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NCC ELECTRONIC FETAL MONITORING CERTIFICATION (EFM) EXAM 2025. 100% COMPLETE WITH SOLUTIONS. EXPERT VERIFIED FOR GUARANTEED PASS GRADED A+

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NCC ELECTRONIC FETAL MONITORING CERTIFICATION (EFM) EXAM 2025. 100% COMPLETE WITH SOLUTIONS. EXPERT VERIFIED FOR GUARANTEED PASS GRADED A+ NCC ELECTRONIC FETAL MONITORING CERTIFICATION (EFM) EXAM 2025. 100% COMPLETE WITH SOLUTIONS. EXPERT VERIFIED FOR GUARANTEED PASS GRADED A+ How long may a standard NST be extended in a term gestation if reactivity is not initially demonstrated? A. From the initial 20 min to 40 min B. From the initial 20 min to 60 min C. From the initial 30 min to 60 min - CORRECT ANS: A. From the initial 20 min to 40 min Accounts for fetal sleep Which is the most appropriate application of vibroacoustic stimulation (fetal acoustic stimulation) in a standard NST? A. The device is placed at the top of the maternal fundus B. The mother uses a marker button to document the fetal movement response C. The stimulation is applied after a baseline is established - CORRECT ANS: C. The stimulation is applied after a baseline is established Which of the following characteristics are most common in the preterm fetus? A. Increased baseline rate and prolonged accelerations B. Increased baseline rate and variable decelerations C. Prolonged accelerations and variable decelerations - CORRECT ANS: B. Increased baseline rate and variable decelerations As well as decreased variability What typical characteristics of preterm uterine activity may be present in a patient experiencing preterm labor? A. An irritable uterus with wandering hypertonus B. Low-amplitude high-frequency contractions C. Tetanic contractions - CORRECT ANS: B. Low amplitude high-frequency contractions Which medications used with preterm labor can affect the FHR characteristics? A. Terbutaline and antibiotics B. Betamethasone and terbutaline C. Antibiotics and narcotics - CORRECT ANS: B. Betamethasone and terbutaline What characterizes a preterm fetal response to stress? A. More frequently occurring late decelerations B. More frequently occurring prolonged decelerations C. More rapid deterioration from Category I to Category II or III - CORRECT ANS: C. More rapid deterioration from Category I to Category II or III More likely to be subjected to hypoxia Clinical decision-making at the bedside should include: A. Communication with the primary care provider only during a crisis B. Integration of physiologic concepts with maternal-fetal assessment findings C. Reliance primarily on technology over bedside assessments - CORRECT ANS: B. Integration of physiologic concepts with maternal-fetal assessment findings In the United States, the paper speed on the monitor is set at A. 1 cm/min B. 2 cm/min C. 3 cm/min - CORRECT ANS: C. 3 cm/min A woman being monitored externally has a suspected fetal arrhythmia. The most appropriate action is to A. Insert a spiral electrode and turn off the logic B. Turn the logic on if an external monitor is in place C. Use a Doppler to listen to the ventricular rate - CORRECT ANS: A. Insert a spiral electrode and turn off the logic The ultrasound transducer on the electronic fetal monitor measures the A. Electrical signal of the fetal heart B. Mechanical movements of the fetal heart reflected off of sound waves C. R-to-R intervals of the fetal heart - CORRECT ANS: B. Mechanical movements of the fetal heart reflected off of sound waves The purpose of autocorrelation in external monitoring is to A. Compare incoming waveforms for comparison B. Decrease signal to noise levels C. Distinguish fetal from maternal HR - CORRECT ANS: A. Compare incoming waveforms for comparison The area of maximum intensity of the FHR is usually the fetal A. Back B. Chest C. Umbilicus - CORRECT ANS: A. Back Palpating the uterus is best performed by using the A. Back of the hand B. Fingertips C. Palm - CORRECT ANS: B. Fingertips What is the most sensitive method of assessing uterine activity? A. IUPC B. Manual palpation C. Maternal perception - CORRECT ANS: A. IUPC In comparison to maternal blood, the affinity of fetal blood for oxygen is A. Higher B. Lower C. The same - CORRECT ANS: A. Higher The process that requires energy to accomplish the passage of substances within the intervillous space is A. Active transport B. Diffusion C. Facilitated diffusion - CORRECT ANS: A. Active transport The umbilical vein carries A. Carbon dioxide from the fetus back to the placenta B. Deoxygenated blood from the fetus to the placenta C. Oxygenated blood from the placenta to the fetus - CORRECT ANS: C. Oxygenated blood from the placenta to the fetus Fetal hypoxia is best described as a condition of A. Decreased oxygen in the blood B. Decreased oxygen in the tissue C. Increased hydrogen ions in the blood - CORRECT ANS: B. Decreased oxygen in the tissue Stimulation of the parasympathetic nervous system causes the FHR to A. Decrease B. Increase C. Remain the same - CORRECT ANS: A. Decrease Chemoreceptors respond mainly to changes in A. Blood pressure B. Hormonal levels C. Oxygen and carbon dioxide levels - CORRECT ANS: C. Oxygen and carbon dioxide levels

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NCC ELECTRONIC FETAL MONITORING
CERTIFICATION (EFM) EXAM 2025. 100%
COMPLETE WITH SOLUTIONS. EXPERT
VERIFIED FOR GUARANTEED PASS GRADED
A+
How long may a standard NST be extended in a term gestation if reactivity is not initially
demonstrated?
A. From the initial 20 min to 40 min
B. From the initial 20 min to 60 min
C. From the initial 30 min to 60 min
- CORRECT ANS: A. From the initial 20 min to 40 min

Accounts for fetal sleep

Which is the most appropriate application of vibroacoustic stimulation (fetal acoustic
stimulation) in a standard NST?
A. The device is placed at the top of the maternal fundus
B. The mother uses a marker button to document the fetal movement response
C. The stimulation is applied after a baseline is established
- CORRECT ANS: C. The stimulation is applied after a baseline is established

Which of the following characteristics are most common in the preterm fetus?
A. Increased baseline rate and prolonged accelerations
B. Increased baseline rate and variable decelerations
C. Prolonged accelerations and variable decelerations
- CORRECT ANS: B. Increased baseline rate and variable decelerations

As well as decreased variability

What typical characteristics of preterm uterine activity may be present in a patient
experiencing preterm labor?
A. An irritable uterus with wandering hypertonus
B. Low-amplitude high-frequency contractions
C. Tetanic contractions
- CORRECT ANS: B. Low amplitude high-frequency contractions

Which medications used with preterm labor can affect the FHR characteristics?
A. Terbutaline and antibiotics
B. Betamethasone and terbutaline
C. Antibiotics and narcotics
- CORRECT ANS: B. Betamethasone and terbutaline

What characterizes a preterm fetal response to stress?
A. More frequently occurring late decelerations
B. More frequently occurring prolonged decelerations

, C. More rapid deterioration from Category I to Category II or III

- CORRECT ANS: C. More rapid deterioration from Category I to Category II or III

More likely to be subjected to hypoxia


Clinical decision-making at the bedside should include:
A. Communication with the primary care provider only during a crisis
B. Integration of physiologic concepts with maternal-fetal assessment findings
C. Reliance primarily on technology over bedside assessments
- CORRECT ANS: B. Integration of physiologic concepts with maternal-fetal assessment
findings

In the United States, the paper speed on the monitor is set at
A. 1 cm/min
B. 2 cm/min
C. 3 cm/min
- CORRECT ANS: C. 3 cm/min

A woman being monitored externally has a suspected fetal arrhythmia. The most
appropriate action is to
A. Insert a spiral electrode and turn off the logic
B. Turn the logic on if an external monitor is in place
C. Use a Doppler to listen to the ventricular rate
- CORRECT ANS: A. Insert a spiral electrode and turn off the logic

The ultrasound transducer on the electronic fetal monitor measures the
A. Electrical signal of the fetal heart
B. Mechanical movements of the fetal heart reflected off of sound waves
C. R-to-R intervals of the fetal heart
- CORRECT ANS: B. Mechanical movements of the fetal heart reflected off of sound waves

The purpose of autocorrelation in external monitoring is to
A. Compare incoming waveforms for comparison
B. Decrease signal to noise levels
C. Distinguish fetal from maternal HR
- CORRECT ANS: A. Compare incoming waveforms for comparison

The area of maximum intensity of the FHR is usually the fetal
A. Back
B. Chest
C. Umbilicus
- CORRECT ANS: A. Back


Palpating the uterus is best performed by using the
A. Back of the hand
B. Fingertips
C. Palm

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