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[General] EFM Test Dumps.zip & Printable EFM PDF

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【General】 EFM Test Dumps.zip & Printable EFM PDF

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NCC Certified - Electronic Fetal Monitoring Sample Questions (Q73-Q78):NEW QUESTION # 73
This fetal heart rate tracing is from a woman in the second stage of labor. This tracing is best interpreted as:

  • A. Variable decelerations
  • B. Intermittent late decelerations
  • C. Wandering baseline
Answer: A
Explanation:
Comprehensive and Detailed Explanation From NCC-Aligned Sources:
The tracing shows the classic features of variable decelerations:
* Abrupt onset (<30 seconds from baseline to nadir)
* Rapid drop followed by a rapid recovery
* Significant variability in shape, depth, and timing
* "Shouldering"-brief accelerations before or after the deceleration, typical of cord compression
* The decelerations vary in appearance and timing relative to contractions In second stage, this pattern is extremely common due to:
* Recurrent cord compression during descent
* Maternal pushing
* Reduced amniotic fluid with advancing labor
Why the other options are incorrect:
A). Intermittent late decelerations
* Late decelerations are uniform, smooth, begin after the contraction peak, and recover after the contraction ends.
* This tracing shows abrupt, variable-shaped, non-uniform decels # NOT late decels.
C). Wandering baseline
* A wandering baseline is a slowly fluctuating, low-amplitude, smooth, preterminal pattern.
* This tracing shows an identifiable baseline with variability and clear decelerations, not wandering baseline.
Thus, the tracing is most consistent with variable decelerations.
References:NCC C-EFM Candidate Guide; AWHONN FHMPP; NICHD FHR Definitions; Menihan Electronic Fetal Monitoring; Simpson & Creehan Perinatal Nursing; Creasy & Resnik Maternal-Fetal Medicine.

NEW QUESTION # 74
The duration of a contraction is best represented by which colored arrow?

  • A. Green (B)
  • B. Red (C)
  • C. Blue (A)
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 # 75
A reliable indicator of fetal oxygenation is fetal
  • A. movement
  • B. regular sleep-wake cycles
  • C. heart rate accelerations
Answer: C
Explanation:
Comprehensive and Detailed Explanation From Exact Extract NCC-Recommended Sources AWHONN and NICHD definitions state that fetal accelerations are a strong indicator of adequate fetal oxygenation and neurologic integrity. Accelerations reflect intact sympathetic and parasympathetic balance and adequate oxygen reserve.
Simpson & Creehan emphasize accelerations as "the most reliable sign of fetal well-being," because they require intact autonomic function, sufficient pH, and adequate oxygenation. Menihan also identifies accelerations as the most reassuring feature on a fetal heart tracing.
Fetal movement is helpful but not directly reflective of oxygenation, as movements can decline for non- hypoxic reasons (sleep cycles, maternal sedation). Regular sleep-wake cycles are normal developmental neurologic patterns and not oxygenation markers.
Creasy & Resnik reinforce that "presence of accelerations reliably indicates absence of metabolic acidemia." References:
AWHONN - Fetal Heart Monitoring Principles & PracticesSimpson & Creehan - Perinatal NursingMenihan
- Electronic Fetal MonitoringCreasy & Resnik - Maternal-Fetal MedicineMiller's Pocket Guide

NEW QUESTION # 76
Nonstress testing is used more frequently for antepartum testing than contraction stress testing because contraction stress testing has a:
  • A. Limited reporting option for the compromised fetus
  • B. Low predictability of fetal well-being within 7 days of a negative test
  • C. Higher frequency of equivocal test results
Answer: C
Explanation:
Comprehensive and Detailed Explanation From Exact Extract-Based NCC C-EFM References:
NCC and AWHONN explain that Contraction Stress Testing (CST):
* Has a higher rate of equivocal ("equivocal-suspicious" or "equivocal-hyperstimulation") results
* Frequently must be repeated or replaced with other tests
* Requires inducing contractions, which carries risk (hyperstimulation, preterm labor, uterine rupture in scarred uterus) NST is used more commonly because it is:
* Noninvasive
* Easier to perform
* Has fewer contraindications
* Has a lower rate of equivocal results
Why the others are incorrect:
* B - CST does detect fetal compromise reliably and is NOT limited in its reporting structure.
* C - A negative CST actually has very high negative predictive value for 7 days, making this answer incorrect.
Thus the correct choice is A. Higher frequency of equivocal results.
References:NCC C-EFM Candidate Guide; AWHONN; Menihan; Simpson & Creehan; Creasy & Resnik.

NEW QUESTION # 77
The fetal heart rate baseline is
  • A. documented in a 15 beats per minute range
  • B. normally between 110 and 170 beats per minute
  • C. established between periodic and episodic changes
Answer: C
Explanation:
Comprehensive and Detailed Explanation (From NCC C-EFM-Referenced Sources) The NCC C-EFM exam outline, along with AWHONN and Miller's Pocket Guide, define baseline fetal heart rate as the mean FHR rounded to increments of 5 bpm, measured over a 10-minute window, excluding:
* accelerations
* decelerations
* periods of marked variability
* any segments differing by >25 bpm
This aligns with ACOG, AWHONN, and Simpson's interpretation standards.
Option A is incorrect: the baseline is not documented as a 15-bpm range; it is documented as a single value (e.g., 140 bpm).
Option C is incorrect: the correct NCC/ACOG standardized normal baseline is 110-160 bpm, not 170.
Exact Extract Concepts Referenced:
- "Baseline is determined over a 10-minute period excluding periodic or episodic changes." (AWHONN FHR Principles)
- "Baseline is the mean FHR rounded to 5-bpm increments." (Miller's Pocket Guide)
- "Normal baseline is 110-160 bpm." (Simpson & Menihan; Creasy & Resnik)

NEW QUESTION # 78
......
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