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EFM Valid Exam Answers - EFM Technical TrainingWhen you have adequately prepared for the Certified - Electronic Fetal Monitoring (EFM) questions, only then you become capable of passing the NCC exam. There is no purpose in attempting the NCC EFM certification exam if you have not prepared with Actual4Dumps's Free NCC EFM PDF Questions. It's time to get serious if you want to validate your abilities and earn the NCC EFM Certification. If you hope to pass the Certified - Electronic Fetal Monitoring exam on your first attempt, you must be studied with real EFM exam questions verified by NCC EFM. NCC Certified - Electronic Fetal Monitoring Sample Questions (Q20-Q25):NEW QUESTION # 20
(Full question statement)
A woman at 39-weeks gestation is in labor, progressing normally. The baseline fetal heart rate has increased from 125 to 150 beats per minute over the last hour with moderate variability. What is the next step?
A. Perform an ultrasound
B. Initiate antibiotic therapy
C. Continue to observe
Answer: C
Explanation:
Comprehensive and Detailed Explanation From Exact Extract Without Links:
NCC-recommended references (Simpson, AWHONN FHM, Creasy & Resnik) note that baseline increases within the normal range (110-160 bpm) accompanied by moderate variability are typically benign. Mild physiologic causes-maternal activity, fetal stimulation, or normal sympathetic activation-may transiently raise baseline FHR.
AWHONN stresses that intervention is required only when tachycardia exceeds 160 bpm or when variability is minimal/absent or accompanied by recurrent decelerations.
Here, the baseline increase to 150 bpm remains within normal limits and is paired with moderate variability, which the NCC recognizes as the strongest indicator of adequate fetal oxygenation.
Therefore, evaluation is complete, and continued observation is the appropriate course.
NEW QUESTION # 21
The fetal heart rate tracing shown demonstrates:
A. Category II tracing
B. Marked variability
C. Accelerations
Answer: C
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 # 22
Interventions to decrease uterine activity should take place:
A. If tachysystole is seen for one or two 10-minute segments
B. After tachysystole has been occurring for at least 30 minutes
C. When labor is in the second stage
Answer: A
Explanation:
Comprehensive and Detailed Explanation From NCC-Aligned Sources:
Tachysystole = >5 contractions in 10 minutes averaged over 30 minutes (NICHD).
However, NCC and AWHONN intervention guidelines state:
* If tachysystole appears in one or two consecutive 10-minute segments, especially with Category II or III patterns, intervention must begin immediately.
* Intervention includes:
* Stopping/reducing oxytocin
* Maternal repositioning
* IV bolus
* Tocolysis if needed
Why the wrong answers are wrong:
* A. Waiting 30 minutes delays necessary fetal resuscitation.
* C. Stage of labor does not determine when to intervene.
Correct answer: B. If tachysystole is seen for one or two 10-minute segments References:NCC C-EFM Candidate Guide; AWHONN FHMPP; Menihan.
NEW QUESTION # 23
When R-R intervals are short, the fetal heart rate is
A. normal
B. fast
C. slow
Answer: B
Explanation:
Comprehensive and Detailed Explanation From Exact Extract NCC-Recommended Sources The fetal heart rate is calculated from the interval between consecutive R waves in the fetal ECG. Shorter R- R intervals indicate more beats per unit of time, therefore resulting in a higher heart rate. AWHONN and Menihan both note that fetal ECG monitoring measures instantaneous rate based on R-R spacing, and "shorter intervals correspond to fetal tachycardia." Simpson & Creehan reinforce that fetal heart rate variability and baseline are derived from these R-R intervals, with shorter intervals consistently producing faster rates. Miller's Pocket Guide describes the relationship simply: "Short R-R = faster rate; long R-R = slower rate." References:
AWHONN - Fetal Heart MonitoringMenihan - Electronic Fetal MonitoringSimpson & Creehan - Perinatal NursingMiller's Pocket GuideCreasy & Resnik - Maternal-Fetal Medicine
NEW QUESTION # 24
The black pattern represents the heart rate pattern for Baby A. The blue pattern represents the heart rate pattern for Baby B. A possible etiology of the baseline fetal heart rate of Baby A is:
A. Infection
B. Magnesium sulfate
C. Fetal positioning
Answer: A
Explanation:
Comprehensive and Detailed Explanation From NCC-Aligned Sources:
The black tracing (Baby A) demonstrates:
* Baseline ~170-175 bpm
* Moderate variability
* No recurrent decelerations
This is fetal tachycardia.
NCC physiology guidelines list common causes of fetal tachycardia:
* Maternal fever / infection (chorioamnionitis)
* Maternal dehydration
* Maternal anxiety
* Maternal hyperthyroidism
* Fetal infection
* Certain medications (terbutaline, illicit stimulants)
Why the other options are incorrect:
* A. Fetal positioning does not influence baseline heart rate.
* C. Magnesium sulfate typically lowers fetal baseline and variability-it does not cause tachycardia.
Thus, the most likely etiology is infection.
References:NCC C-EFM Candidate Guide; AWHONN FHMPP; Menihan EFM; Simpson & Creehan; Creasy & Resnik.
NEW QUESTION # 25
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