NCC EFM Cert. Exam / Comprehensive Study Guide – Expert
Strategies, Full Review of Key Topics, and Practice Questions for
Guaranteed Succes !!
NST - ANSWER-Two 15x15 accels in 20min (up to 40min)
pH at which acidosis - ANSWER-7.2 (7.1)
Tachysystole - ANSWER->5 contractions in 10min
Baseline (defn) - ANSWER-mean FHR rounded to increments of 5
BPM during a 10min perioud excl. periodic or episodic changes,
contractions, periods of marked variability, and segments of
baseline that differ by >25 BPM
Sinusoidal pattern? - ANSWER-Fetal anemia
As many as ___% of infants with complete heart block have
assoc. congenital cardiac malformations. - ANSWER-50%
Mortality rate for newborns with complete heart block - ANSWER-
25%
, Newborn with complete heart block in absence of congen. heart
disease frequently has neonatal ___________. - ANSWER-Lupus
erthematosus
Baseline variability (defn) - ANSWER-Fluctuations in baseline
FHR >2 cycles per minute (peak to trough); irregular in amplitude
and frequency
Minimal baseline variability - ANSWER-> undetectable but <or=
5bpm
Moderate baseline variability - ANSWER-6-25 bpm
Marked variability - ANSWER->25 bpm
T/F Performing fetal stimulation is appropriate during decels or
bradycardia. - ANSWER-FALSE - Fetal stim should be performed
when FHR is at the baseline.
Early Decel (defn) - ANSWER-visually apparrent GRADUAL
decrease (onset to nadir >=30sec of FHR below baseline), nadir
occurs at peak of contraction
Early decel (physiology) - ANSWER-Fetal head copmression
(vagal reflex), often sen between 4-6cm dilation
Strategies, Full Review of Key Topics, and Practice Questions for
Guaranteed Succes !!
NST - ANSWER-Two 15x15 accels in 20min (up to 40min)
pH at which acidosis - ANSWER-7.2 (7.1)
Tachysystole - ANSWER->5 contractions in 10min
Baseline (defn) - ANSWER-mean FHR rounded to increments of 5
BPM during a 10min perioud excl. periodic or episodic changes,
contractions, periods of marked variability, and segments of
baseline that differ by >25 BPM
Sinusoidal pattern? - ANSWER-Fetal anemia
As many as ___% of infants with complete heart block have
assoc. congenital cardiac malformations. - ANSWER-50%
Mortality rate for newborns with complete heart block - ANSWER-
25%
, Newborn with complete heart block in absence of congen. heart
disease frequently has neonatal ___________. - ANSWER-Lupus
erthematosus
Baseline variability (defn) - ANSWER-Fluctuations in baseline
FHR >2 cycles per minute (peak to trough); irregular in amplitude
and frequency
Minimal baseline variability - ANSWER-> undetectable but <or=
5bpm
Moderate baseline variability - ANSWER-6-25 bpm
Marked variability - ANSWER->25 bpm
T/F Performing fetal stimulation is appropriate during decels or
bradycardia. - ANSWER-FALSE - Fetal stim should be performed
when FHR is at the baseline.
Early Decel (defn) - ANSWER-visually apparrent GRADUAL
decrease (onset to nadir >=30sec of FHR below baseline), nadir
occurs at peak of contraction
Early decel (physiology) - ANSWER-Fetal head copmression
(vagal reflex), often sen between 4-6cm dilation
