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[General] EFM真題 & EFM最新題庫

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【General】 EFM真題 & EFM最新題庫

Posted at yesterday 06:00      View：6 | Replies：0        Print      Only Author   [Copy Link] 1#
人生充滿選擇，選擇不一定給你帶來絕對的幸福，但選擇給了你絕對的機會，而一旦錯過選擇，只能凝望。 Testpdf NCC的EFM考試培訓資料是每個IT人士通過IT認證必須的培訓資料，有了這份考試資料就等於手握利刃，所有的考試難題將迎刃而解。 Testpdf NCC的EFM考試培訓資料是針對性強，覆蓋面廣，更新快，最完整的培訓資料，有了它，所有的IT認證都不要害怕，你都會順利通過的。
不同的方式是可以達到相同的目的的，就看你選擇什麼樣的方式，走什麼樣的路。很多人都想通過NCC EFM 認證考試來使自己的工作和生活有所提升，但是參加過NCC EFM 認證考試的人都知道通過NCC EFM 認證考試不是很簡單。有的人為了能通過NCC EFM 認證考試花費了很多寶貴的時間和精力卻沒有成功。
EFM最新題庫 - EFM參考資料我們Testpdf是一個優秀的IT認證資訊來源，在Testpdf裏，你可以找到為你認證考試的學習技巧以及學習材料，我們Testpdf NCC的EFM考試培訓資料是由經驗豐富和擁有長期學生經驗和他們的要求的IT專業人士研究出來的培訓資料，內容精確性和邏輯性特別強，遇到Testpdf，你將遇到最好的培訓資料，放心使用我們的Testpdf NCC的EFM考試培訓資料，有了它你就已經做好了充分的準備來迎接這個認證考試。
最新的 NCC C-EFM EFM 免費考試真題 (Q28-Q33):問題 #28
A woman has been 5 cm dilated for the past 3 hours. The tracing shown has developed over the last 30 minutes. The best initial course of action is to:

  • A. Continue to monitor
  • B. Perform intrauterine resuscitative measures
  • C. Proceed with cesarean section
答案：B
解題說明：
Comprehensive and Detailed Explanation From Exact Extract-Based NCC C-EFM References:
The fetal heart rate tracing demonstrates recurrent deep variable decelerations with a rapid drop in FHR, a V-shaped pattern, and slow return to baseline. These are classic signs of cord compression. According to NCC, AWHONN, Miller, Menihan, and Simpson, recurrent variable decelerations require immediate intrauterine resuscitative interventions before any decision regarding operative birth.
NCC-aligned intervention steps include:
* Maternal repositioning (first-line for cord compression)
* Reducing or stopping oxytocin if infusing
* IV fluid bolus
* Amnioinfusion (if appropriate and recurrent deep variables persist)
* Oxygen only if other measures fail (per NCC/AWHONN updated guidance)
The cervix has remained unchanged at 5 cm for 3 hours (a prolonged latent or early active labor pattern), but the fetal tracing shows Category II-recurrent variable decelerations. Category II dictates corrective action, not immediate delivery unless it progresses to Category III.
Cesarean birth (option C) is reserved for:
* Persistent Category III
* Failure of intrauterine resuscitation
* Proven fetal intoleranceNone of these conditions have been met yet.
Thus, the correct initial management is B. Perform intrauterine resuscitative measures.
References:NCC C-EFM Candidate Guide (2025); NCC Content Outline; NICHD FHR Definitions; 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 #29
This is a fetal heart rate tracing of a multiparous woman whose cervix is 7 cm dilated on admission. The most likely cause for this pattern is:

  • A. Tachysystole
  • B. Rapid fetal descent
  • C. Placental abruption
答案：A
解題說明：
Comprehensive and Detailed Explanation From Exact Extract-Based NCC C-EFM References:
The tracing shows a clear relationship between uterine activity and fetal heart rate changes:
* The uterine activity strip demonstrates very frequent contractions with little resting time between them, exceeding five contractions in 10 minutes, averaged over a 30-minute window.
* NCC and NICHD define tachysystole as "more than 5 contractions in 10 minutes, averaged over 30 minutes, regardless of whether the labor is spontaneous or stimulated." As uterine activity intensifies and becomes excessively frequent, the fetal heart rate strip begins to show:
* Progressive decrease in baseline
* Recurrent decelerations with gradual onset and recovery
* Reduced variability in the latter portion of the strip
This pattern is consistent with uteroplacental insufficiency caused by excessive uterine activity (tachysystole). NCC and AWHONN emphasize that tachysystole can result in decreased uterine blood flow and fetal oxygenation, leading to late or prolonged decelerations and eventual bradycardia if not corrected.
Why the other options are less likely:
* A. Placental abruptionTypically associated with maternal symptoms (pain, vaginal bleeding, firm
/boardlike uterus) and often a sustained increase in resting tone or a hypertonic contraction, not simply very frequent contractions. These maternal findings are not described in the vignette.
* B. Rapid fetal descentUsually causes variable or early decelerations related to head compression, but the tocodynamometer would not necessarily show this degree of contraction frequency. The lower strip here clearly highlights excessive contractions as the primary problem.
Thus, the tracing's FHR abnormalities are best explained by tachysystole, making C. Tachysystole the most appropriate answer.
References:NCC C-EFM Candidate Guide (2025); NCC Content Outline - Pattern Recognition and Intervention; 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.

問題 #30
Uterine contraction intensity is manually measured by degree of uterine:
  • A. Muscle strength
  • B. Indentation
  • C. Pain
答案：B
解題說明：
Comprehensive and Detailed Explanation From NCC-Aligned Equipment Concepts:
When using external tocodynamometry, uterine contraction intensity cannot be measured in mmHg. It is assessed manually, using palpation. NCC and AWHONN teach:
* Contraction intensity is estimated by palpating the fundus during a contraction.
* The degree of firmness versus indentation determines intensity:
* Mild # uterus easily indented
* Moderate # firm, difficult to indent
* Strong # rigid, cannot be indented
Why the incorrect answers are wrong:
* B. Muscle strength - Not measurable by external or manual exam.
* C. Pain - Not a reliable indicator; pain perception varies widely and does not correlate with uterine intensity.
Thus, the correct manual measurement is done through uterine indentation, making A correct.
References:NCC C-EFM Candidate Guide; AWHONN Principles & Practices; Menihan EFM; Miller's Pocket Guide; Simpson & Creehan.

問題 #31
(Full question statement)
A dysrhythmia is noted. The pregnancy and labor course has been normal with no complications. The next step in management is to
  • A. continue to observe
  • B. start an IV fluid bolus
  • C. administer maternal oxygen
答案：A
解題說明：
Comprehensive and Detailed Explanation From Exact Extract (NCC C-EFM sources: AWHONN, Miller's Pocket Guide, Menihan, Simpson, Creasy & Resnik, 2025 Candidate Guide) AWHONN and Menihan emphasize that most fetal dysrhythmias detected intrapartum are premature atrial contractions (PACs)-the most common benign rhythm variation. They typically appear as intermittent, irregular deflections on the fetal heart rate tracing without affecting variability or baseline.
Miller's Pocket Guide to Fetal Monitoring states that PACs are usually transient, self-limiting, and require only observation unless accompanied by tachyarrhythmia or hemodynamic compromise. When variability is preserved and no repetitive pattern or sustained tachycardia occurs, no intrauterine resuscitation measures are indicated.
Simpson and Creehan describe that oxygen administration and fluid boluses are not recommended for benign dysrhythmias, as they do not improve fetal conduction patterns and may contribute to unnecessary interventions.
The NCC 2025 Candidate Guide specifies that correct management requires distinguishing benign arrhythmias from pathologic tachyarrhythmias, which would require escalation. In the absence of fetal compromise or maternal pathology, the appropriate action is continued observation.
Therefore, the correct management is to continue to observe.

問題 #32
The most probable underlying fetal physiologic cause for this tracing would be:

  • A. Release of catecholamines
  • B. Vagal nerve stimulation in response to hypoxemia
  • C. Myocardial hypoxic depression
答案：A
解題說明：
Comprehensive and Detailed Explanation From NCC-Aligned Sources:
This tracing shows:
* Baseline ~145 bpm
* Minimal variability
* No accelerations or decelerations
* Very little fluctuation # resembles a flat/minimal variability Category II tracing The key physiologic mechanism behind minimal variability in the presence of a normal baseline and normal contraction pattern is most often:
Increased fetal sympathetic tone, driven by catecholamine release (epinephrine and norepinephrine).
NCC and AWHONN explain:
* Catecholamine release (due to fetal stress, early hypoxemia, or maternal stress) results in:
* Reduced beat-to-beat fluctuation
* Minimal baseline variability
* This is considered an early compensatory mechanism, not yet a decompensated hypoxic state.
Why the other answers are incorrect:
* A. Myocardial hypoxic depression
* Causes absent variability, NOT minimal variability.
* Represents advanced or severe hypoxia. The FHR here is not absent variability.
* C. Vagal stimulation in response to hypoxemia
* Produces decelerations, especially late or prolonged.
* This strip shows no decelerations, ruling this out.
Therefore the most accurate physiologic explanation is B. Release of catecholamines.
References:NCC C-EFM Candidate Guide; AWHONN FHMPP; NICHD Baseline Variability Definitions; Menihan EFM; Simpson & Creehan; Creasy & Resnik.

問題 #33
......
要在今日競爭的工作市場上成功，無論是尋找新的機會或是在您目前的職位上獲得升遷，都需要建立與展現您的技術專業和技能。EFM 認證能够滿足考生在激烈的職場生涯中脫穎而出，衆多國際知名認證廠商都在招聘與 NCC 技能相關職位時首先看中 EFM 的認證證書，可見 EFM 認證的含金量很高。
EFM最新題庫: https://www.testpdf.net/EFM.html
關於練習高質量的EFM問題集（鏈產品），您付出了多少努力，都會通過考試結果很直接的體現出來，NCC EFM真題 那麼，你決定參加哪個考試呢，NCC EFM真題 PDF版方便你的使用，你可以下載並且將考古題列印出來以供隨時學習，EFM考試是NCC公司的 NCC C-EFM認證考試官方代號，現在最新最熱門的認證考試之一，在市場上佔有很大的比重，EFM 常見問題有哪些，該如何解決，一些通過EFM考試的考生成為了我們的回頭客，他們說選擇Testpdf就意味著選擇成功，如果你選擇了Testpdf的產品，你就為NCC EFM 認證考試做好了充分準備，成功通過考試就是很輕鬆的。
怪不得這小子能行走無形，原來是用了隱身符，牟子楓出言安慰道，關於練習高質量的EFM問題集（鏈產品），您付出了多少努力，都會通過考試結果很直接的體現出來，那麼，你決定參加哪個考試呢，PDF版方便你的使用，你可以下載並且將考古題列印出來以供隨時學習。
最優質的NCC EFM真題是行業領先材料＆授權的EFM：Certified - Electronic Fetal MonitoringEFM考試是NCC公司的 NCC C-EFM認證考試官方代號，現在最新最熱門的認證考試之一，在市場上佔有很大的比重，EFM 常見問題有哪些，該如何解決？
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