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[General] Fantastic NCC EFM Exam Course - PracticeDump Free Download

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【General】 Fantastic NCC EFM Exam Course - PracticeDump Free Download

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NCC Certified - Electronic Fetal Monitoring Sample Questions (Q13-Q18):NEW QUESTION # 13
Fetal respiratory acidosis is most likely to present with which of the following fetal heart rate decelerations?
  • A. Early
  • B. Late
  • C. Variable
Answer: C
Explanation:
Comprehensive and Detailed Explanation From Exact Extract-Based NCC C-EFM References:
NCC and AWHONN physiology teachings:
* Variable decelerations caused by cord compression lead to:
* Transient interruption of umbilical venous flow
* Impaired fetal gas exchange
* Acute rise in CO#
* Respiratory acidosis (early phase of hypoxemia)
This is well documented:
* Early decelerations # head compression # NOT associated with acidemia.
* Late decelerations # uteroplacental insufficiency # metabolic acidosis, not respiratory.
Thus:
* Variable decelerations # respiratory acidosis
* Late decelerations # metabolic acidosis
Correct answer: C. Variable
References:NCC Physiology Domain; AWHONN FHMPP; Menihan EFM; Simpson & Creehan; Creasy & Resnik.

NEW QUESTION # 14
Interventions to decrease uterine activity should take place:
  • A. If tachysystole is seen for one or two 10-minute segments
  • B. When labor is in the second stage
  • C. After tachysystole has been occurring for at least 30 minutes
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 # 15
A pattern of recurrent variable decelerations would move from Category II to Category III if what fetal heart rate change occurs?
  • A. Absent variability
  • B. Late decelerations
  • C. Tachysystole
Answer: A
Explanation:
Comprehensive and Detailed Explanation From NCC-Aligned Sources:
Category III criteria include:
* Absent variability with recurrent variable decelerations
* Absent variability with recurrent lates
* Absent variability with bradycardia
* Sinusoidal pattern
Thus, recurrent variables become Category III when accompanied by absent variability, indicating fetal decompensation.
Why the other answers are wrong:
* B. Late decelerations # Category III only if combined with absent variability.
* C. Tachysystole # Contraction pattern, not a FHR characteristic.
Correct answer: Absent variability.
References:NCC C-EFM Candidate Guide; NICHD Definitions; AWHONN FHMPP.

NEW QUESTION # 16
The decelerations seen in the fetal monitoring tracing shown are best described as:
  • A. Early
  • B. Late
  • C. Variable
Answer: C
Explanation:
Comprehensive and Detailed Explanation From Exact Extract-Based NCC C-EFM References:
Accurate classification of decelerations requires evaluating their shape, onset, nadir, recovery, relationship to contractions, and variability characteristics. NCC uses the NICHD standardized definitions, reinforced across AWHONN, Miller's Pocket Guide, Menihan, Simpson, and Creasy & Resnik.
Key features in this tracing:
* Abrupt onsetThe FHR drops rapidly from baseline to nadir in less than 30 seconds-this is the defining hallmark of a variable deceleration per NICHD.
* Sharp V-shape and deep amplitudeThe tracing shows steep descents and ascents, characteristic of cord compression-type variable decelerations.
* Inconsistent timing with contractionsThe decelerations do not begin at the start of contractions (as early decelerations would) and do not consistently begin after the peak of contractions (as late decelerations would). Variable decelerations can occur before, during, or after a contraction-exactly what is demonstrated here.
* Rapid return to baselineAnother core feature of variable decelerations in NICHD/NCC definitions.
* No uniform contraction relationshipEarly decelerations are symmetrical and mirror contractions.
Late decelerations begin after the peak of the contraction. This strip does not match either pattern.
Differentiation per NCC-aligned definitions:
* Early Decelerations:Gradual onset (>30 sec), nadir mirrors contraction peak, shallow, uniform.Not present.
* Late Decelerations:Gradual descent, nadir after contraction peak, smooth shape.Not present.
* Variable Decelerations:Abrupt onset (<30 sec), variable timing, sharp V-shape, rapid recovery, often with shoulders.Exactly matches the tracing.
Therefore, according to NICHD/NCC criteria, the decelerations shown are variable decelerations.
References:NCC C-EFM Candidate Guide (2025); NCC Content Outline; NICHD Standardized 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.

NEW QUESTION # 17
Upon admission, the clinician discusses indications, risks, and benefits of electronic fetal monitoring.
This reflects which ethical concept?
  • A. Autonomy
  • B. Informed consent
  • C. Fiduciary
Answer: B
Explanation:
Comprehensive and Detailed Explanation From Exact Extract Without Any URLs or Links:
The NCC C-EFM Professional Issues domain identifies informed consent as a fundamental ethical requirement in fetal monitoring. AWHONN's perinatal nursing standards state that the clinician must provide clear explanation of risks, benefits, alternatives, and the purpose of EFM, ensuring the patient makes a voluntary and informed decision.
Simpson, Creasy & Resnik, and ACOG-referenced materials used by NCC emphasize that informed consent is the process, while autonomy is the principle that supports it. The act of explaining EFM and its implications is therefore informed consent, not autonomy itself.
In the NCC competencies, clinicians must:
* Provide accurate information
* Support shared decision-making
* Verify maternal understandingThis exactly matches the process of informed consent, not merely respecting autonomy or acting as a fiduciary.
References:AWHONN Standards for Professional Nursing PracticeSimpson: Fetal Monitoring TextCreasy & Resnik: Maternal-Fetal MedicineNCC C-EFM Candidate Guide 2025

NEW QUESTION # 18
......
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