NCC EFM
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Exam (elaborations)
NCC EFM EXAM QUESTIONS AND ANSWERS| GRADED A
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---5October 20222022/2023A+
- Causes of uteroplacental perfusion decrease: - • HTN 
• Pregnancy 
• DM 
• Hypotension 
• Excessive uterine contractions (hypertonus) 
• Decreased surface area, edema, degenerative calcifications, infarcts, infection 
 
FHR reflects fetal oxygenation from which extrinsic factors: - • Maternal oxygenation 
• Uterine blood flow 
• Placental change 
• Umbilical blood flow 
 
FHR reflects oxygenation from which intrinsic factors: - • Fetal circulation 
• Oxygenation of tissue...
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Exam (elaborations)
NCC EFM Exam| 50 QUESTIONS| WITH COMPLETE SOLUTIONS
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---4October 20222022/2023A+
- Acceleration - -Onset to peak <30 seconds 
- >15 bpm above baseline by >15 seconds but <2 minutes 
-(Before 32 weeks gestation: peak >10 bpm and lasting >10 seconds) 
 
Prolonged Acceleration - >2 minutes but <10 minutes 
 
Early Deceleration - -Gradual decrease and return of FHR associated with a contraction 
-Onset to nadir of >30 seconds 
-Nadir occurs at the same time as the peak of the contraction 
 
Late Deceleration - -Gradual decrease and return of FHR associa...
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Exam (elaborations)
NCC EFM 2022/2023 Practice Questions and Answers(Questions for the actual test)
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---25October 20222022/2023A+
- Which of the following factors can have a negative effect on uterine blood flow? 
a. Hypertension 
b. Epidural 
c. Hemorrhage 
d. Diabetes 
e. All of the above Correct Answer: e. All of the above 
 
Stimulating the vagus nerve typically produces: 
a. A decrease in the heart rate 
b. An increase in the heart rate 
c. An increase in stroke volume 
d. No change Correct Answer: a. A decrease in the heart rate 
 
The vagus nerve begins maturation 26 to 28 weeks. Its dominance results in what effect...
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Exam (elaborations)
NCC EFM Cert. Exam| 52 QUESTIONS| WITH COMPLETE SOLUTIONS
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---3October 20222022/2023A+
- Ductus venosus connects ______ to ______? Correct Answer: Umb. vein to IVC 
 
Foramen ovale connects _______to______? Correct Answer: R. atrium to L. atrium 
 
Ductus arteriosus connects _______ to _______? Correct Answer: Pulm. artery to aorta 
 
Normal rate Correct Answer: 110 to 160 BPM 
 
Average baseline rate at 15wks gestation Correct Answer: 160 BPM 
 
Average rate in fetus with heart block Correct Answer: 60 BPM (intrinsic ventricular or nodal rate) 
 
Sympathetic effects Correct A...
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Exam (elaborations)
NCC EFM Exam Practice Questions and Answers 2022
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---3October 20222022/2023A+
- Oxygen is transferred from mom to fetus via the placenta through? Correct Answer: Passive (Simple) Diffusion 
 
Intervillous space perfusion is dependent on? Correct Answer: Adequate Uterine Blood Flow 
 
Maternal Fetal Exchange is best promoted by which maternal position? Correct Answer: Either Rt or Lt Lateral 
 
What is transfer down the concentration gradient from higher to lower called? Correct Answer: Diffusion 
 
The most likely physical rationale for recurrent late decels after epidu...
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Exam (elaborations)
NCC EFM Exam Breakdown and Study Guide 100% Verified
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---12October 20222022/2023A+
- Content on exam - -Pattern recognition & intervention: 70% 
-Physiology: 11% 
-Fetal assessment methods: 9% 
-EFM equipment: 5% 
-Professional issues: 5% 
 
Pattern recognition & intervention - -FHR baseline 
-FHR variability 
-FHR accelerations 
-FHR decelerations 
-Normal uterine activity 
-Abnormal uterine activity 
-Fetal dysrhythmias 
-Maternal complications 
-Uteroplacental complications 
-Fetal complications 
 
FHR Descriptors - 1) Baseline 
2) Variability 
3) Presence of accels...
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