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[General] EFM latest NCC certification exam questions and answers published

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【General】 EFM latest NCC certification exam questions and answers published

Posted at 3 day before      View：6 | Replies：1        Print      Only Author   [Copy Link] 1#
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NCC Certified - Electronic Fetal Monitoring Sample Questions (Q113-Q118):NEW QUESTION # 113
A 30-minute tracing with moderate variability, accelerations, and one variable deceleration would be classified as:
  • A. Category I
  • B. Category II
  • C. Category III
Answer: B
Explanation:
Comprehensive and Detailed Explanation From NCC-Aligned Sources:
NICHD/NCC criteria:
Category I must have ALL of the following:
* Baseline 110-160 bpm
* Moderate variability
* No late or variable decelerations
* Early decelerations may be present or absent
* Accelerations may be present or absent
Because this tracing has one variable deceleration, it fails Category I criterion ("no late or variable decelerations").
Category III requires:
* Absent variability with recurrent late decels, recurrent variables, or bradycardia, or
* Sinusoidal pattern
Those findings are not present.
Therefore, any tracing that:
* Has moderate variability and accelerations,
* But includes a variable deceleration, and
* Does not meet Category III criteria
...falls into the Category II (indeterminate) group.
Correct classification: B. Category II.
References:NCC C-EFM Candidate Guide; NICHD Three-Tier FHR Interpretation System; AWHONN FHMPP; Menihan; Simpson & Creehan.

NEW QUESTION # 114
A woman is admitted to labor and delivery with vaginal bleeding. This tracing is obtained. This is most consistent with:

  • A. Dysrhythmia
  • B. An indeterminate pattern
  • C. Normal baseline
Answer: B
Explanation:
Comprehensive and Detailed Explanation From Exact Extract-Based NCC C-EFM References:
The tracing shows:
* Baseline approx. 120 bpm
* Minimal variability (amplitude <5 bpm) across the entire strip
* No accelerations
* No decelerations
* Contractions present but not excessive
NCC defines:
* Category I requires moderate variability # not present.
* Category III requires absent variability with recurrent decels, bradycardia, or sinusoidal pattern # not present.
* Thus this falls into Category II: "indeterminate."
Minimal variability for this length of time cannot be considered a normal baseline, especially in the setting of vaginal bleeding, which raises concern for:
* Abruption
* Maternal anemia
* Hypovolemia
* Decreased uteroplacental perfusion
There is no evidence of dysrhythmia (no irregular R-R intervals, no chaotic spikes, no sawtooth pattern).
Therefore, the correct interpretation is A. An indeterminate pattern (Category II).
References:NCC C-EFM Candidate Guide; NICHD Definitions; AWHONN Principles & Practices; Menihan; Simpson & Creehan; Creasy & Resnik.

NEW QUESTION # 115
This fetal heart rate pattern is classified as Category III based on:

  • A. Contraction pattern
  • B. Absent variability
  • C. Type of deceleration
Answer: B
Explanation:
Comprehensive and Detailed Explanation From Exact Extract-Based NCC C-EFM References:
This tracing shows recurrent late decelerations accompanied by absent variability.
Per NICHD/NCC, a tracing is Category III if ANY of the following are present:
* Absent variability AND recurrent late decelerations
* Absent variability AND recurrent variable decelerations
* Absent variability AND bradycardia
* Sinusoidal pattern
In this strip:
* Variability is absent
* Decelerations are recurrent and late
The determining feature for the classification is absent variability, which indicates significant risk for fetal acidemia.
The contraction pattern (option B) does not determine category.
The deceleration type alone (option C) does not determine Category III without absent variability.
Thus, the classification is Category III because of absent variability.
References:NCC C-EFM Candidate Guide; NICHD Three-Tier System; AWHONN Fetal Heart Monitoring Principles & Practices; Miller's Fetal Monitoring Pocket Guide; Menihan Electronic Fetal Monitoring.

NEW QUESTION # 116
A 30-year-old woman (G2P0) is experiencing preterm labor at 26-weeks gestation. She is receiving magnesium sulfate for neuroprotection. Her external fetal monitoring tracing over the past 30 minutes is shown. The next step would be to:

  • A. Administer acetaminophen
  • B. Discontinue magnesium sulfate
  • C. Evaluate for chorioamnionitis
Answer: C
Explanation:
Comprehensive and Detailed Explanation From NCC-Aligned Sources:
This tracing shows:
* Baseline ~170-175 bpm # fetal tachycardia
* Minimal variability
* No contractions of significance
* Maternal treatment with magnesium sulfate, which typically decreases baseline and variability-not increase it NCC and AWHONN physiology guidelines emphasize that fetal tachycardia is most commonly associated with maternal infection, including chorioamnionitis, especially in preterm labor.
Magnesium sulfate does not cause tachycardia; it generally causes:
* # baseline
* # variability
Thus, fetal tachycardia + minimal variability in a preterm patient strongly suggests maternal infection, requiring evaluation for chorioamnionitis.
Why the wrong answers are incorrect:
* A. Acetaminophen # used after confirming fever, not before evaluating the cause.
* B. Discontinuing magnesium # magnesium sulfate does not cause tachycardia; discontinuing it removes fetal neuroprotection.
References:NCC C-EFM Candidate Guide; AWHONN FHMPP; Simpson & Creehan; Menihan EFM; Creasy & Resnik.

NEW QUESTION # 117
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 # 118
......
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Posted at before yesterday 13:00        Only Author  2#
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