NCC -EFM LATEST BUNDLE PACKAGE WITH VERIFIED SOLUTIONS 2024.

What is the primary goal of fetal monitoring? - Answer To prevent fetal and maternal morbidity and mortality (prevent injury and death to mother and baby) In 2004 JCAHO Sentinel Event Alert #30 recommends - Answer Standard terminology to prevent perinatal sentinel events What was the root ...

Oxygen is transferred from mom to fetus via the placenta through? - Answer Passive (Simple) Diffusion Intervillous space perfusion is dependent on? - Answer Adequate Uterine Blood Flow Maternal Fetal Exchange is best promoted by which maternal position? - Answer Either Rt or Lt Latera...

Ductus venosus connects ______ to ______? - Answer Umb. vein to IVC Foramen ovale connects _______to______? - Answer R. atrium to L. atrium Ductus arteriosus connects _______ to _______? - Answer Pulm. artery to aorta Normal rate - Answer 110 to 160 BPM Average baseline rate ...

Content on exam - Answer -Pattern recognition & intervention: 70% -Physiology: 11% -Fetal assessment methods: 9% -EFM equipment: 5% -Professional issues: 5% Pattern recognition & intervention - Answer -FHR baseline -FHR variability -FHR accelerations -FHR decelerations -Normal u...

EFM paper speed - Answer 3cm/ minute Ultra sound (EFM) - Answer US transducer detects motion through ultrahigh frequency sound waves - it determines FHR by auto correlation compares successive reflected ultra sound waveforms at many points FSE - Answer fetal scalp electrode (ISE) measure...

Maternal Hypovolemia - Answer Tracing change: Tachycardia, minimal variability, late decelerations Maternal vital signs change after more than 30% of blood volume lost (700-800cc) Placental abruption - Answer EFM most sensitive to detect Tracing: loss of variability, late or prolonged dec...

Causes of uteroplacental perfusion decrease: - Answer • HTN • Pregnancy • DM • Hypotension • Excessive uterine contractions (hypertonus) • Decreased surface area, edema, degenerative calcifications, infarcts, infection FHR reflects fetal oxygenation from which extrinsic factor...

What are the two things measured in Electronic Fetal Monitoring, otherwise known as Cardiotocography? - Answer Fetal Heart Rate Uterine Activity - Contractions What are the 5 components described in an EFM? - Answer 1. Baseline heart rate 2. Variability 3. +/- Accelerations 4. +/- Deceler...

A nurse is explaining to a pregnant patient the purpose of electronic fetal monitoring. Which of the following statements by the nurse is the most accurate way to describe the purpose of EFM? a. "EFM is a diagnostic procedure that monitors your baby's heart rate or FHR and your uterine contractio...

Why use fetal monitoring? - Answer Primary goal is to prevent fetal and maternal morbidity and mortality (prevent injury and death to mother and/ or baby), to prevent bad patient outcomes. What percent of babies who experience a suboptimal event while being fetal monitored, develop cerebral pa...

Five factors that may potentially decrease uteroplacental perfusion - Answer Excessive ucs or hypertonus maternal hypotension maternal conditions (CHT, PIH, stress) placental changes (abruption, degenerative-hypertension, post dates, diabetes) vasoconstriction Partial umbilical cord compres...

What are some important factors (risks) to consider when evaluating a fetal heart rate strip? - Answer --*PNLs* (abnormal?) --weight gain/loss --Maternal age --*Gestational age* --*MATERNAL vital signs* --*Membrane status* --*Cervical exam* What are the easiest ways for assessment of mate...