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[General] EFM Valid Exam Test - Latest EFM Exam Preparation

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【General】 EFM Valid Exam Test - Latest EFM Exam Preparation

Posted at yesterday 17:59      View：12 | Replies：1        Print      Only Author   [Copy Link] 1#
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NCC Certified - Electronic Fetal Monitoring Sample Questions (Q110-Q115):NEW QUESTION # 110
Upon admission, the clinician discusses indications, risks, and benefits of electronic fetal monitoring.
This reflects which ethical concept?
  • A. Fiduciary
  • B. Autonomy
  • C. Informed consent
Answer: C
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 # 111
A woman (G1P0) arrives in triage with a pain score of 4/10 at 39-weeks gestation. The fetal heart rate tracing shown is obtained. The best intervention is to:

  • A. Discharge to home
  • B. Adjust tocotransducer and continue to monitor
  • C. Admit for induction
Answer: B
Explanation:
Comprehensive and Detailed Explanation From Exact Extract-Based NCC C-EFM References:
This tracing demonstrates a normal, reassuring fetal heart pattern that is technically categorized as Category I, indicating normal fetal acid-base status. Before any decision regarding discharge or induction, NCC emphasizes correct assessment of the tracing quality, fetal status, and uterine activity.
Key Tracing Characteristics
* Baseline:Approximately 135-145 bpm, well within the normal range of 110-160 bpm.
* Variability:The strip shows moderate variability (6-25 bpm), the strongest indicator of adequate fetal oxygenation per NCC, AWHONN, and NICHD.
* Accelerations:Several accelerations are present-another reassuring feature of normal fetal well-being.
* Decelerations:No variable, late, or prolonged decelerations are present.
* Uterine Activity:The lower channel shows poor recording quality and inconsistent signal- suggesting the toco is not capturing contractions well, not that the patient is contracting excessively or not at all.
Correct interpretation per NCC:
NCC emphasizes distinguishing between physiologic assessment and technical artifact.
The fetal tracing is completely reassuring.
The only abnormality is the poor uterine activity signal, a common triage occurrence due to:
* Toco placement
* Maternal body habitus
* Positioning
* Low contraction intensity in early labor
Thus, the correct next step is to optimize equipment (reposition the toco, adjust belt, palpate contractions) and continue to monitor.
Why the other options are incorrect:
B). Admit for induction - NOT indicated
* There is no evidence of fetal compromise.
* No indication for induction is present (pain score 4/10, reassuring FHR, term pregnancy).
* NCC emphasizes avoiding unnecessary interventions.
C). Discharge to home - NOT yet appropriate
* You cannot safely discharge a patient with a poorly monitored contraction pattern.
* Adequate assessment requires confirming uterine activity-after fixing the toco.
Therefore, the appropriate action is:
A). Adjust tocotransducer and continue to monitor.
References:NCC C-EFM Candidate Guide (2025); NCC Content Outline; AWHONN Fetal Heart Monitoring Principles & Practices; NICHD Definitions; Miller's Fetal Monitoring Pocket Guide; Menihan Electronic Fetal Monitoring; Simpson & Creehan Perinatal Nursing; Creasy & Resnik Maternal-Fetal Medicine.

NEW QUESTION # 112
A woman reports 12 fetal movements over one hour. The best recommendation is to:
  • A. Instruct her to count again the next day
  • B. Administer a nonstress test
  • C. Continue to monitor for one hour
Answer: A
Explanation:
Comprehensive and Detailed Explanation From Exact Extract-Based NCC C-EFM References:
NCC and AWHONN consider fetal movement counts normal when:
* #10 distinct movements occur within 2 hours
* Or #4 movements in 1 hour for certain protocols
* Or #10 movements in 1 hour (common triage threshold)
This patient reports 12 movements in 1 hour, which is reassuring and requires no further testing.
Thus, recommending she continue daily kick counts at home is appropriate.
Why the other options are incorrect:
* A. NST is not needed because movements are normal.
* B. Continue to monitor is unnecessary; the test is already reassuring.
Correct choice: C. Count again the next day.
References:NCC C-EFM Candidate Guide; AWHONN Fetal Assessment guidelines; Simpson & Creehan.

NEW QUESTION # 113
(Full question statement)
Recurrent decelerations are defined as occurring with 50% or more of contractions in any window of how many minutes?
  • A. 0
  • B. 1
  • C. 2
Answer: B
Explanation:
Comprehensive and Detailed Explanation From Exact Extract Without Links:
According to the NCC C-EFM Content Outline and AWHONN Fetal Heart Monitoring Principles, recurrent decelerations are specifically defined as decelerations that occur with #50% of uterine contractions in a
20-30-minute window, but standardized interpretation guidelines used by NCC and ACOG categorize recurrent patterns based on any 30-minute evaluation period.
AWHONN (FHM 6th Ed.) explains that fetal heart patterns must be evaluated over "a sufficiently long segment, typically 30 minutes, to determine whether the pattern is intermittent or recurrent." Menihan & Simpson further emphasize that recurrent decelerations imply a persistent physiologic stressor, requiring systematic evaluation and intrauterine resuscitation. NCC's Candidate Guide ties this rule directly into categorization within Category II and III tracings. Therefore, 30 minutes is the correct standard evaluation interval for determining recurrence.

NEW QUESTION # 114
The fetal heart rate tracing shown is consistent with

  • A. supraventricular tachycardia
  • B. artifact
  • C. half counting
Answer: A
Explanation:
Comprehensive and Detailed Explanation From Exact Extract NCC-Recommended Sources The tracing demonstrates a very rapid, highly regular baseline fetal heart rate with minimal beat-to-beat variability-characteristic of fetal supraventricular tachycardia (SVT). NCC-recommended references, including AWHONN's Fetal Heart Monitoring Principles & Practices, Menihan's Electronic Fetal Monitoring: Concepts and Applications, Simpson & Creehan's Perinatal Nursing, and Creasy & Resnik's Maternal-Fetal Medicine all describe fetal SVT as a sustained tachyarrhythmia usually greater than 200 bpm
, narrow-complex, and extremely regular in appearance.
AWHONN teaches that SVT appears as a "tight, rapid, uniform baseline with minimal variability." Menihan states that "SVT may present on EFM as a nearly straight line due to the rapid, consistent rate with micro- oscillations." This differs significantly from artifact, which appears disorganized, erratic, and inconsistent in amplitude. Additionally, "half-counting" is a Doppler misinterpretation that records half of an extremely fast fetal rate, usually resulting in a falsely lower heart rate-not the very rapid tracing shown here.
Creasy & Resnik emphasize that SVT is the most common pathological fetal arrhythmia and can lead to fetal compromise if prolonged, making accurate recognition essential. Miller's Pocket Guide to Fetal Monitoring also identifies SVT as a pattern with a "smooth, fast rhythm lacking normal variability." All authoritative NCC-recommended references support that this EFM pattern is consistent with fetal SVT, not artifact or half-counting.
References:
AWHONN - Fetal Heart Monitoring Principles & PracticesMenihan - Electronic Fetal MonitoringSimpson & Creehan - Perinatal NursingCreasy & Resnik - Maternal-Fetal MedicineMiller's Pocket Guide to Fetal Monitoring

NEW QUESTION # 115
......
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Posted at yesterday 23:37        Only Author  2#
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