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"Certified - Electronic Fetal Monitoring", also known as EFM exam, is a NCC Certification. With the complete collection of questions and answers, Pass4sureCert has assembled to take you through 127 Q&As to your EFM Exam preparation. In the EFM exam resources, you will cover every field and category in NCC C-EFM Certification helping to ready you for your successful NCC Certification.
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| Section | Weight | Objectives |
|---|---|---|
| Physiology | 11% | - Factors affecting fetal oxygenation - Fetal cardiovascular physiology - Uteroplacental function |
| Professional Issues | 5% | - Documentation standards - Safety and quality improvement - Legal and ethical aspects |
| Pattern Recognition and Intervention | 70% | - Fetal heart rate patterns classification - Tracing evaluation and management - Interpretation per NICHD standards - Clinical decision-making and interventions |
| Fetal Assessment and Methods | 9% | - Indications for monitoring - Correlation with clinical status - Auxiliary assessment techniques |
| Electronic Monitoring Equipment | 5% | - Proper application and use - Calibration and accuracy - Troubleshooting artifacts |
Question 1
An internal electronic fetal monitor tracing continues to record artifact despite equipment troubleshooting and replacement of the spiral electrode. The next action is to:
A. Auscultate the fetal heart rate
B. Provide oxygen
C. Reposition the woman
Question 2
A woman who is one week past a confirmed due date has serial ultrasounds to determine:
A. Fetal weight
B. Placental calcification
C. Amniotic fluid volume
Question 3
A woman at 41-weeks gestation is being induced. She is 2 cm dilated and is on oxytocin at 8 milliunits
/minute. Based on the fetal heart rate tracing shown, the best initial response is to:
A. Place a fetal spiral electrode
B. Continue to observe
C. Decrease the oxytocin
Question 4
Fetal heart rate variability results from normal variance in fetal:
A. Cardiac responsiveness
B. R-R intervals
C. Levels of carbon dioxide
Question 5
A nulliparous woman at term presents with leaking fluid. Rupture of membranes confirmed. After 6 hours she is completely dilated, +2 station, has been pushing 2 hours with oxytocin at 10 mU/min. The fetal tracing is shown. What is the next step in management?
A. Decrease oxytocin
B. Continue pushing for another hour
C. Expedite birth
Solutions:
| Question 1 Answer: A | Question 2 Answer: C | Question 3 Answer: C | Question 4 Answer: B | Question 5 Answer: C |

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