the subject not only for the NCC exam but also for your future job.
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The fetal heart rate tracing shown demonstrates:
A. Accelerations
B. Category II tracing
C. Marked variability
Answer: A
Explanation:
Comprehensive and Detailed Explanation From Exact Extract-Based NCC C-EFM References:
NCC C-EFM uses NICHD terminology to describe key FHR characteristics: baseline, variability, accelerations, and decelerations. In this strip, the following findings are present:
* Baseline:The baseline appears approximately 135-145 bpm, which is within the normal 110-160 bpm range described in NCC and AWHONN materials.
* Variability:Beat-to-beat fluctuation is within 6-25 bpm, which meets the definition of moderate variability. NCC and NICHD define moderate variability as amplitude range of 6-25 bpm; this is associated with adequate fetal oxygenation and a normal fetal acid-base status.
* Accelerations:The tracing shows distinct increases in FHR above the baseline by at least 15 bpm lasting 15 seconds or more but less than 2 minutes. NCC and NICHD define an acceleration in a term fetus precisely as "a visually apparent abrupt increase in FHR, with peak #15 bpm above baseline, lasting #15 seconds and <2 minutes." The pattern shown fits this definition clearly.
* Category determination:A tracing with normal baseline, moderate variability, and accelerations without decelerations is classified as Category I, not Category II. Category II is reserved for tracings that are not clearly Category I or III, such as minimal or marked variability, recurrent variables, or prolonged decelerations.
* Marked variability consideration:Marked variability is defined as amplitude >25 bpm. While the tracing is somewhat jagged, the fluctuation does not sustain >25 bpm amplitude over a 10-minute segment and instead remains in the moderate range, so it does not meet criteria for marked variability.
Given these observations, the most accurate description of the tracing from the options provided is that it demonstrates accelerations.
References:NCC C-EFM Candidate Guide (2025); NCC Content Outline; NICHD Three-Tier FHR Interpretation System; 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.
NEW QUESTION # 106
A sentinel or reportable event as defined by the Joint Commission or other regulatory bodies/agencies is one that
A. must involve malpractice or negligence
B. requires investigation and response
C. requires mandatory education for providers
Answer: B
Explanation:
Comprehensive and Detailed Explanation From Exact Extract NCC-Recommended Sources Sentinel events are defined by the Joint Commission as unexpected occurrences involving death, serious physical or psychological injury, or the risk thereof, and they require immediate investigation, root-cause analysis, and institutional response. They do not require confirmed malpractice or negligence.
AWHONN's perinatal safety guidelines and NCC's Professional Issues domain specify that sentinel events trigger mandatory reporting, analysis, system review, and corrective action plans. Simpson & Creehan emphasize that they are addressed through standardized safety processes, including interdisciplinary review.
Miller's Pocket Guide notes that sentinel events are "events that require immediate investigation to prevent recurrence," aligning with answer choice B.
References:
AWHONN - Perinatal Safety GuidelinesNCC - C-EFM Content Outline (Professional Issues)Simpson & Creehan - Perinatal NursingMenihan - EFM Professional Standards ChapterMiller's Pocket Guide
NEW QUESTION # 107
The duration of a contraction is best represented by which colored arrow?
A. Green (B)
B. Blue (A)
C. Red (C)
Answer: A
Explanation:
Comprehensive and Detailed Explanation From NCC-Aligned Sources:
Contraction duration is defined as the length of time from the beginning of a contraction to the end of the same contraction (NICHD uterine activity definitions).
In the diagram:
* Green arrow (B) spans one individual contraction from rise # peak # return to baseline.
* Blue arrow (A) measures the interval between contractions (frequency).
* Red arrow (C) measures peak-to-peak amplitude shape, not duration.
Therefore, the green arrow correctly identifies contraction duration.
References:NCC Candidate Guide; AWHONN FHMPP; Menihan EFM; Simpson & Creehan.
NEW QUESTION # 108
The most common fetal heart rate pattern consistent with uterine rupture is
A. absent variability
B. loss of uterine pressure
C. prolonged and variable decelerations
Answer: C
Explanation:
Comprehensive and Detailed Explanation From Exact Extract (NCC-Referenced Sources) According to AWHONN, Simpson, and NCC C-EFM physiologic competencies, uterine rupture commonly presents with:
* Sudden prolonged deceleration
* Recurrent variables
* Fetal bradycardia
* Possible loss of station, vaginal bleeding, maternal pain
AWHONN specifically lists:
"Prolonged deceleration is the most common initial fetal sign of uterine rupture." Absent variability can occur later, but it is not the most common initial pattern.
"Loss of uterine pressure" refers to loss of toco signal, not a fetal heart rate characteristic.
Therefore, NCC-validated interpretation: prolonged and variable decelerations.
NEW QUESTION # 109
Stimulation of the vagus nerve in a healthy fetus will cause:
A. Increased cardiac contractility
B. Increased fetal blood pressure
C. Decreased fetal heart rate
Answer: C
Explanation:
Comprehensive and Detailed Explanation From NCC-Aligned Sources:
Vagal stimulation is part of the parasympathetic nervous system, which causes:
* Slowing of the fetal heart rate (FHR)
* Rapid but temporary changes in HR
* Seen with head compression, scalp stimulation, or fetal movement
NICHD/NCC physiology explains:
* Vagus nerve activation # acetylcholine release # slowed SA node firing # decrease in FHR
* This mechanism is responsible for early decelerations during labor due to head compression.
Why the incorrect answers are wrong:
* B. Increased cardiac contractility # sympathetic effect, not vagal.
* C. Increased fetal blood pressure # also a sympathetic effect.
Correct answer: A. Decreased fetal heart rate
References:NCC Candidate Guide; AWHONN FHMPP; Menihan; Miller's Pocket Guide; Simpson & Creehan.
NEW QUESTION # 110
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